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See a sample rate comparisonCPT 86645 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.
Cytomegalovirus (Cmv) Test, The Test Checks For Antibody Response To Cytomegalovirus (Cmv). Results Can Indicate Either Current Or Previous Cmv Infection.
| 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 | $16.85 national lab fee schedule rate (2026) · View Medicare rates for 86645 |
| Medicaid Fee Schedule | $15.505 median of the 8 states in the free preview · View Medicaid rates for 86645 |
National average reimbursement for CPT 86645 by major payers:
$14.82
$15.87
$19.26
$24.57
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CPT 86645
5 of 25 sample ratesHigher to lower in this preview
Melody Mutange-Canelas
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$10.10Published rateRogerio Neves
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$10.10Published rateSmitha Pabbathi
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$10.10Published rateShannon Jamerson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$8.59Published rateHaifa Jaedi
Siskiyou Pediatric Clinic LLP
$7.07Published rate
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See a sample payer proposalCPT 86645 vs. Other Immunology Procedures Codes
The CPT 86645 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 86645 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 |
|---|---|---|
| 86631-CPT | Low | Chlamydia Infection Evaluation, This Blood Test Evaluates The Likelihood Of Previous Or Current Exposure To Chlamydia. Chlamydia Are Bacteria That Can Cause Infections Of The Eyes Urinary Tract And Lungs. |
| 86632-CPT | Low | Chlamydia Infection Evaluation, This Blood Test Evaluates The Likelihood Of Previous Or Current Exposure To Chlamydia. Chlamydia Are Bacteria That Can Cause Infections Of The Eyes Urinary Tract And Lungs. |
| 86644-CPT | Low | Cytomegalovirus (Cmv) Test, The Test Checks For Antibody Response To Cytomegalovirus (Cmv). Results Can Indicate Either Current Or Previous Cmv Infection. |
| 86645-CPT | Low | Cytomegalovirus (Cmv) Test, The Test Checks For Antibody Response To Cytomegalovirus (Cmv). Results Can Indicate Either Current Or Previous Cmv Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86645. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86645 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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