Medicare AdvantageCoverageMedium impact
Cold and Heat Therapy Devices - Medicare Advantage (Revised)
Humana·Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +3 more·Medicare Advantage
Effective date
Nov 3, 2025
We identified it
Jun 24, 2026
Summary
This is a comprehensive Medicare Advantage policy for cold and heat therapy devices, covering both active and passive systems used in post-surgical and injury care. The policy provides detailed descriptions of covered devices and references applicable Medicare Administrative Contractor (MAC) Local Coverage Determinations (LCDs) for specific billing guidance.
Action Required
Before November 3, 2025: Billing team must review the comprehensive list of covered cold and heat therapy devices to ensure proper documentation and billing compliance. Verify coverage requirements against applicable MAC LCDs based on your geographic jurisdiction. Update internal coverage guidelines to reflect device categories (active vs passive systems) and ensure proper medical necessity documentation for these devices.