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HCPCS P9017 · Level II · P code

P9017: Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit, HCPCS Level II P code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for P9017

Medicare payment
$85.98
OPPS rate, SI R
Coverage code
D
special coverage instructions apply
Facility outpatient MUE
24
MAI 3
OPPS status
SI R
Blood and blood products
NCCI PTP pairs
1
1 hospital outpatient
LCDs and articles
0 / 0

TL;DR

P9017 is a Level II code from the P section (pathology and laboratory services), in use since 1987: "Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit". Hospital outpatient departments are paid $85.98 for P9017 under status indicator R, APC 9508, minimum unadjusted copayment $17.20 (October 2026 Addendum B). MUE limits for P9017: practitioner 2 (MAI 3, Clinical: Society Comment); hospital outpatient 24 (MAI 3, Clinical: Society Comment). In the NCCI PTP files v323r0 P9017 appears in 0 practitioner pairs as column 2 and 1 as column 1, and in 0 hospital outpatient pairs as column 2 and 1 as column 1. P9017 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD. HCPCS record: BETOS T1H (lab tests - other (non-Medicare fee schedule)); pricing indicator 52; type of service 9 (other medical items or services). 1 other active code opens with "Fresh frozen plasma"; related codes: P9060, P9016, P9020, P9021.

P9017 descriptor and code status

The October 2026 HCPCS Level II file describes P9017 as “Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit”. It sits in the P section (pathology and laboratory services), listed with the other P codes.

HCPCS file attributes of P9017
FieldValue
Short descriptorPlasma 1 donor frz w/in 8 hr
Added to HCPCS1987-01-01
Last actionN (no maintenance), effective 2004-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator52: reasonable charge
BETOS categoryT1H: lab tests - other (non-Medicare fee schedule)
Type of service9: other medical items or services

Medicare payment for P9017

Hospital outpatient departments are paid $85.98 for P9017 under status indicator R, APC 9508, minimum unadjusted copayment $17.20 (October 2026 Addendum B). The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status E: excluded from the physician fee schedule by regulation. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

Hospital outpatient (OPPS Addendum B)

Status indicator R (Blood and blood products), APC 9508, national unadjusted payment $85.98 with a minimum unadjusted copayment of $17.20.

Medically Unlikely Edits for P9017

MUE limits for P9017: practitioner 2 (MAI 3, Clinical: Society Comment); hospital outpatient 24 (MAI 3, Clinical: Society Comment). The facility outpatient MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for P9017 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services23 Date of Service Edit: ClinicalClinical: Society Comment
Facility outpatient hospital243 Date of Service Edit: ClinicalClinical: Society Comment

The MUE lookup for P9017 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, P9017 is the column-2 (bundled) code in 0 active pairs and the column-1 code in 1 (100% modifier-allowed); 0 earlier pairs have been deleted.

Column-2 codes bundled into P9017 (practitioner)
Column-2 codePairs
86927 (CPT; descriptor licensed by AMA)1

In the hospital outpatient PTP file v323r0, P9017 is the column-2 (bundled) code in 0 active pairs and the column-1 code in 1 (100% modifier-allowed); 0 earlier pairs have been deleted.

Column-2 codes bundled into P9017 (hospital outpatient)
Column-2 codePairs
86927 (CPT; descriptor licensed by AMA)1

P9017 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check P9017 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for P9017

No current LCD or billing and coding article lists P9017. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on P9017

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of P9017 exceed the facility outpatient MUE of 24 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for P9017 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for P9017 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS P9017

What does HCPCS code P9017 describe?

"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit" (short descriptor "Plasma 1 donor frz w/in 8 hr"), in the P section (pathology and laboratory services). Added 1987-01-01; last action N (no maintenance) effective 2004-01-01.

Is P9017 a CPT code?

No: CMS maintains P9017 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.

What does Medicare pay for P9017?

Hospital outpatient departments are paid $85.98 for P9017 under status indicator R, APC 9508, minimum unadjusted copayment $17.20 (October 2026 Addendum B).

How many units of P9017 can be billed per day?

MUE limits for P9017: practitioner 2 (MAI 3, Clinical: Society Comment); hospital outpatient 24 (MAI 3, Clinical: Society Comment). For the facility outpatient MUE (MAI 3), units above 24 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover P9017?

P9017 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.