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)

Code type

HCPCS Level II

Coverage

Carrier judgment

BETOS category

P5E

Pricing indicator

13

Effective date

20230701