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Response to Comments: Amniotic and Placental Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound DL39624
A59563
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: November 12, 2023
Updated: December 31, 2025
Policy Summary
This document is a response to comments regarding the proposed policy on amniotic and placental derived product injections/applications for non-wound musculoskeletal indications (DL39624). The response article itself does not contain specific coverage indications, limitations, documentation requirements, or frequency limits; consult the final DL39624 policy and participating MACs for definitive coverage criteria.
Coverage Criteria Preview
Key requirements from the full policy
"Amniotic and placental derived product injections and/or applications for musculoskeletal (non-wound) indications are the subject of the proposed policy referenced in this document."
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