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See a sample rate comparisonCPT 86360 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 T-Cell Count, This Test Counts T Cells A Type Of White Blood Cell. T Cells Help The Body Fight Diseases And Are Key To Evaluating Overall Function Of The Immune System.
| 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 | $46.98 national lab fee schedule rate (2026) · View Medicare rates for 86360 |
| Medicaid Fee Schedule | $43.225 median of the 8 states in the free preview · View Medicaid rates for 86360 |
National average reimbursement for CPT 86360 by major payers:
$40.20
$38.73
$50.11
$68.07
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CPT 86360
5 of 25 sample ratesHigher to lower in this preview
Overlook Hospital
Atlantic Health System Inc
$69.77Published rateErika Harper
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$28.19Published rateSusan Lebryk Waymouth
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$23.95Published rateZahida Cesko
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$23.95Published rateDermatology And Skin Cancer Surgery Center, LLC, Orlando Dermatology Center
Dermatology And Skin Cancer Surgery Center LLC
$4.00Published rate
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See a sample payer proposalCPT 86360 vs. Other Immunology Procedures Codes
The CPT 86360 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 86360 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 |
|---|---|---|
| 86360-CPT | Low | Blood T-Cell Count, This Test Counts T Cells A Type Of White Blood Cell. T Cells Help The Body Fight Diseases And Are Key To Evaluating Overall Function Of The Immune System. |
| 86361-CPT | Low | Blood T-Cell Count, This Test Counts T Cells A Type Of White Blood Cell. T Cells Help The Body Fight Diseases And Are Key To Evaluating Overall Function Of The Immune System. |
| 86362-CPT | Low | Test For Autoimmune Disorder, This Test Looks For Antibodies That Are Present In Myelin-Oligodendrocyte Glycoprotein Antibody-Associated Disease (Mogad) An Autoimmune Disorder. |
| 86363-CPT | Low | Test For Autoimmune Disorder, This Test Looks For Antibodies That Are Present In Myelin-Oligodendrocyte Glycoprotein Antibody-Associated Disease (Mogad) An Autoimmune Disorder. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86360 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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