P9073 HCPCS code: Platelets, pheresis, pathogen-reduced, each unit
P9073 is the HCPCS Level II code for platelets, pheresis, pathogen-reduced, each unit. In 2024 Medicare paid an average of $729.98 per service for P9073 across 888 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 4 per day on outpatient hospital claims. Medicare volume fell 20% from 2022 to 2024 (1,108 to 888 services). In 2024, about 94 clinicians billed Medicare for P9073 for 124 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | P codes — Pathology and laboratory services |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 52 |
| BETOS category | T1H |
| Added | 2018-01-01 |
| Last action effective | 2019-01-01 |
Who bills P9073 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 94 |
| Medicare beneficiaries | 124 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for P9073, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,108 | 212 | $574.19 | $458.16 |
| 2023 | 906 | 179 | $864.10 | $687.84 |
| 2024 | 888 | 124 | $916.98 | $729.98 |
States with the most P9073 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Missouri | 377 | $714.85 |
| California | 246 | $962.96 |
| Florida | 172 | $441.00 |
| Maryland | 78 | $753.09 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Clinical: CMS Workgroup |
| practitioner claims | 2 | Clinical: CMS Workgroup |
What changed for P9073
- 2018-01-01: P9073 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 P9073?
P9073 is the HCPCS Level II code for platelets, pheresis, pathogen-reduced, each unit. Short descriptor: "Platelets pheresis path redu".
How much does Medicare pay for P9073?
In 2024, the average Medicare payment was $729.98 per service (average allowed $916.98).
Does Medicare cover P9073?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of P9073 can be billed per day?
4 on outpatient hospital claims; 2 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 P9073
- Watch P9073 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for P9073
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.