HCPCS Code P9046

Infusion, albumin (human), 25%, 20 ml

Pathology and Laboratory Services

P9046 is a valid 2024 HCPCS code for Infusion, albumin (human), 25%, 20 ml or just “Albumin (human), 25%, 20 ml” for short, used in Other medical items or services.

HCPCS Code Details - P9046

HCPCS Level II Code
Pathology and Laboratory Services
HCPCS Code P9046
Description

Long description:
Infusion, albumin (human), 25%, 20 ml

Short description:
Albumin (human), 25%, 20 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 - P9046

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 20 ML 21.231 - - - - 95% 21.231
January 1, 2024 - March 31, 2024 20 ML 21.231 - - - - 95% 21.231
October 1, 2023 - December 31, 2023 20 ML 21.231 20% - - - - 95 21.231
Jul 1, 2023 - Sep 30, 2023 20 ML 21.231 20% - - - - 95 21.231
April 1, 2023 - June 30, 2023 20 ML 21.2306 20% - - - - 95 21.2306

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”