HCPCS Code P9045

Infusion, albumin (human), 5%, 250 ml

Pathology and Laboratory Services

P9045 is a valid 2024 HCPCS code for Infusion, albumin (human), 5%, 250 ml or just “Albumin (human), 5%, 250 ml” for short, used in Other medical items or services.

HCPCS Code Details - P9045

HCPCS Level II Code
Pathology and Laboratory Services
HCPCS Code P9045
Description

Long description:
Infusion, albumin (human), 5%, 250 ml

Short description:
Albumin (human), 5%, 250 ml

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 Y2 - 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, 2002
Date added Added Jan 01, 2002
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 - P9045

Effective Code Dosage Payment
Limit		 Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2024 - June 30, 2024 250 ML 53.077 - - - - 95% 53.077
January 1, 2024 - March 31, 2024 250 ML 53.077 - - - - 95% 53.077
October 1, 2023 - December 31, 2023 250 ML 53.077 20% - - - - 95 53.077
Jul 1, 2023 - Sep 30, 2023 250 ML 53.077 20% - - - - 95 53.077
April 1, 2023 - June 30, 2023 250 ML 53.0765 20% - - - - 95 53.0765

See also

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”