HCPCS Level IIprocedureActive
G0465
Autolog prp diab wound ulcer
BETOS: P5E
Effective: 2023-07-01
Referenced in 5 policies
Description
Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
$0.00
Non-Facility Price
$0.00
Facility Price
1.78
Work RVU
31.84
Total RVU (Non-Fac)
000