Getting paid: Medicare will cover PRP, but only for chronic non-healing wounds

Article Overview

This article covers a Medicare national coverage determination affecting payment for platelet-rich plasma therapy in a limited wound-care setting. It is useful for wound care clinicians, orthopedics practices, and billing staff who need to understand the general scope of the coverage change, the related claim-reporting elements, and the kinds of diagnosis and site-of-service guidance CMS referenced. The article also notes the distinction between Medicare coverage and other payers’ general approach to PRP.