What Is a Cranial Prosthesis?

Unlike a standard fashion wig or cosmetic hairpiece, a Cranial Prosthesis is custom-engineered Durable Medical Equipment (DME) prescribed to treat extensive hair loss caused by a diagnosed medical condition or treatment. Each unit features specialized, medical-grade, non-allergenic base materials designed specifically for sensitive or compromised scalps, ensuring thermal regulation, skin safety, and a secure fit.

What Documentation May Be Needed?

Prescription / Order

State “Cranial Prosthesis” or “Cranial Hair Prosthesis”
Patient's diagnosis/medical condition causing hair loss
Provider signature and NPI

Letter of Medical Necessity (when required by the patient's insurance plan)

Brief explanation of the patient's medical hair loss
Impact on the patient's daily life and/or emotional well-being
Statement that a cranial prosthesis is medically appropriate for the patient

Please ensure your clinical documentation or prescription lists one of the following billable ICD-10-CM codes:

L63.9 – Alopecia Areata, unspecified
L63.0 – Alopecia Totalis
L63.1 – Alopecia Universalis
L65.9 – Nonscarring hair loss, unspecified (General Alopecia NOS)
L65.0 – Telogen Effluvium (Stress/Trauma-induced shedding)
Z51.11 – Encounter for antineoplastic chemotherapy (Active Chemo Hair Loss)
Z92.21 – Personal history of antineoplastic chemotherapy (Post-Chemo Restoration)
L66.9 – Cicatricial (Scarring) Alopecia, unspecified
T20.35 – Deep third-degree burn of scalp / head

✍️ Critical Prescription Wording Rule

To safeguard against automatic computer-generated cosmetic denials by insurance clearinghouses, the prescription or Letter of Medical Necessity must strictly use the exact phrasing below:

Equipment Prescribed: "Cranial Prosthesis for medical hair loss" (Do NOT use the word "Wig" anywhere on the document).

Billing Code to Include: HCPCS A9282

Disclaimer: Insurance coverage and documentation requirements vary by payer and individual plan. Taylor Hair Solutions does not guarantee insurance coverage or reimbursement.

Who Can Refer?

Patients may be referred by the healthcare professional managing the condition contributing to their hair loss, including:

Dermatologists: scalp disorders and conditions such as alopecia areata or scarring alopecia

Oncologists: chemotherapy- or radiation-related hair loss

Primary Care Providers: patients whose medical hair loss is managed within primary care

Rheumatologists: autoimmune conditions associated with hair loss

Endocrinologists: hair loss related to certain hormonal or thyroid conditions

Mental Health Providers: conditions such as trichotillomania

Provider Referral Guide

How to Submit a Referral

📋 Option A: Direct Provider Fax (Preferred)

Print your patient's demographics face-sheet along with their signed prescription and fax it directly to our secure cloud directory or send an eFax. Your outbound transmission logs will record a standard "Successful Delivery" receipt.

Refer via Fax or eFax

💻 Option B: Secure Digital Form

Direct your administrative staff or the patient to submit clinical documentation directly through our encrypted, HIPAA-compliant digital intake pipeline.

Refer via Google Form

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