P9604 HCPCS Level II code: Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated…
P9604 is the HCPCS code for “Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge
Short description: One-way allow prorated trip
HCPCS · United States
Notes for P9604
As CMS prints them, with any note P9604 takes from the headings above it.
Note
- CMS processing note 0039: SEE MEDICARE INTERMEDIARY MANUAL, PART 3 CLAIMS PROCESS SECTION 3628.F FOR PAYMENT GUIDELINES (P9610, P9615, G0001).
Medicare details
The indicators CMS publishes with P9604 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Clinical lab fee schedule – Price established by carriers (e.g., gap-fills, carrier established panels)
- Type of service
- Diagnostic laboratory
- BETOS category
- Other - Non-Medicare fee schedule
- Added
- Jan 1, 1987
Where P9604 sits
- 1P codesPathology and laboratory services
- 2Active code P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code P9604 mean?
P9604 is the HCPCS code for “Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover P9604?
CMS lists P9604’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Clinical lab fee schedule – Price established by carriers (e.g., gap-fills, carrier established panels)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside P9604
All P codesP9071Plasma (single donor), pathogen reduced, frozen, each unitP9072Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unitP9073Platelets, pheresis, pathogen-reduced, each unitP9099Blood component or product not otherwise classifiedP9100Pathogen(s) test for plateletsP9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually…P9612Catheterization for collection of specimen, single patient, all places of serviceP9615Catheterization for collection of specimen(s) (multiple patients)