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See a sample rate comparisonCPT 86077 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.
Blood Bank Physician Consult, Physician Consultation That Includes An Interpretation And Written Report For Use Of Blood. A Consult Is Requested When There Are Difficulties In Matching The Blood Type Or If The Situation Adds An Unusual Complexity (Such As A Reaction To A Transfusion).
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | GC - Service performed by resident under supervision 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $51.44 national non-facility rate (2026) · View Medicare rates for 86077 |
| Medicaid Fee Schedule | $42.61 median of the 8 states in the free preview · View Medicaid rates for 86077 |
National average reimbursement for CPT 86077 by major payers:
$58.75
$34.31
$82.30
$51.34
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CPT 86077
5 of 25 sample ratesHigher to lower in this preview
Jose Ochoa-Bayona
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$33.54Published rateChantelle Thurow
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$33.54Published rateKimberly Callow
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$28.51Published rateDavid Klingler
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$28.51Published rateKadly Ruder
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$28.51Published rate
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See a sample payer proposalCPT 86077 vs. Other Immunology Procedures Codes
The CPT 86077 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 86077 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 |
|---|---|---|
| 86060-CPT | Low | Test For Strep Complications, This Test Detects Antibodies To A Previous Strep Infection. It Is Done To Identify A Complication Of The Strep Infection Such As Rheumatic Fever Or Kidney Disease. |
| 86077-CPT | Low | Blood Bank Physician Consult, Physician Consultation That Includes An Interpretation And Written Report For Use Of Blood. A Consult Is Requested When There Are Difficulties In Matching The Blood Type Or If The Situation Adds An Unusual Complexity (Such As A Reaction To A Transfusion). |
| 86078-CPT | Low | Blood Bank Physician Consult, Physician Consultation That Includes An Interpretation And Written Report For Use Of Blood. A Consult Is Requested When There Are Difficulties In Matching The Blood Type Or If The Situation Adds An Unusual Complexity (Such As A Reaction To A Transfusion). |
| 86079-CPT | Low | Blood Bank Physician Consult, Physician Consultation That Includes An Interpretation And Written Report For Use Of Blood. A Consult Is Requested When There Are Difficulties In Matching The Blood Type Or If The Situation Adds An Unusual Complexity (Such As A Reaction To A Transfusion). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86077 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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