| Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | Durable Medical Equipment | | 07/06/2025 | Covered and Noncovered Services : CodesTopic #18618 Cranial Remolding Orthosis
Providers are required to use HCPCS procedure code S1040 (Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment[s]) when submitting claims for CRO. Separate claims should not be submitted for fitting and adjustments.
Medical necessity for CRO must be documented in a member's records. |