Paxman have been pioneers in scalp cooling technology for more than 20 years. We are proud to be the leading global experts in scalp cooling, with the Paxman Scalp Cooling System being globally recognised as the leading product for hair-loss prevention during chemotherapy treatment.
Paxman Scalp Cooling is available throughout the United States. For system locations, please visit our Global Systems Locations Index.
Since scalp cooling achieved FDA clearance in 2017 and was subsequently included within the NCCN guidelines, Paxman’s vision has always been to ensure equitable access to the treatment for all. Everyone should be able to feel like themselves.
Despite rapidly growing demand for scalp cooling in the US, disparity in access to this essential treatment remains. Cancer doesn’t discriminate based on individual financial circumstances. Data shows significant financial debt from out-of-pocket expenses resulted in decreased Quality of Life. This is sadly most common in disadvantaged and underrepresented populations who must choose between their wellbeing or financial stability. Historically, self-pay was the only option for scalp cooling, making it financially inaccessible for many.
However, reimbursement is now a firm reality with Paxman’s Insurance-Based Billing Model (IBBM). This means you have the power to help those going through cancer treatment to access scalp cooling without financial toxicity. All it takes is a simple switch to show your commitment to patient-centric care.
Use the navigation menu to explore everything you need to know about the simple switch and how to get started.
Did you know?
Paxman's IBBM Model is already in place in many of the top hospitals and cancer centers across the country.
The Paxman Insurance-Based Billing Model (IBBM)
Making your mark on accessible patient-centric care for all starts with Paxman’s IBBM. The model allows your facility to directly bill insurance (via CPT codes) and comes with a range of benefits for you and your facility, as well as for patients. With the IBBM you can:
Upcoming CPT Code Changes
Currently, Paxman Scalp Cooling is billed through CPT III codes, based on AMA CPT Editorial Panel coding. These may be recognized by Medicare Administrative Contractors (MACs), private commercial payers and Medicaid.
Effective January 1, 2026, providers can bill mechanical scalp cooling via CPT I codes - representing well-establish services and procedures
With Category I status, RVUs (Relative Value Units) will be assigned, allowing transparent Medicare/Medicaid reimbursement under the 2026 Physician Fee Schedule and OPPS. This makes it even easier to secure coverage for your facility and your patients.
Be Prepared: Legislative Bills on Reimbursement
In 2024, New York State signed a bill to mandate insurance payment for scalp cooling, also effective January 1, 2026. Since then, numerous others have followed suit, starting a chain reaction of bills now under consideration across the Eastern Seaboard. Louisiana became the second state to pass a bill in 2025.
These bills, campaigned for by oncology key opinion leaders, alongside patient advocates, show a growing need and desire for patient-centric care that treats the person, not just the cancer. People with a cancer diagnosis will prefer facilities that offer reimbursement.
Now is your chance to join your peers and get ahead of the curve. It’s time for the Simple Switch.
In the physician’s office and hospital outpatient department sites of care, Medicare Administrative Contractors (MACs), private commercial payers, and Medicaid may recognize the following codes for scalp cooling based on AMA CPT Editorial Panel’s recent coding update.
CPT III Codes
0662T
Scalp cooling mechanical; initial measurement and calibration of cap. This code is billed when the cap is fitted to the patient and may only be utilized one time per patient.
0663T
Placement of device, monitoring, and removal of device. This code is billed each time the patient receives scalp cooling during chemotherapy and is to be used in conjunction with chemotherapy administration codes 96409, 96411, 96413, 96415, 96416, and 96417.
ICD-10-CM Diagnosis Codes
The Paxman Scalp Cooling System is indicated to reduce the likelihood of chemotherapy-induced alopecia (CIA) in cancer patients with solid tumors. Trials were conducted on patients who had solid tumors, such as ovarian, breast, colorectal and prostate cancers.
All diagnosis codes should correspond accurately to the patient’s condition and at full discretion of the patient’s physician.
Concerned about your patients getting coverage? Even with CPT III Temporary coding, Paxman has seen excellent patient coverage in recent years.
Only providers using the full Paxman Hub services are included in this data set – June 2022 to January 2025
For claim submissions on behalf of your patients, we provide scalp cooling billing and coding information for your physician’s office and hospital outpatient settings of care.
Coverage can be obtained under the following systems:
Outpatient Prospective Payment System – OPPS
These payments apply to hospital outpatient departments nationwide under Medicare Part A. Even if your local MAC hasn’t issued a formal coverage policy, a Medicare Administrative Contractor (MAC) can approve claims especially when:
Physician Fee Schedule – PFS
Scalp cooling can also be billed in freestanding clinics or physician offices under Medicare Part B, using CPT 0662T/0663T.
The codes are currently Category III (emerging technology), with assigned Relative Unit Values (RVUs) coming as part of the introduction of CPT I codes effective January 1, 2026.
CPT Category I codes effective January 1, 2026
With CPT I codes and legislative bills on the way, outcomes will improve even further. This means more patients, more consistent coverage and higher payment rates.
