HCPCS Codes - Medical Procedures, Supplies & DME Codes - p9 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("p9" Codes):- P9010 blood whole transfusion per unit HCPCS Code Code
- P9011 blood split unit HCPCS Code Code
- P9012 cryoprecipitate each unit HCPCS Code Code
- P9016 red blood cells leukocytes reduced each HCPCS Code Code
- P9017 fresh frozen plasma single donor frozen HCPCS Code Code
- P9019 platelets each unit HCPCS Code Code
- P9020 platelet rich plasma each unit HCPCS Code Code
- P9021 red blood cells each unit HCPCS Code Code
- P9022 red blood cells washed each unit HCPCS Code Code
- P9023 plasma pooled multiple donor solventdetergent treated HCPCS Code Code
- P9025 Plasma, cryoprecipitate reduced, pathogen reduced, each unit HCPCS Code Code
- P9026 Cryoprecipitated fibrinogen complex, pathogen reduced, each unit HCPCS Code Code
- P9031 platelets leukocytes reduced each unit HCPCS Code Code
- P9032 platelets irradiated each unit HCPCS Code Code
- P9033 platelets leukocytes reduced irradiated each unit HCPCS Code Code
- P9034 platelets pheresis each unit HCPCS Code Code
- P9035 platelets pheresis leukocytes reduced each unit HCPCS Code Code
- P9036 platelets pheresis irradiated each unit HCPCS Code Code
- P9037 platelets pheresis leukocytes reduced irradiated each HCPCS Code Code
- P9038 red blood cells irradiated each unit HCPCS Code Code
- P9039 red blood cells deglycerolized each unit HCPCS Code Code
- P9040 red blood cells leukocytes reduced irradiated HCPCS Code Code
- P9041 infusion albumin human 5 50 ml HCPCS Code Code
- P9043 infusion plasma protein fraction human 5 HCPCS Code Code
- P9044 plasma cryoprecipitate reduced each unit HCPCS Code Code
- P9045 infusion albumin human 5 250 ml HCPCS Code Code
- P9046 infusion albumin human 25 20 ml HCPCS Code Code
- P9047 infusion albumin human 25 50 ml HCPCS Code Code
- P9048 infusion plasma protein fraction human 5 HCPCS Code Code
- P9050 granulocytes pheresis each unit HCPCS Code Code
- P9051 whole blood red blood cells leukocytes HCPCS Code Code
- P9052 platelets hlamatched leukocytes reduced apheresispheresis each HCPCS Code Code
- P9053 platelets pheresis leukocytes reduced cmvnegative irradiated HCPCS Code Code
- P9054 whole blood red blood cells leukocytes HCPCS Code Code
- P9055 platelets leukocytes reduced cmvnegative apheresispheresis each HCPCS Code Code
- P9056 whole blood leukocytes reduced irradiated each HCPCS Code Code
- P9057 red blood cells frozendeglycerolizedwashed leukocytes reduced HCPCS Code Code
- P9058 red blood cells leukocytes reduced cmvnegative HCPCS Code Code
- P9059 fresh frozen plasma between 824 hours HCPCS Code Code
- P9060 fresh frozen plasma donor retested each HCPCS Code Code
- P9070 Plasma, pooled multiple donor, pathogen reduced, frozen, HCPCS Code Code
- P9071 Plasma (single donor), pathogen reduced, frozen, each HCPCS Code Code
- P9072 Platelets, pheresis, pathogen reduced, each unit HCPCS Code Code
- P9073 Platelets, pheresis, pathogen-reduced, each unit HCPCS Code Code
- P9099 Blood component or product not otherwise classified HCPCS Code Code
- P9100 Pathogen(s) test for platelets HCPCS Code Code
- P9603 travel allowance one way connection medically HCPCS Code Code
- P9604 travel allowance one way connection medically HCPCS Code Code
- P9612 catheterization collection specimen single patient all HCPCS Code Code
- P9615 catheterization collection specimen s multiple patients HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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