CPT 86141 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Pathology and Laboratory Procedures • Immunology Procedures |
| Common Place of Service | • 81 - Independent Laboratory • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 86141 |
National average reimbursement for CPT 86141 by major payers:

$11.26

$9.30

$15.77

$19.40
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 86141 | ||||||
United | 86141 | $10.76 | 1174881387 - APURVA SHAH | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Internal Medicine Physician (207R00000X) |
United | 86141 | $7.76 | 1023287604 - CINDY YEOH | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | NY | Anesthesiology Physician (207L00000X) |
United | 86141 | $14.89 | 1740909704 - CAITLIN POWERS | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physical Therapist (225100000X) |
United | 86141 | $10.76 | 1841577509 - ANNA COLLINS | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | 86141 | $5.44 | 1104098631 - HELEN DOLAN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | 86141 | $5.44 | 1194492538 - RENEE CARNEY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | 86141 | $10.76 | 1982313656 - GABRIELLA PLADOCOSTANTE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Medical Physician Assistant (363AM0700X) |
United | 86141 | $6.59 | 1720564545 - DESIREE MORALES | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Adult Health Nurse Practitioner (363LA2200X) |
United | 86141 | $10.76 | 1295115129 - AIDA DURMISEVIC | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | 86141 | $6.59 | 1275925109 - MICHAELLE PIERRE | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Anesthesiologist Assistant (367H00000X) |
United | 86141 | $14.89 | 1437562451 - ALEXANDER HARRIS | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Ophthalmology Physician (207W00000X) |
United | 86141 | $10.76 | 1447576319 - ELIZABETH WESTEN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 86141 | $10.76 | 1295728939 - MICHELLE CHAMBRONE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Nurse Practitioner (363L00000X) |
United | 86141 | $14.89 | 1295968782 - ANNE MARIE EDMUNDS | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physician Assistant (363A00000X) |
United | 86141 | $5.44 | 1538162789 - CHRISTOPHER ALINEA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 86141 vs. Other Immunology Procedures Codes
The CPT 86141 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 86141 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86141. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86141 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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