HCPCS Level II › P codes P9022 Washed red blood cells unitRed blood cells, washed, 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: CMS Workgroup Outpatient hospital: max 12 units per day (clinical), rationale: Clinical: Data Medicare pricing for P9022 Physician Fee Schedule (CY 2026, RVU26D) Status E: excluded from the PFS by regulation.
Payer policies and prior authorization for P9022 Payer coverage policies that name P9022 P9022 appears in 3 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Alopecia Areata (0423) listed, no stance Jul 10, 2026 payer document Aetna Bone and Tendon Graft Substitutes and Adjuncts (0411) listed, no stance Aug 18, 2026 payer document Aetna Skin and Soft Tissue Substitutes (0244) listed, no stance Jul 29, 2026 payer document
Medicaid fee-for-service AZ: $97.92 (lab), effective Oct 1, 2026 IN: $340.08 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KS: $65.25 (default, Exempt Physician), effective Jul 1, 1987 MS: $273.97 (comprehensive), effective Jul 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 OK: $159.69 (physician, non-facility), effective Jul 1, 2026 TX: $197.46 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Nov 1, 2015 VT: $280.12 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $20.50 (kidneycenters), effective Jul 1, 2026 WY: $159.54 (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.