© Copyright 2026 American Medical Association. All rights reserved.
Scalp cooling therapy is a specialized procedure designed to mitigate hair loss associated with chemotherapy treatments. This therapy is particularly beneficial for patients undergoing chemotherapy, as it aims to protect hair follicles from the damaging effects of chemotherapy drugs. The mechanism behind scalp cooling involves the application of a cooling cap that constricts blood vessels in the scalp, thereby reducing blood flow to the hair follicles. This reduction in blood flow limits the amount of chemotherapy drugs that reach the follicle cells, which are among the fastest dividing cells in the body. Consequently, by minimizing the exposure of hair follicles to these drugs, patients can retain a significant amount of their hair, which can be crucial for maintaining privacy and self-esteem during cancer treatment. The cooling cap is made from flexible silicone and is designed to fit snugly against the head, ensuring effective insulation and coolant circulation. The cap is connected to a computer system that regulates the temperature and coolant flow, maintaining a consistent cooling effect. The procedure involves wearing the cap for a specified duration: 30 minutes prior to chemotherapy, during the infusion, and for up to 90 minutes afterward. The initial measurement and calibration of the cooling cap, which is a personalized device for the patient, is reported using CPT® Code 0662T, while subsequent placement and monitoring during chemotherapy sessions are reported with CPT® Code 0663T.
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