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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

February 2019

Harvard Pilgrim No Longer Covers Cooling Devices


Harvard Pilgrim considers cold therapy units and passive or active cooling and compression devices for all uses — including but not limited to the treatment of musculoskeletal injuries and the reduction of pain and swelling associated with postoperative orthopedic trauma and orthopedic surgery recovery — experimental/investigational. Effective for dates of service beginning Feb. 1, 2019 for our commercial plans, Harvard Pilgrim will no longer cover these devices.

The following associated HCPCS codes have been added to Harvard Pilgrim’s Non-Covered Services Medical Policy, and will deny if billed:

  • E0218 – Water circulating cold pad with pump
  • E0236 – Pump for water circulating pad

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PUBLICATION INFORMATION

Robert Farias,
Senior Vice President, Corporate Network Strategy

Annmarie Dadoly,
Editor

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Writer

Kristin Edmonston,
Production Coordinator