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Cervical Collar
Suggested HCPCS Code:
L0172
Lightweight preformed foam with plastic
Reinforcement for comfort and stability
Two-piece collar easily adjusts
Secured with Velcro closures
Large trachea opening
Product Number
Size
Neck Circumference
18-0200
Small
10″-13″
18-0201
Medium
13″-16″
18-0202
Large
16″-19″
18-0203
X-Large
19″-23″
Underlying Conditions:
Whiplash
Post-Op Support
Neck Fracture
Osteomyelitis of vertebr
Spinal Stenosis
Cervical Disc Disorder with Radiculopathy/Myelopathy
Coverage Criteria:
Item is for treatment of illness or injury or to improve function of malformed body member. (Not preventative.)
For Product Instructions click
HERE
.
Our Process is as follows:
1. Choose a brace, send a brace request form and a facesheet to our office.
2. PME will verify insurance coverage, prepare a script and send it to the requester for a DR signature.
3. Facility sends back signed script
4. PME ships brace to the facility.
Contact Us
Auth to Bill / Brace Request Form