Summary & Overview
HCPCS Level II P9059: Fresh Frozen Plasma 8–24 Hours, Per Unit
HCPCS Level II code P9059 denotes a unit of fresh frozen plasma collected between 8 and 24 hours after donation. This code is used to bill for a specific type of plasma product supplied for transfusion or component therapy. Nationally, accurate coding of blood products like P9059 affects hospital billing, inventory management, and clinical documentation tied to transfusion services.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find concise benchmarks for reimbursement coverage across major payers, clarification of clinical context for using this plasma product, and notes on billing practice considerations relevant to transfusion services. The publication summarizes payer policies where available, common modifiers and service-line considerations, and practical information for coding and charging per unit of fresh frozen plasma collected in the 8–24 hour window.
This overview is structured to help billing managers, transfusion service directors, and health policy analysts understand where P9059 fits in national billing practices, what clinical scenarios commonly prompt its use, and which payers are most relevant to contract and claims workflows. Data not available in the input is identified where applicable.
Billing Code Overview
HCPCS Level II code P9059 represents fresh frozen plasma collected between 8 and 24 hours, billed per each unit. This service is a blood product transfusion item intended for replacement of coagulation factors, volume expansion, or other clinical indications requiring plasma transfusion.
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Service type: Blood product supply / transfusion-related supply
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Typical site of service: Hospital inpatient, hospital outpatient, emergency department, and transfusion center settings
Clinical & Coding Specifications
Clinical Context
A typical patient receiving P9059 is an adult hospitalized for acute coagulopathy or traumatic hemorrhage who requires replacement of coagulation factors. For example, a 62-year-old male on warfarin presents with a gastrointestinal bleed and an elevated INR with active bleeding; the clinical team orders transfusion of fresh frozen plasma to provide clotting factors. The workflow: laboratory confirms prolonged prothrombin time/INR and assesses need for plasma; blood bank issues P9059 units (fresh frozen plasma between 8–24 hours of collection); a licensed clinician obtains informed consent, documents indication, volume, and unit identifiers; an RN verifies patient identity and unit integrity, monitors vital signs during and after transfusion, and documents transfusion reactions or tolerance; blood bank records disposition and unit coding. Typical site of service is inpatient hospital (medical/surgical floor, intensive care unit, or emergency department) or hospital outpatient infusion center when rapid reversal of coagulopathy is required.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default/No modifier | When no specific modifier applies to the service |