LCDActive
Platelet Rich Plasma Injections for Non-Wound Injections
L39058
Effective: September 11, 2025
Updated: December 31, 2025
Policy Summary
This policy states that platelet-rich plasma (PRP) injections or applications intended to manage musculoskeletal injuries or any joint conditions are non-covered. No PRP uses for musculoskeletal or joint management are authorized under this policy.
Coverage Criteria Preview
Key requirements from the full policy
"All platelet-rich plasma (PRP) injections and/or applications for the management of musculoskeletal injuries or joint conditions are not covered."
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Covered Medical Codes