Question 1

What is HCPCS code P9070?

Accepted Answer

HCPCS code P9070 is "Pathogen reduced plasma pool". Plasma, pooled multiple donor, pathogen reduced, frozen, each unit

Question 2

What category is P9070 in?

Accepted Answer

P9070 belongs to HCPCS Category P (Pathology and Laboratory).

Question 3

When should I use HCPCS code P9070?

Accepted Answer

Use P9070 when billing for pathogen reduced plasma pool. 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 P9070 covered by Medicare?

Accepted Answer

Coverage for P9070 (Pathogen reduced plasma pool) 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 P9070?

Accepted Answer

Documentation for P9070 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).