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See a sample rate comparisonHCPCS P9040 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Red blood cells, leukocytes reduced, irradiated, each unit
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Services Blood and Blood Products, with Associated Procedures |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for P9040 |
National average reimbursement for HCPCS P9040 by major payers:
$233.54
$70.00
$293.40
$198.31
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HCPCS P9040
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$687.65Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$387.26Published rateDoctors' Hospital Of Slidell, LLC, Sterling Surgical Hospital
Doctors Hospital Of Slidell, LLC
$306.95Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$197.62Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$197.62Published rate
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See a sample payer proposalHCPCS P9040 vs. Other Blood and Blood Products, with Associated Procedures Codes
The HCPCS P9040 code is part of the Pathology and Laboratory Services services used for Blood and Blood Products, with Associated Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS P9040 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| P9039-HCPCS | Moderate | Red blood cells, deglycerolized, each unit |
| P9040-HCPCS | Moderate | Red blood cells, leukocytes reduced, irradiated, each unit |
| P9041-HCPCS | Low | Infusion, albumin (human), 5%,50 ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P9040 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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