G0460 — Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatmentHCPCS/CPT
No Prior Auth Required
No active coverage policies found for this code (low confidence)
A58810 — Billing and Coding: Platelet Rich Plasma
J09
L39071 — Platelet Rich Plasma
J09
L39068 — Platelet Rich Plasma
J12
A58808 — Billing and Coding: Platelet Rich Plasma
J12
CGS-L39023 — Platelet Rich Plasma Injections for Non-Wound Injections
J18 MAC Part B
FIRST_COAST-L39071 — Platelet Rich Plasma
J9 MAC Part B
NORIDIAN-L39058 — Platelet Rich Plasma Injections for Non-Wound Injections
JF Part B
NOVITAS-L39068 — Platelet Rich Plasma
JL MAC Part B
A58788 — Billing and Coding: Platelet Rich Plasma Injections for Non-Wound Injections
L39023 — Platelet Rich Plasma Injections for Non-Wound Injections
UHC-POL-prolotherapy-platelet-rich-plasma-therapies — Prolotherapy and Platelet Rich Plasma Therapies
UMR-POL-UMR-prolotherapy-platelet-rich-plasma-therapies — Prolotherapy and Platelet Rich Plasma Therapies
SUREST-POL-SUREST-prolotherapy-platelet-rich-plasma-therapies — Prolotherapy and Platelet Rich Plasma Therapies
HUMANA-PLATELET-RICH-PLASMA-FOR-WOUND-HEALING-MA — Platelet Rich Plasma for Wound Healing - Medicare Advantage
UHCMA-POL-UHC_MA-platelet-rich-plasma-therapies — Platelet Rich Plasma Therapies
L39058 — Platelet Rich Plasma Injections for Non-Wound Injections
AETNA-CPB-0005 — Septoplasty and Rhinoplasty
AETNA-CPB-0602 — Intradiscal Procedures
AETNA-CPB-0784 — Blood and Adipose Product Injections for Selected Indications
ANTHEM-MP-B094276 — TRANS.00035 Therapeutic use of Stem Cells, Blood and Bone Marrow Products