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HCPCS P9027 · Level II · P code

P9027: Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, 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 P9027

Medicare payment
$511.59
OPPS rate, SI R
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Facility outpatient MUE
12
MAI 3
OPPS status
SI R
Blood and blood products
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

HCPCS Level II P9027 reads "Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit" in the October 2026 file; it dates from 2024. Hospital outpatient departments are paid $511.59 for P9027 under status indicator R, APC 9541, minimum unadjusted copayment $102.32 (October 2026 Addendum B). CMS caps P9027 at practitioner 3 (MAI 3, Nature of Equipment); hospital outpatient 12 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. No current LCD or billing article lists P9027; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). HCPCS record: BETOS T1H (lab tests - other (non-Medicare fee schedule)); pricing indicator 52; type of service 9 (other medical items or services). 8 other active codes open with "Red blood cells"; related codes: P9021, P9016, P9040, P9022.

P9027 descriptor and code status

The October 2026 HCPCS Level II file describes P9027 as “Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit”. It sits in the P section (pathology and laboratory services), listed with the other P codes.

HCPCS file attributes of P9027
FieldValue
Short descriptorRbc o2 co2 reduced
Added to HCPCS2024-10-01
Last actionN (no maintenance), effective 2024-10-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator52: reasonable charge
BETOS categoryT1H: lab tests - other (non-Medicare fee schedule)
Type of service9: other medical items or services

Medicare payment for P9027

Hospital outpatient departments are paid $511.59 for P9027 under status indicator R, APC 9541, minimum unadjusted copayment $102.32 (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 X: statutory exclusion: not a physician service under the fee schedule. 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 9541, national unadjusted payment $511.59 with a minimum unadjusted copayment of $102.32.

Medically Unlikely Edits for P9027

CMS caps P9027 at practitioner 3 (MAI 3, Nature of Equipment); hospital outpatient 12 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. 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 P9027 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services33 Date of Service Edit: ClinicalNature of Equipment
Facility outpatient hospital123 Date of Service Edit: ClinicalNature of Equipment

The MUE lookup for P9027 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists P9027 in v323r0.

P9027 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 P9027 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for P9027

No current LCD or billing and coding article lists P9027. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on P9027

CARC 50 · N115

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

CARC 151 · N362

units of P9027 exceed the facility outpatient MUE of 12 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 P9027 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for P9027 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 P9027

What does HCPCS code P9027 describe?

"Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit" (short descriptor "Rbc o2 co2 reduced"), in the P section (pathology and laboratory services). Added 2024-10-01.

Is P9027 a CPT code?

It is not. P9027 belongs to the P section (pathology and laboratory services) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for P9027?

Hospital outpatient departments are paid $511.59 for P9027 under status indicator R, APC 9541, minimum unadjusted copayment $102.32 (October 2026 Addendum B).

How many units of P9027 can be billed per day?

CMS caps P9027 at practitioner 3 (MAI 3, Nature of Equipment); hospital outpatient 12 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. For the facility outpatient MUE (MAI 3), units above 12 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover P9027?

No current LCD or billing article lists P9027; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

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.