G0465 HCPCS Level II Code: 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,…

Medicare Coverage & Payment

CMS short descriptor: Autolog prp diab wound ulcer
Medicare coverage: Carrier judgment (CMS coverage code C)
Pricing indicator: 13
BETOS: P5E — Ambulatory procedures - other
Last CMS action effective: July 1, 2023

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Contextual Map

Every relationship of G0465 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

G0443 — Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes[Sibling]— CMS HCPCS Level II code set
G0444 — Annual depression screening, 5 to 15 minutes[Sibling]— CMS HCPCS Level II code set
G0445 — High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes[Sibling]— CMS HCPCS Level II code set
G0446 — Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes[Sibling]— CMS HCPCS Level II code set
G0447 — Face-to-face behavioral counseling for obesity, 15 minutes[Sibling]— CMS HCPCS Level II code set
G0448 — Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing[Sibling]— CMS HCPCS Level II code set
G0451 — Development testing, with interpretation and report, per standardized instrument form[Sibling]— CMS HCPCS Level II code set
G0452 — Molecular pathology procedure; physician interpretation and report[Sibling]— CMS HCPCS Level II code set
and 32 more

Change history

April 13, 2021 — Added to the code set [Change history]— CMS release files (code change ledger)

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, descriptors, coverage and pricing attributes Official source data: CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data: CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship: Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation: Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

April 13, 2021
Added to the code set
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)

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G0465 in its code family, with their registry titles.