Question 1

What is HCPCS code P9036?

Accepted Answer

HCPCS code P9036 is "Platelet pheresis irradiated". Platelets, pheresis, irradiated, each unit

Question 2

What category is P9036 in?

Accepted Answer

P9036 belongs to HCPCS Category P (Pathology and Laboratory).

Question 3

When should I use HCPCS code P9036?

Accepted Answer

Use P9036 when billing for platelet pheresis irradiated. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is P9036 covered by Medicare?

Accepted Answer

Coverage for P9036 (Platelet pheresis irradiated) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for P9036?

Accepted Answer

Documentation for P9036 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).