Cold Therapy, Heat Therapy, Combined Heat and Cold Therapy - MEDICAID - SOUTH CAROLINA

This Medicaid (South Carolina) policy covers cold therapy, heat therapy, and combined heat-and-cold therapy devices—including active (battery/electric pneumatic or mechanical pumps), wrap systems with control units that circulate cooled/heated water or ice/water, and passive cold/heat products—for reducing pain, swelling, and muscle spasm after extremity injury or surgery, treating joint pain, and for scalp/oral cooling during chemotherapy (e.g., codes 0662T/0663T/0881T, A9273). Coverage is described primarily for extremity applications and devices that use circulating wrap systems; device-specific operational limits (battery life, non‑pneumatic devices) are noted, and the excerpt does not specify explicit frequency, age, prior‑treatment, or exclusion criteria.

"Decrease discomfort and swelling following injury to an extremity."

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