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See a sample rate comparisonCPT 86829 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.
Hla Class I Ii Antibody Qual, Antibody To Human Leukocyte Antigens Hla Solid Phase Assays Eg Microspheres Or Beads Elisa Flow Cytometry Qualitative Assessment Of The Presence Or Absence Of Antibody Ies To Hla Class I Or Class Ii Hla Antigens
| 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 | 91 - Repeat Lab Test 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $64.19 national lab fee schedule rate (2026) · View Medicare rates for 86829 |
| Medicaid Fee Schedule | $59.055 median of the 8 states in the free preview · View Medicaid rates for 86829 |
National average reimbursement for CPT 86829 by major payers:
$47.81
$32.18
$57.75
$107.72
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CPT 86829
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$141.22Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$76.26Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$64.19Published rateBrittany Ptachick
Hroa 401k Plan
$26.96Published rateDermatology And Skin Cancer Surgery Center, LLC, Orlando Dermatology Center
Dermatology And Skin Cancer Surgery Center LLC
$16.97Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86829 vs. Other Immunology Procedures Codes
The CPT 86829 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 86829 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 |
|---|---|---|
| 86825-CPT | Low | Blood Hla Crossmatch, Hla (Human Leukocyte Antigen) Crossmatching Is A Test Done To Ensure The Body Does Not Reject A Blood Transfusion Or Transplant. |
| 86826-CPT | Low | Hla X Match Noncytotoxc Addl, Human Leukocyte Antigen Hla Crossmatch Non Cytotoxic Eg Using Flow Cytometry Each Additional Serum Sample Or Sample Dilution List Separately In Addition To Primary Procedure |
| 86828-CPT | Low | Hla Class I Ii Antibody Qual, Antibody To Human Leukocyte Antigens Hla Solid Phase Assays Eg Microspheres Or Beads Elisa Flow Cytometry Qualitative Assessment Of The Presence Or Absence Of Antibody Ies To Hla Class I And Class Ii Hla Antigens |
| 86829-CPT | Low | Hla Class I Ii Antibody Qual, Antibody To Human Leukocyte Antigens Hla Solid Phase Assays Eg Microspheres Or Beads Elisa Flow Cytometry Qualitative Assessment Of The Presence Or Absence Of Antibody Ies To Hla Class I Or Class Ii Hla Antigens |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86829. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86829 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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