Platelet Rich Plasma
J9 · Effective Dec 12, 2021
8 active Medicare policies list S9055, and 6 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J9 · Effective Dec 12, 2021
JH · Effective Dec 12, 2021
JL · Effective Dec 12, 2021
JJ · Effective Feb 7, 2021
JM · Effective Feb 7, 2021
National · Effective Aug 1, 2026
JL · Effective Jul 1, 2023
J9 · Effective Jul 1, 2023
6 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of S9055 |
|---|---|---|
| Blood and Adipose Tissue Derived Products for Selected Indications | Oct 26, 2023 | Covered |
| Bone and Tendon Graft Substitutes and Adjuncts | Feb 1, 2024 | Covered |
| Distraction Osteogenesis for Craniofacial Defects | Aug 9, 2023 | Covered |
| Septoplasty and Rhinoplasty | Mar 14, 2023 | Covered |
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
| Policy | Effective | Status of S9055 |
|---|
| Silver-based Products for Wound and Soft Tissue Applications | Jan 6, 2026 | Not covered |
|---|