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See a sample rate comparisonHealthcare 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.
| 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 | Moderate |
| Medicare Fee Schedule | $323.75 national lab fee schedule rate (2026) · View Medicare rates for 86832 |
| Medicaid Fee Schedule | $297.85 median of the 8 states in the free preview · View Medicaid rates for 86832 |
National average reimbursement for CPT 86832 by major payers:

$232.74

$156.58

$284.79

$460.02
Choose a payer to see a sample of rates for CPT 86832.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Christopher Raio
Samaritan Emergency Medical Services PC
Christopher Raio
St Joseph Hospital
Christopher Raio
St Francis Hospital
Nevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
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Rate Benchmarking
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See a sample payer proposalCPT 86832 vs. Other Immunology Procedures Codes
The CPT 86832 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 86832 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 |
|---|---|---|
| 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 |
| 86830-CPT | Low | Hla Class I Phenotype Qual, Antibody To Human Leukocyte Antigens Hla Solid Phase Assays Eg Microspheres Or Beads Elisa Flow Cytometry Antibody Identification By Qualitative Panel Using Complete Hla Phenotypes Hla Class I |
| 86832-CPT | Moderate | Hla Class I High Defin Qual, Antibody To Human Leukocyte Antigens Hla Solid Phase Assays Eg Microspheres Or Beads Elisa Flow Cytometry High Definition Qualitative Panel For Identification Of Antibody Specificities Eg Individual Antigen Per Bead Methodology Hla Class I |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86832. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86832 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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