Cold Therapy

Coverage requires that cold therapy items be eligible for a Medicare benefit category, be reasonable and necessary for diagnosis/treatment or to improve function of a malformed body member, and comply with all applicable Medicare statutory and regulatory requirements. Suppliers must have required documentation (SWO/WOPD, POD) and correctly code claims per CMS and LCD guidance; a fluid circulating cold pad with pump (HCPCS E0218) is specifically excluded from coverage.

"Item must be eligible for a defined Medicare benefit category to be covered."

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