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See a sample rate comparisonCPT 86886 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Transfusion Medicine Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $5.18 national lab fee schedule rate (2026) · View Medicare rates for 86886 |
| Medicaid Fee Schedule | $5.115 median of the 8 states in the free preview · View Medicaid rates for 86886 |
National average reimbursement for CPT 86886 by major payers:
$4.68
$3.79
$6.19
$7.90
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CPT 86886
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Upstate, Prisma Health Center For Pediatric Med
Prisma Health - Upstate
$782.16Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.40Published rateFoundation Bariatric Hospital Of San Antonio, LLC, Foundation Surgical Hospital Of San Antonio
Foundation Bariatric Hospital Of San Antonio, LLC
$5.17Published rateChristopher Raio
St Francis Hospital
$3.11Published rateBrittany Ptachick
Hroa 401k Plan
$2.18Published rate
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See a sample payer proposalCPT 86886 vs. Other Transfusion Medicine Procedures Codes
The CPT 86886 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 86886 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 86886. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86886 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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