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See a sample rate comparisonCPT 86735 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.
Mumps Immunity Test, This Test Measures Antibodies To The Virus That Causes Mumps. A Positive Test Indicates Current Or Past Infection Or Immunity From Vaccination. The Test Usually Is Used To Evaluate Immune Status.
| 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 | $13.05 national lab fee schedule rate (2026) · View Medicare rates for 86735 |
| Medicaid Fee Schedule | $12.005 median of the 8 states in the free preview · View Medicaid rates for 86735 |
National average reimbursement for CPT 86735 by major payers:
$11.61
$9.19
$15.21
$19.19
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CPT 86735
5 of 25 sample ratesHigher to lower in this preview
St. Lukes Hospital At The Vintage
St Lukes Hospital At The Vintage
$24.17Published rateColumbia Plaza Medical Center Of Fort Worth Subsidiary Lp, Medical City Fort Worth
Columbia Plaza Medical Center Of Fort Worth Subsidiary Lp
$13.05Published ratePrisma Health-Midlands, Prisma Health Baptist Parkridge Hospital
Prisma Health-Midlands
$11.75Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$7.65Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$4.69Published rate
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See a sample payer proposalCPT 86735 vs. Other Immunology Procedures Codes
The CPT 86735 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 86735 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 |
|---|---|---|
| 86717-CPT | Low | Leishmania Antibody Test, The Test Checks For Antibodies To The Parasite Group Leishmania Which Cause Intestinal Upset. Antibodies Indicate A Past Or Current Infection. |
| 86723-CPT | Low | Food Poisoning Immune Test, The Test Checks For Antibodies To Listeria Monocytogenes A Bacteria Commonly Responsible For Food Poisoning. |
| 86727-CPT | Low | Virus Antibody Blood Test, The Test Detects Antibodies To The Lymphocytic Choriomeningitis Virus Which Is Carried By Rodents. The Presence Of Antibodies In The Blood Indicates Past Or Current Infection. |
| 86735-CPT | Low | Mumps Immunity Test, This Test Measures Antibodies To The Virus That Causes Mumps. A Positive Test Indicates Current Or Past Infection Or Immunity From Vaccination. The Test Usually Is Used To Evaluate Immune Status. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86735. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86735 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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