About this policy
CMS NCA document | source_status=Closed | review_type=New | public_comment_open=False | document_id=CAG-00190N
Coverage indications
CMS has determined that the evidence is adequate to conclude that autologous platelet-derived growth factor (PDGF) in a platelet poor plasma does not improve healing in chronic non-healing cutaneous wounds and, therefore, is not reasonable and necessary. CMS will continue noncoverage of this treatment. CMS has determined, in the absence of specific evidence of benefit that there is not sufficient evidence to conclude that autologous platelet rich plasma is reasonable and necessary for the treatment of chronic non-healing cutaneous wounds. In light of the absence of data on the health outcomes of this treatment, we intend to issue a national noncoverage determination for use of this product except when used in accordance with the clinical trial policy defined in section 30-1 of the Coverage Issues Manual.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.