HCPCS Level II › P codes P9017 Plasma 1 donor frz w/in 8 hrFresh frozen plasma (single donor), frozen within 8 hours of collection, each unit
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 2 units per day (clinical), rationale: Clinical: Society Comment Outpatient hospital: max 24 units per day (clinical), rationale: Clinical: Society Comment Medicare pricing for P9017 Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for P9017 Medicaid fee-for-service AZ: $34.80 (lab), effective Oct 1, 2026 IN: $80.26 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KS: $17.62 (default, Exempt Physician), effective Jul 1, 1987 MS: $63.91 (comprehensive), effective Jul 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 OK: $52.21 (physician, non-facility), effective Jul 1, 2026 TX: $46.02 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Mar 1, 2024 VT: $65.34 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $47.82 (kidneycenters), effective Jul 1, 2026 WY: $37.22 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.