HCPCS E0218: Fluid circulating cold pad with pump, any typeHCPCS E0218: Fluid circulating cold pad with pump, any type

No. Coverage for E0218 is highly variable. Many Medicare and private payer policies consider fluid circulating cold therapy devices (E0218) to be not medically necessary or a convenience item, often denying coverage for use in the home setting. Coverage typically depends on the specific Local Coverage Determination (LCD) or the payer's medical policy.

E0218 describes a device with an electric pump that circulates cold fluid, which provides continuous, sustained, and controlled cold for a prolonged period. Simple ice packs (coded A9270 or A9273) provide intermittent cold and are not considered DME.

You can only bill a Medicare beneficiary for a denied service if a properly executed Advance Beneficiary Notice of Non-coverage (ABN) was obtained before the item was delivered. This notice informs the patient that Medicare may not pay and that the patient agrees to take financial responsibility.