HCPCS code P9022 — Washed red blood cells unit. Status: Active. Effective Jan 1, 1987. Source: CMS HCPCS Level II.

P9022

Active

Washed red blood cells unit

Red blood cells, washed, each unit

Category: Pathology & Lab
Section: P-codes: Pathology and Laboratory
Effective: Jan 1, 1987
Code type: alphanumeric
OPPS Status: R — Blood and blood products
OPPS APC: 9518

MUE — Medically Unlikely Edits

Maximum units of P9022 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 12
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with P9022 without appropriate documentation.

Column 2 Code Modifier
P9010 Modifier may bypass edit
P9016 Modifier may bypass edit
P9021 Modifier may bypass edit
P9039 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

P9022 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
P9011 Modifier cannot bypass edit
P9032 Modifier may bypass edit
P9033 Modifier may bypass edit
P9036 Modifier may bypass edit
P9037 Modifier may bypass edit
P9038 Modifier may bypass edit
P9040 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)