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See a sample rate comparisonCPT 86682 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.
Helminth Antibody Test, The Test Checks For Antibodies To The Helminth Parasite Group Which Causes Intestinal Illness. The Presence Of Antibodies Indicates Past Or Current Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.01 national lab fee schedule rate (2026) · View Medicare rates for 86682 |
| Medicaid Fee Schedule | $11.965 median of the 8 states in the free preview · View Medicaid rates for 86682 |
National average reimbursement for CPT 86682 by major payers:
$11.63
$13.39
$15.32
$19.17
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CPT 86682
5 of 25 sample ratesHigher to lower in this preview
Kwaku Amankwah
Slocum Dickson Medical Group PLLC
$10.81Published rateMarilyn Bui
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$7.80Published rateEmily Coners
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$6.63Published rateAshley Moss
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$6.63Published rateStephanie Higby
Slocum Dickson Medical Group PLLC
$5.46Published rate
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See a sample payer proposalCPT 86682 vs. Other Immunology Procedures Codes
The CPT 86682 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 86682 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 |
|---|---|---|
| 86674-CPT | Low | Parasite Immune Test (Giardia), The Test Checks For Antibodies To The Parasite Giardia Lamblia Which Causes Intestinal Distress. The Presence Of Antibodies Indicates Past Or Current Infection. |
| 86682-CPT | Low | Helminth Antibody Test, The Test Checks For Antibodies To The Helminth Parasite Group Which Causes Intestinal Illness. The Presence Of Antibodies Indicates Past Or Current Infection. |
| 86701-CPT | Low | Hiv Screening Test, This Test Detects Antibodies To Hiv (Aids Virus) Type 1 Type 2 Or Both. It Is Used To Screen For Hiv Infection. |
| 86702-CPT | Low | Hiv Screening Test, This Test Detects Antibodies To Hiv (Aids Virus) Type 1 Type 2 Or Both. It Is Used To Screen For Hiv Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86682. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86682 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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