HCPCS code G0460 — Autolog prp not diab ulcer.
Status: Active.
Effective Jul 1, 2023.
Source: CMS HCPCS Level II.
G0460
ActiveAutolog prp not diab ulcer
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
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jul 1, 2023
Code type:
alphanumeric
OPPS Status:
T
— Significant procedure — subject to multiple procedure reduction
OPPS APC:
5054
MUE — Medically Unlikely Edits
Maximum units of G0460 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.