NOPAIN ACT - ASC

A Clear Path to Medicare Reimbursement

Discuss eligibility, product options, and reimbursement with a NOPAIN Act expert.

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Separate Medicare Facility Payment

Qualifying IceMan® devices are eligible for separate Medicare facility payment when billed in accordance with CMS guidelines.

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Billing and Claims Submission

Facilities submit claims using the appropriate HCPCS code in accordance with CMS guidance. Reimbursement eligibility should be verified with your MAC prior to submission.

IceMan® Delivers Consistency You Can Count On

Built for ASC Efficiency, Trusted for Patient Recovery.

Time-Tested Cold Therapy

IceMan® supports extended cold therapy across a range of surgical indications and post-operative care protocols.

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IceMan® Classic3

The IceMan® helps provide extended cold therapy to aid in a variety of indications and protocols as directed by a medical professional.

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IceMan® Clear3

The IceMan CLEAR3 cold therapy unit helps reduce pain and swelling, speeding up rehabilitation and recovery.

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How IceMan® Delivers

DonJoy’s recirculation system helps maintain more consistent and accurate temperatures than other competitive cold therapy units.

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ICEMAN with patented dual-pump recirculation technology.

The DonJoy® IceMan® recirculates water in a continuous loop. Warmed water returns to the cooler, remixes with ice water, and repumps at a constant flow rate. The result is consistent cold across the entire pad for reliable therapy. Other units restrict water flow, causing uneven temperatures and warm spots where relief fades.

Clinically Proven Non-Opioid Pain Relief

Cold therapy has been used for decades to support post-operative recovery.

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Reduces pain2,4,5

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Reduces opioid consumption1,3,4

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Higher Patient Satisfaction3

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Targeted non-opioid option that is not addictive.6

Dr. Sarah Edwards discusses the NOPAIN Act.

Cold therapy may reduce pain, narcotic use after arthroscopic rotator cuff repair

Results showed patients who undergo arthroscopic rotator cuff repair may experience a reduction in pain and narcotic use with a postoperative cold therapy regimen.

Under the federal NOPAIN Act, effective Jan. 1, 2026, qualifying IceMan® systems are eligible for separate Medicare facility payment in HOPDs and ASCs.

  1. Xiao AX, et al. The use of a motorized cold therapy unit in the postoperative period influences pain and narcotic use following arthroscopic rotator cuff repair. J Shoulder Elbow Surg. 2025;[Epub ahead of print]. doi:10.1016/j.jse.2025.08.026.
  2. Schröder, D., &amp Pässler, H. H. (1994). Combination of cold and compression after knee surgery: A prospective randomized study. Knee Surgery, Sports Traumatology, Arthroscopy, 2(3), 158–165.
  3. Jones CA, et al. Opioid-sparing pain management protocol after shoulder arthroplasty results in less opioid consumption and higher satisfaction: a prospective, randomized controlled trial. J Shoulder Elbow Surg. 2002;11(2):20–25.
  4. Levy AS, Marmar M. The role of cold compression dressings in the postoperative treatment of total knee arthroscopy. Clin Orthop Relat Res. 1993;297:174–178.
  5. Barber FA. A comparison of crushed ice and continuous flow cold therapy. Am J Knee Surg. 2000;13(1):1–8.
  6. Martimbianco AL, Gomes da Silva BN, de Carvalho AP, Silva V, Torloni MR, Peccin MS. Effectiveness and safety of cryotherapy after arthroscopic anterior cruciate ligament reconstruction: a systematic review of the literature. Phys Ther Sport. 2014;15(4):261–268.