Question 1

What is HCPCS code L0190?

Accepted Answer

HCPCS code L0190 is "Cerv collar supp adj cerv ba". Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)

Question 2

What category is L0190 in?

Accepted Answer

L0190 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L0190?

Accepted Answer

Use L0190 when billing for cerv collar supp adj cerv ba. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is L0190 covered by Medicare?

Accepted Answer

Coverage for L0190 (Cerv collar supp adj cerv ba) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for L0190?

Accepted Answer

Documentation for L0190 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).