C9817 Crypnm cmprs nonopioid devElectronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system component(s), 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)
C9817 appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Capital Blue Cross, Cigna, Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Cryoanalgesia and Therapeutic Cold (0297) | not covered | Apr 14, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Cooling Devices Used In The Outpatient Setting | unproven / investigational | payer document | |
| Blue Cross Blue Shield of Massachusetts | Cooling Devices Used in Outpatient Setting (510) | unproven / investigational | payer document | |
| Capital Blue Cross | Cooling Devices Used in the Outpatient Setting (MP 6.040) | unproven / investigational | Sep 1, 2026 | payer document |
| Cigna | Compression Devices (0354) | not covered | May 15, 2026 | payer document |
| Premera Blue Cross | Cooling Devices Used in the Outpatient Setting (1.01.538) | listed, no stance | Jul 13, 2026 | payer document |
| Regence | Cooling Devices Used in the Home Setting (Durable Medical Equipment 07) | listed, no stance | Jul 1, 2026 | payer document |
Prior authorization required or conditional in IN.
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.