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P9012

P9012Cryoprecipitate, each unit

HCPCSActiveBETOS T1H

P9012 is a HCPCS Level II code for cryoprecipitate, each unit. It belongs to the Pathology and Laboratory Services section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Special coverage instructions apply

There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Physician fee schedule statusE

Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

Medically Unlikely Edits — units per day

The most units of P9012 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
8 units
MAI 3 — Date of Service Edit: Clinical · Clinical: CMS Workgroup
outpatient
12 units
MAI 3 — Date of Service Edit: Clinical · Clinical: Data

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for P9012

Long descriptor
Cryoprecipitate, each unit

The official wording. This is what the code means.

Short descriptor
Cryoprecipitate each unit

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 1987

When CMS introduced the code.

BETOS
T1H

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
52 — Other

Reasonable charge.

Codes adjacent to P9012

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If P9012 is not quite right, the correct code is very often within a few positions of it.

  • P2031Hair analysis (excluding arsenic)
  • P2033Thymol turbidity, blood
  • P2038Mucoprotein, blood (seromucoid) (medical necessity procedure)
  • P3000Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision
  • P3001Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician
  • P7001Culture, bacterial, urine; quantitative, sensitivity study
  • P9010Blood (whole), for transfusion, per unit
  • P9011Blood, split unit
  • P9016Red blood cells, leukocytes reduced, each unit
  • P9017Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit
  • P9019Platelets, each unit
  • P9020Platelet rich plasma, each unit
  • P9021Red blood cells, each unit
  • P9022Red blood cells, washed, each unit
  • P9023Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit
  • P9025Plasma, cryoprecipitate reduced, pathogen reduced, each unit

Questions about P9012

What is HCPCS code P9012?

P9012 is a HCPCS Level II code for cryoprecipitate, each unit. It sits in the Pathology and Laboratory Services section.

Does Medicare cover P9012?

The CMS HCPCS file marks P9012 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

How is P9012 paid under the physician fee schedule?

P9012 carries PFS status code E. Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).

HCPCS Level II2026Q3-Jul· effective July 1, 2026