P9047 HCPCS code: Infusion, albumin (human), 25%, 50 ml
P9047 is the HCPCS Level II code for infusion, albumin (human), 25%, 50 ml. In 2024 Medicare paid an average of $40.90 per service for P9047 across 12,341 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 20 per day on outpatient hospital claims. Medicare volume fell 17% from 2022 to 2024 (14,837 to 12,341 services). In 2024, about 494 clinicians billed Medicare for P9047 for 693 beneficiaries; Texas, California, Tennessee accounted for 76% of services.
Code details
| Field | Value |
|---|---|
| Section | P codes — Pathology and laboratory services |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 52 |
| BETOS category | Y2 |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
Who bills P9047 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 494 |
| Medicare beneficiaries | 693 |
| States with claims | 11 |
| Share of services in top 3 states (Texas, California, Tennessee) | 76% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for P9047, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 14,837 | 749 | $51.65 | $40.95 |
| 2023 | 13,630 | 677 | $50.49 | $40.01 |
| 2024 | 12,341 | 693 | $51.67 | $40.90 |
States with the most P9047 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 4,978 | $41.13 |
| California | 1,938 | $39.74 |
| Tennessee | 1,476 | $40.66 |
| New York | 635 | $41.51 |
| Colorado | 452 | $40.91 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 20 | Clinical: Data |
| practitioner claims | 20 | Clinical: Data |
What changed for P9047
- 2002-01-01: P9047 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 P9047?
P9047 is the HCPCS Level II code for infusion, albumin (human), 25%, 50 ml. Short descriptor: "Albumin (human), 25%, 50ml".
How much does Medicare pay for P9047?
In 2024, the average Medicare payment was $40.90 per service (average allowed $51.67).
Does Medicare cover P9047?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of P9047 can be billed per day?
20 on outpatient hospital claims; 20 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 P9047
- Watch P9047 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for P9047
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.