What happens in the event where a patient is under or uninsured?
This is where Paxman’s generous Patient Assistance Program (PAP) comes in. This acts as a safety net, catching anyone who meets the eligibility criteria.
The Paxman Patient Assistance Program* assists patients who:
Patients at or below 600% of the federal poverty level receive a cap kit free of charge if they are un- or underinsured. A free-of-charge replacement cap kit will be provided by Paxman. The provider will not charge the patient for the cap kit or any scalp cooling treatments.
Automatic Qualification into the PAP
If EITHER of these criteria are met, a patient will automatically qualify into the Paxman PAP: Patient has an adjusted gross income of less than or equal to 600% of the Federal Poverty Level based on HHS Hardship waiver available if product is >50% of household income
Conditional Qualification into the PAP
*The PAP is only available to facilities who are contracted under Paxman’s Insurance-Based Billing Model.
For the period June 2022 to January 2025, 90% of patients did not pay out-of-pocket due to positive coverage or support from the Paxman Patient Assistance Program.
You’re just a few clicks away from making the simple switch to Insurance-Based Billing. Here’s how to get started delivering equitable, streamlined, patient-centered cancer care:
1. Contact Paxman
Reach out to the team via the contact form to express your interest. From here on in, you’ll have the full support of our experienced team to guide you through the rest of the process.
2. Set up a contract*
After giving you a deeper dive into the IBBM, we’ll guide you through the process of signing a contract with Paxman and our distributor to place your order of cap kits.
3. Training & Integration
Your staff will receive comprehensive training on billing for scalp cooling treatments, including CPT and infusion codes. From January 1, 2026, billing will be via CPT I codes.
4. Start Offering Scalp Cooling
Once you’re set up, you can begin billing insurance for cap fittings and treatments, leading the way for a new age of equitable access for scalp cooling.
*Facilities may not directly bill insurance without a contract in place due to the negative impact on potential patient reimbursement.
Here you will find everything you need as part of the Insurance-Based Billing Model. Remember: our team will guide you through the entire process.
Christina Arnal, RN, BSN, OCN talks through switching her institution’s self-pay model to an insurance-based billing one, as patient demand increases.
Clinical Product Specialist, Jaqueline Olsen, RN, BSN, MBA, shares a nursing perspective on why scalp cooling access is so important.
Final rule publication
Category I CPT codes take full effect
If your practice is engaged in the new business model contract with Paxman, you will purchase caps from our distributor and bill patient insurance for the cap fitting (CPT code 0662T) and each cooling treatment (CPT code 0663T). The cost of the cap is covered by the payment rate set for code 0662T, and the cooling treatment fee is bundled into one of the infusion codes such as 96409, 96411, 96413, 96415, 96416 or 96417.
If your site is offering our traditional self-pay business model, the cost is based on the number of treatments the patient receives. From June 1st, 2025, treatments 1 through 4 are $370 each, treatments 5 through 6 are $200 each, and treatments 7 through 12 are $120 each. Pricing is capped at $2600 – patients will pay no more than this, no matter how many cycles they receive.
Practices engaged in our new business model will have access to the Patient Assistance Program offered by Paxman.
There are also a number of foundations across the country that may be able to help patients cover at least some of the costs of scalp cooling. Each foundation has different criteria as to who they support, often based upon the Federal Poverty Level, though this is not always the case. Patient information on Financial Support and Foundation is available here.
Paxman is encouraging practices to engage in our new business model, which allows them to bill patient insurance. Otherwise, patients will need to pay for scalp cooling. They may attempt to get reimbursed from their insurance company as detailed here.
The Paxman Hub will assist with self-pay patients when a site is contracted with Paxman to bill a patient’s insurance company. If you would like to learn more about billing insurance, contact us hcp@paxmanusa.com or visit our Reimbursement page.
There are a wide range of educational materials available to order from Paxman – please view our patient education order forms for more information.
After an initial discussion with your patient to introduce scalp cooling, please refer them to our website coldcap.com. This online resource has been designed to help patients reach an informed choice about whether scalp cooling is right for them, then guide them through their treatment. There is also a range of patient education available to order here
After an initial discussion with your patient to introduce scalp cooling, please refer them to our website coldcap.com. This online resource has been designed to help patients reach an informed choice about whether scalp cooling is right for them, then guide them through their treatment. There is also a range of patient literature available to order from our Communications Catalogue, including a patient handout, an introduction to scalp cooling leaflet, and information on foundations and financial support.
Yes. Our US team is available to come back on site and answer questions, meet with all members of the care team, and provide additional training to new staff as well as refresher training for those needing to be re-familiarized with the fitting and treatment process.
Our website Coldcap.com is there to help patients make an informed choice, and guide them through their scalp cooling treatment. Knowing if cold capping is right for them is a decision only the patient can make. Coldcap.com will lay out everything patients need to know about Paxman scalp cooling to enable them to make an informed decision, and then go on to support them through the scalp cooling process.
Resources include:
