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See a sample rate comparisonCPT 86015 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.
Lab Test For Liver Disorders, This Lab Test Evaluates The Amount Of Actin Antibodies In The Blood. These Can Attack A Protein Found In Smooth Muscle And Other Tissues Especially The Liver.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.05 national lab fee schedule rate (2026) · View Medicare rates for 86015 |
| Medicaid Fee Schedule | $11.085 median of the 8 states in the free preview · View Medicaid rates for 86015 |
National average reimbursement for CPT 86015 by major payers:
$10.09
$7.09
$12.24
$43.57
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CPT 86015
5 of 25 sample ratesHigher to lower in this preview
Celia Nelson
Florida Clinical Practice Association Inc
$33.29Published rateAlan Bakst
Allen Memorial Hospital Corporation
$6.92Published rateCharles Yowell
Tallahassee Memorial Healthcare Inc
$5.19Published rateArnie Tannenbaum
Florida Urology Partners
$4.84Published rateAnel Alvarado
South Broward Hospital District
$4.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86015 vs. Other Immunology Procedures Codes
The CPT 86015 code is part of the Pathology and Laboratory Procedures services used for Immunology 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 CPT 86015 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 |
|---|---|---|
| 86000-CPT | Low | Immune Response To Infection, Immune Response Is Measured By Evaluating The Amount Of Antigen-To-Antibody Clumping In A Blood Sample. This Test Measures Immune Response To An Infection That Causes A Fever. |
| 86001-CPT | Low | Allergy Blood Test, This Blood Test Identifies A Substance Triggering An Allergy (Allergen). It Measures The Amount Of Immunoglobulin Directed Against A Specific Allergen. |
| 86003-CPT | Low | Allergy Blood Test, This Blood Test Identifies A Substance Triggering An Allergy (Allergen). It Measures The Amount Of Immunoglobulin Directed Against A Specific Allergen. |
| 86015-CPT | Low | Lab Test For Liver Disorders, This Lab Test Evaluates The Amount Of Actin Antibodies In The Blood. These Can Attack A Protein Found In Smooth Muscle And Other Tissues Especially The Liver. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86015 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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