NCDActive
Blood-Derived Products for Chronic Non-Healing Wounds
NCD217
Effective: April 13, 2021
Updated: December 31, 2025
Policy Summary
CMS nationally covers autologous PRP for treatment of chronic non-healing diabetic cutaneous wounds for up to 20 weeks when the PRP is prepared by devices with FDA-cleared indications for managing exuding cutaneous wounds. Autologous PDGF products and becaplermin for the specified non-covered wound types are not covered, and autologous PRP is not covered for acute surgical closed-incision or dehiscent wounds; coverage beyond 20 weeks and coverage for other chronic wound types is determined by local MACs.
Coverage Criteria Preview
Key requirements from the full policy
"Autologous platelet-rich plasma (PRP) is covered for treatment of chronic non-healing diabetic cutaneous wounds for up to 20 weeks when prepared by devices with FDA-cleared indications for manageme..."
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