P9041 HCPCS code: Infusion, albumin (human), 5%, 50 ml
P9041 is the HCPCS Level II code for infusion, albumin (human), 5%, 50 ml. In 2024 Medicare paid an average of $8.33 per service for P9041 across 407 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 100 per day on outpatient hospital claims. Medicare volume fell 54% from 2022 to 2024 (886 to 407 services). In 2024, about 12 clinicians billed Medicare for P9041 for 65 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | P codes — Pathology and laboratory services |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 52 |
| BETOS category | T1H |
| Added | 2001-01-01 |
| Last action effective | 2001-01-01 |
Who bills P9041 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 12 |
| Medicare beneficiaries | 65 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for P9041, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 886 | 79 | $10.28 | $8.20 |
| 2023 | 1,329 | 91 | $10.29 | $8.20 |
| 2024 | 407 | 65 | $10.45 | $8.33 |
States with the most P9041 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 205 | $8.32 |
| Texas | 123 | $8.33 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 100 | Clinical: Data |
| practitioner claims | 5 | Clinical: Data |
What changed for P9041
- 2001-01-01: P9041 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code P9041?
P9041 is the HCPCS Level II code for infusion, albumin (human), 5%, 50 ml. Short descriptor: "Albumin (human),5%, 50ml".
How much does Medicare pay for P9041?
In 2024, the average Medicare payment was $8.33 per service (average allowed $10.45).
Does Medicare cover P9041?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of P9041 can be billed per day?
100 on outpatient hospital claims; 5 on practitioner claims (NCCI medically unlikely edits).
Related P90 codes
- P9010 — Blood (whole), for transfusion, per unit
- P9011 — Blood, split unit
- P9012 — Cryoprecipitate, each unit
- P9016 — Red blood cells, leukocytes reduced, each unit
- P9017 — Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit
- P9019 — Platelets, each unit
- P9020 — Platelet rich plasma, each unit
- P9021 — Red blood cells, each unit
- P9022 — Red blood cells, washed, each unit
- P9023 — Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit
- P9025 — Plasma, cryoprecipitate reduced, pathogen reduced, each unit
- P9026 — Cryoprecipitated fibrinogen complex, pathogen reduced, each unit
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Next steps
- Run a reimbursement report for a device billed under P9041
- Watch P9041 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for P9041
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.