LCDActive
Platelet Rich Plasma Injections for Non-Wound Injections
L39023
Effective: February 14, 2025
Updated: December 31, 2025
Policy Summary
Platelet-rich plasma (PRP) injections or applications for treating musculoskeletal injuries or joint conditions are explicitly non-covered under this policy. No indications, documentation requirements, or frequency limits for covered use are provided because all such PRP uses for these conditions are excluded.
Coverage Criteria Preview
Key requirements from the full policy
"All platelet-rich plasma (PRP) injections and/or applications for management of musculoskeletal injuries and/or joint conditions are not covered."
Sign up to see full coverage criteria, indications, and limitations.