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See a sample rate comparisonCPT 86880 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.
Antihuman Globulin Test (Coomb, Antihuman Globulin Test (Coombs Test) Direct Eachantiserum (Closest Clinically Equivalent Code(S)Deleted In 1993 86031 86034)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Transfusion Medicine Procedures |
| Common Place of Service | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.39 national lab fee schedule rate (2026) · View Medicare rates for 86880 |
| Medicaid Fee Schedule | $5.325 median of the 8 states in the free preview · View Medicaid rates for 86880 |
National average reimbursement for CPT 86880 by major payers:
$4.84
$3.87
$6.56
$7.85
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CPT 86880
5 of 25 sample ratesHigher to lower in this preview
Joselyn Gonzalez
Atlantic Health System Inc
$8.01Published rateRohit Sharma
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$3.23Published rateSaeed Bajestani
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$3.23Published rateKarim Tadros
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.75Published rateBeth Ann Harper
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$2.75Published rate
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See a sample payer proposalCPT 86880 vs. Other Transfusion Medicine Procedures Codes
The CPT 86880 code is part of the Pathology and Laboratory Procedures services used for Transfusion Medicine 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 86880 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 |
|---|---|---|
| 86870-CPT | Low | Blood Autoimmune Test, This Blood Test Checks For The Presence Of Immune Cells (Antibodies) That React To Red Blood Cells As If They Were Harmful. The Test Is Done Prior To Giving A Blood Transfusion. |
| 86880-CPT | Low | Antihuman Globulin Test (Coomb, Antihuman Globulin Test (Coombs Test) Direct Eachantiserum (Closest Clinically Equivalent Code(S)Deleted In 1993 86031 86034) |
| 86885-CPT | Low | Coombs Blood Test, The Coombs Test Detects Antibodies To Red Blood Cells. These Are Common With Anemia And May Cause A Reaction To A Blood Transfusion. |
| 86886-CPT | Low | Coombs Blood Test, The Coombs Test Detects Antibodies To Red Blood Cells. These Are Common With Anemia And May Cause A Reaction To A Blood Transfusion. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86880 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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