LCD L39058: Platelet Rich Plasma Injections for Non-Wound Injections — Noridian
Orthopedics
HCPCS Level II code
G0460 — Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment
HCPCS Level IIVerified Jul 6, 2026
Code definition
Code
G0460
Code system
HCPCS Level II
Full description
Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment
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