HCPCS Level II › P codes P9027 Rbc o2 co2 reducedRed blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 3 units per day (clinical), rationale: Nature of Equipment Outpatient hospital: max 12 units per day (clinical), rationale: Nature of Equipment Medicare pricing for P9027 Physician Fee Schedule (CY 2026, RVU26D) Status X: statutory exclusion, not paid under the PFS.
Payer policies and prior authorization for P9027 Payer coverage policies that name P9027 P9027 appears in 2 coverage policies from Aetna, Premera Blue Cross.
Payer Policy Role in policy Reviewed Document Aetna Autotransfusers and Red Blood Cell Genotyping (0639) not covered Sep 9, 2026 payer document Premera Blue Cross Non-covered Experimental/Investigational ServicesPage | 32 of 38 | ∞ unproven / investigational Oct 1, 2026 payer document
Medicaid fee-for-service AZ: $353.15 (outpatient_hospital), effective Oct 1, 2025 IN: $0.00 (professional, facility), effective Oct 1, 2024 MS: $380.28 (comprehensive), effective Jul 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 TX: $96.86 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Oct 1, 2024 VT: $388.81 (outpatient_hospital_opps), effective Feb 1, 2026 WY: $221.45 (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.