HCPCS G0465 Code. Autolog prp diab wound ulcer

HCPCS Code: G0465
Long 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)
Short Description: Autolog prp diab wound ulcer

Original information is taken from G0465 page

Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Coverage: C – Carrier judgment

Berenson-Eggers Type of Service (BETOS): P5E – Ambulatory procedures - other
Type Of Service 1: 1 – Medical care

Anesthesia Base Unit Quantity: 0
Code Added Date: 20210413
Code Effective Date: 20230701
Action Code: N – No maintenance for this code