LCD L39058: Platelet Rich Plasma Injections for Non-Wound Injections — Noridian
Orthopedics
Government source· CMS / MACverify ↗HCPCS Level II code
G0465 — Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)
HCPCS Level IIVerified Sep 5, 2026
Medicare payment
$1,063.48
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
G0465
Code system
HCPCS Level II
Full description
Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)
Policy activity for HCPCS G0465
CLV Intelligence is tracking 2 policy changes that cite HCPCS G0465 most recently on 2026-06-05, drawn from 2 LCD/NCD coverage updates. The changes span Orthopedics and Pain Management. 2 are flagged critical or high priority.
- LCD/NCD coverage updates
- 2
Counts reflect the source documents CLV has matched to HCPCS G0465 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Recent policy changes matched to G0465
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
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Full history of CMS and MAC policy changes matched to this code.
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