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Wiki PRP (G0465) NCD 207.3-6 Coverage

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rmness

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Our MAC contractor is NGS Medicare. They do not currently have an LCD regarding Blood-Derived Products for Chronic Non-Healing Wounds (G0465). However, there is a NCD specifically for that which is NCD 270.3-6. That states G0465 is covered for various chronic non-healing wounds. Has a list of covered dxs as well. It has always been my understanding in the absence of an LCD, the NCD would apply, so per the NCD it would be covered. Is that not correct?
 
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