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See a sample rate comparisonCPT 86367 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.
Stem Cell Type Count, There Are Many Types Of Stem Cells In The Blood And Bone Marrow. Certain Types Transplant Better Than Others Due To Their Composition. This Test Periodically Identifies The Types And Quantities Present.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $77.78 national lab fee schedule rate (2026) · View Medicare rates for 86367 |
| Medicaid Fee Schedule | $71.56 median of the 8 states in the free preview · View Medicaid rates for 86367 |
National average reimbursement for CPT 86367 by major payers:
$57.91
$39.38
$70.31
$132.08
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CPT 86367
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$171.12Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$62.22Published rateAnn Steck
$46.67Published rateMichael Jacobson
Hroa 401k Plan
$32.67Published rateAaron Askew
Desert Bone & Joint Specialists, LLP
$21.58Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86367 vs. Other Immunology Procedures Codes
The CPT 86367 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 86367 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. |
| 86367-CPT | Low | Stem Cell Type Count, There Are Many Types Of Stem Cells In The Blood And Bone Marrow. Certain Types Transplant Better Than Others Due To Their Composition. This Test Periodically Identifies The Types And Quantities Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86367. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86367 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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