Sunday, June 5, 2011

CPT CODE P9043

What is a P- Code ?

P-Codes: Pathology and Laboratory Services codes

P-Codes are used for reporting chemistry, toxicology, microbiology and pathology screening tests, (i.e. PAP) as well as blood related products.

Please note:
Reimbursement Codes.com contains information for some blood related products only.




Reimb Code Description Effective Date Code Price Code Price-5%
P9043 Infusion, plasma protein fraction (human), 5%, 50 mL 10/01/09 $8.68 $8.25
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Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.


Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


Medicare Physician Fee Schedule Payment Rates Formula


The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download