HCPCS Code Details - P9041

2017 HCPCS Level II Code
Pathology and Laboratory Services
HCPCS Code P9041
Description

Long description:
Infusion, albumin (human), 5%, 50 ml

Short description:
Albumin (human),5%, 50ml

HCPCS Modifier1
HCPCS Pricing indicator 52 - Reasonable charge
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
ASC payment group code Effective Jan 01, 2008 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code T1H - Lab tests - other (non-Medicare fee schedule)
HCPCS Action code N - No maintenance for this code
Type of service 9 - Other medical items or services
Effective date Effective Jan 01, 2001
Date added Jan 01, 2001
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - P9041

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
July 1, 2017 - September 30, 2017 50 ML 11.799 - - - - 95% 11.799
April 1, 2017 - June 30, 2017 50 ML 11.799 - - - - 95% 11.799
January 1, 2017 - March 31, 2017 50 ML 11.324 - - - - - -
October 1, 2016 - December 31, 2016 50 ML 11.02 - - - - 95% 11.02
July 1, 2016 - September 30, 2016 50 ML 11.324 - - - - 95% 11.324
50 ML 11.324 - - - - 95% 11.324
50 ML 10.908 - - - - 95% 10.908

See also

  • HCPCS P9040 · Red blood cells, leukocytes reduced, irradiated, each unit

  • HCPCS P9045 · Infusion, albumin (human), 5%, 250 ml

  • HCPCS P9046 · Infusion, albumin (human), 25%, 20 ml

  • HCPCS P9047 · Infusion, albumin (human), 25%, 50 ml

  • HCPCS P9043 · Infusion, plasma protein fraction (human), 5%, 50 ml


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”