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
October 1, 2017 - December 31, 2017 20 ML 22.4884 - - - - 95% 22.4884
July 1, 2017 - September 30, 2017 20 ML 22.488 - - - - 95% 22.488
April 1, 2017 - June 30, 2017 20 ML 22.4884 - - - - 95% 22.4884
January 1, 2017 - March 31, 2017 20 ML 22.4884 - - - - - -
October 1, 2016 - December 31, 2016 20 ML 22.4884 - - - - 95% 22.4884

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”