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Billing and Coding: Platelet Rich Plasma
A58609
National Government Services, Inc. (J06)
Effective: August 1, 2021
Updated: December 31, 2025
Policy Summary
This billing and coding article supplements the Local Coverage Determination (LCD) for Platelet Rich Plasma but does not itself specify clinical indications, exclusions, documentation requirements, or frequency limits. For actionable coverage criteria and claim requirements, consult the referenced LCD and applicable local payer policies; manual review is required to apply coverage to specific cases.
Coverage Criteria Preview
Key requirements from the full policy
"This article does not list specific covered indications; coverage is determined by the referenced Local Coverage Determination (LCD) for Platelet Rich Plasma."
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