Cold Therapy, Heat Therapy, Combined Heat and Cold Therapy - MEDICAID - VIRGINIA

This policy covers provision of cold therapy, heat therapy, and combined heat-and-cold systems — including active cold devices, reusable wrap/pad systems with control units, and combined intermittent pneumatic compression/cooling units (e.g., Game Ready GRPRO 2.1, Polar Care Wave) — for topical cyclical cooling/heating and compression. It is intended for postoperative or acute extremity injuries, edema/lymphedema, joint pain or muscle spasm, but the excerpt lists no explicit coverage limitations, frequency/age/prior‑authorization requirements or detailed indications; coverage appears focused on localized/extremity applications and varies by device capabilities (some devices do not provide compression).

"The Zynex CryoHeat device does not provide compression therapy (explicit limitation)."

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