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See a sample rate comparisonCPT 86687 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.
Test For T-Cell Leukemia, This Blood Test Detects Infection With Human T-Cell Leukemia I Virus. It Also Is Used To Screen Blood And Blood Products Prior To Transfusion.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.09 national lab fee schedule rate (2026) · View Medicare rates for 86687 |
| Medicaid Fee Schedule | $8.975 median of the 8 states in the free preview · View Medicaid rates for 86687 |
National average reimbursement for CPT 86687 by major payers:
$8.09
$6.88
$10.61
$13.39
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CPT 86687
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateAaron Askew
Praxis Health, P.C.
$10.00Published ratePrisma Health-Upstate, Prisma Health Center For Pediatric Med
Prisma Health - Upstate
$8.18Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$5.45Published rateMethodist Hospital Plainview Texas, Covenant Hospital Plainview
Methodist Hospital Plainview Texas
$3.91Published rate
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See a sample payer proposalCPT 86687 vs. Other Immunology Procedures Codes
The CPT 86687 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 86687 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 |
|---|---|---|
| 86687-CPT | Low | Test For T-Cell Leukemia, This Blood Test Detects Infection With Human T-Cell Leukemia I Virus. It Also Is Used To Screen Blood And Blood Products Prior To Transfusion. |
| 86688-CPT | Low | Test For T-Cell Leukemia, This Blood Test Detects Infection With Human T-Cell Leukemia Ii Virus. It Also Is Used To Screen Blood And Blood Products Prior To Transfusion. |
| 86689-CPT | Low | Test To Confirm Hiv/Leukemia, This Test Is Used As A Confirmation Test When Initial Test Results Are Positive Or Inconclusive. The Test Verifies Either Human T-Cell Leukemia Ii Virus Or Hiv. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86687. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86687 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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