C9810 Cold therapy non-opioid dev

Water circulating motorized cold therapy device (e.g., iceman) including all system components (e.g. pads, console, disposable parts), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)

Payer policies and prior authorization for C9810

Payer coverage policies that name C9810

C9810 appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, BlueCross BlueShield of South Carolina, Capital Blue Cross, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaCryoanalgesia and Therapeutic Cold (0297)not coveredApr 14, 2026payer document
Blue Cross & Blue Shield of MississippiCooling Devices Used In The Outpatient Settingunproven / investigationalpayer document
Blue Cross Blue Shield of MassachusettsCooling Devices Used in Outpatient Setting (510)unproven / investigationalpayer document
Blue Shield of CaliforniaCooling Devices Used in the Outpatient Setting (1.01.26)listed, no stancepayer document
BlueCross BlueShield of South CarolinaCooling Devices Used in the Outpatient Setting (CAM 10126)listed, no stanceMay 1, 2026payer document
Capital Blue CrossCooling Devices Used in the Outpatient Setting (MP 6.040)unproven / investigationalSep 1, 2026payer document
Premera Blue CrossCooling Devices Used in the Outpatient Setting (1.01.538)listed, no stanceJul 13, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • ND: $0.00 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.