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G0465

Autolog prp diab wound ulcer

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 system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2021-04-13
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G0465 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G0465",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Autolog prp diab wound ulcer",
    "billable": true,
    "attributes": {
      "betos": "P5E",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "13",
      "action_effective_date": "2023-07-01"
    },
    "description": "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)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2021-04-13",
    "care_categories": [
      "doctor-visits"
    ],
    "care_category_details": [
      {
        "slug": "doctor-visits",
        "name": "Doctor and clinic visits",
        "confidence": 0.95,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range G0463-G0470"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G0465 in the HCPCS file

betos
P5E
coverage
C
action code
N
type of service
1
pricing indicator
13
action effective date
2023-07-01

Change history

Lifecycle

G0465 has been in effect since 2021-04-13. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up G0465 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G0465 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G0465. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.