P9019 Platelets, each unit
What P9019 is
Platelets, each unit
HCPCS Level II long description, CMS October 2026 file. See the P codes page for the full section.
Medicare payment for P9019 (CY2026)
This code has no Physician Fee Schedule rate: Excluded from the Physician Fee Schedule (paid under another system or not priced here). It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps P9019 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
P9019 is bundled into these codes
P9019 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, P9019 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
P9032 | Platelets, irradiated | 1 | Check pair |
P9033 | Platelets leukoreduced irrad | 1 | Check pair |
P9036 | Platelet pheresis irradiated | 1 | Check pair |
P9037 | Plate pheres leukoredu irrad | 1 | Check pair |
P9038 | Rbc irradiated | 1 | Check pair |
P9040 | Rbc leukoreduced irradiated | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.