HCPCS code G0465 — Autolog prp diab wound ulcer. Status: Active. Effective Jul 1, 2023. Source: CMS HCPCS Level II.

G0465

Active

Autolog prp diab wound ulcer

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)

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jul 1, 2023
Code type: alphanumeric

MUE — Medically Unlikely Edits

Maximum units of G0465 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 2
Practitioner Services 2

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.

  • New Code 2023-Q3
    Autolog prp diab wound ulcer