Browse HCPCS Level II 2020 Edition

P9010 - P9100  Miscellaneous Pathology and Laboratory Services

P9010 Blood (whole), for transfusion, per unit short Whole blood for transfusion RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9011 Blood, split unit short Blood split unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9012 Cryoprecipitate, each unit short Cryoprecipitate each unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 8.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 12.0 3 Date of Service Edit: Clinical Clinical: Data

P9016 Red blood cells, leukocytes reduced, each unit short Rbc leukocytes reduced RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 3.0 3 Date of Service Edit: Clinical Clinical: Data OPH 12.0 3 Date of Service Edit: Clinical Clinical: Data

P9017 Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit short Plasma 1 donor frz w/in 8 hr RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Society Comment OPH 24.0 3 Date of Service Edit: Clinical Clinical: Society Comment

P9019 Platelets, each unit short Platelets, each unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 12.0 3 Date of Service Edit: Clinical Clinical: Data

P9020 Platelet rich plasma, each unit short Plaelet rich plasma unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 5.0 3 Date of Service Edit: Clinical Clinical: Data

P9021 Red blood cells, each unit short Red blood cells unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 3.0 3 Date of Service Edit: Clinical Clinical: Data OPH 8.0 3 Date of Service Edit: Clinical Clinical: Data

P9022 Red blood cells, washed, each unit short Washed red blood cells unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 12.0 3 Date of Service Edit: Clinical Clinical: Data

P9023 Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit short Frozen plasma, pooled, sd RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 15.0 3 Date of Service Edit: Clinical Clinical: Data

P9031 Platelets, leukocytes reduced, each unit short Platelets leukocytes reduced RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 12.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 12.0 3 Date of Service Edit: Clinical Clinical: Data

P9032 Platelets, irradiated, each unit short Platelets, irradiated RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 12.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 12.0 3 Date of Service Edit: Clinical Clinical: Data

P9033 Platelets, leukocytes reduced, irradiated, each unit short Platelets leukoreduced irrad RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 12.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 12.0 3 Date of Service Edit: Clinical Clinical: Data

P9034 Platelets, pheresis, each unit short Platelets, pheresis RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9035 Platelets, pheresis, leukocytes reduced, each unit short Platelet pheres leukoreduced RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9036 Platelets, pheresis, irradiated, each unit short Platelet pheresis irradiated RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9037 Platelets, pheresis, leukocytes reduced, irradiated, each unit short Plate pheres leukoredu irrad RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9038 Red blood cells, irradiated, each unit short Rbc irradiated RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9039 Red blood cells, deglycerolized, each unit short Rbc deglycerolized RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 2.0 3 Date of Service Edit: Clinical Clinical: Data

P9040 Red blood cells, leukocytes reduced, irradiated, each unit short Rbc leukoreduced irradiated RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 3.0 3 Date of Service Edit: Clinical Clinical: Data OPH 8.0 3 Date of Service Edit: Clinical Clinical: Data

P9041 Infusion, albumin (human), 5%, 50 ml short Albumin (human),5%, 50ml RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 5.0 3 Date of Service Edit: Clinical Clinical: Data OPH 100.0 3 Date of Service Edit: Clinical Clinical: Data

P9043 Infusion, plasma protein fraction (human), 5%, 50 ml short Plasma protein fract,5%,50ml RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 5.0 3 Date of Service Edit: Clinical Prescribing Information OPH 10.0 3 Date of Service Edit: Clinical Prescribing Information

P9044 Plasma, cryoprecipitate reduced, each unit short Cryoprecipitatereducedplasma RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 10.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 20.0 3 Date of Service Edit: Clinical Clinical: Data

P9045 Infusion, albumin (human), 5%, 250 ml short Albumin (human), 5%, 250 ml RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 20.0 3 Date of Service Edit: Clinical Clinical: Data OPH 20.0 3 Date of Service Edit: Clinical Clinical: Data

P9046 Infusion, albumin (human), 25%, 20 ml short Albumin (human), 25%, 20 ml RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 25.0 3 Date of Service Edit: Clinical Clinical: Data OPH 40.0 3 Date of Service Edit: Clinical Clinical: Data

P9047 Infusion, albumin (human), 25%, 50 ml short Albumin (human), 25%, 50ml RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 20.0 3 Date of Service Edit: Clinical Clinical: Data OPH 20.0 3 Date of Service Edit: Clinical Clinical: Data

P9048 Infusion, plasma protein fraction (human), 5%, 250 ml short Plasmaprotein fract,5%,250ml RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 1.0 3 Date of Service Edit: Clinical Prescribing Information OPH 2.0 3 Date of Service Edit: Clinical Prescribing Information

P9050 Granulocytes, pheresis, each unit short Granulocytes, pheresis unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 1.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 1.0 3 Date of Service Edit: Clinical Clinical: Data

P9051 Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit short Blood, l/r, cmv-neg RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9052 Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit short Platelets, hla-m, l/r, unit RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 3.0 3 Date of Service Edit: Clinical Clinical: Data

P9053 Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit short Plt, pher, l/r cmv-neg, irr RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 3.0 3 Date of Service Edit: Clinical Clinical: Data

P9054 Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit short Blood, l/r, froz/degly/wash RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 2.0 3 Date of Service Edit: Clinical Clinical: Data

P9055 Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit short Plt, aph/pher, l/r, cmv-neg RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 2.0 3 Date of Service Edit: Clinical Clinical: Data

P9056 Whole blood, leukocytes reduced, irradiated, each unit short Blood, l/r, irradiated RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 3.0 3 Date of Service Edit: Clinical Clinical: Data

P9057 Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit short Rbc, frz/deg/wsh, l/r, irrad RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9058 Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit short Rbc, l/r, cmv-neg, irrad RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: Data OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9059 Fresh frozen plasma between 8-24 hours of collection, each unit short Plasma, frz between 8-24hour RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 15.0 3 Date of Service Edit: Clinical Clinical: Data

P9060 Fresh frozen plasma, donor retested, each unit short Fr frz plasma donor retested RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data

P9070 Plasma, pooled multiple donor, pathogen reduced, frozen, each unit short Pathogen reduced plasma pool RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 15.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup

P9071 Plasma (single donor), pathogen reduced, frozen, each unit short Pathogen reduced plasma sing RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 15.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup

P9072 Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unit short Plate path red/rapid bac tes

P9073 Platelets, pheresis, pathogen-reduced, each unit short Platelets pheresis path redu RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 4.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup

P9099 Blood component or product not otherwise classified short Blood component/product noc RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX

P9100 Pathogen(s) test for platelets short Pathogen test for platelets RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup OPH 12.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup