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See a sample rate comparisonHCPCS P9052 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.
Platelets, HLA-matched leukocytes reduced, apheresis/pheresis, 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 P9052 |
National average reimbursement for HCPCS P9052 by major payers:
$875.03
$841.71
$695.96
$415.93
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HCPCS P9052
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$2,286.81Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$1,177.10Published rateClhg-Winn, LLC, Winn Parish Medical Center
$871.92Published rateSpringhill Medical Services, Inc., Springhill Medical Center
Springhill Medical Services Inc
$666.15Published rateClhg, Minden Medical Center
$576.53Published rate
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See a sample payer proposalHCPCS P9052 vs. Other Blood and Blood Products, with Associated Procedures Codes
The HCPCS P9052 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 P9052 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 |
|---|---|---|
| P9051-HCPCS | Moderate | Whole blood or red blood cells, leukocytes reduced, CMV-negative, each unit |
| P9052-HCPCS | Moderate | Platelets, HLA-matched leukocytes reduced, apheresis/pheresis, each unit |
| P9053-HCPCS | Moderate | Platelets, pheresis, leukocytes reduced, CMV-negative, irradiated, each unit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9052. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P9052 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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