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See a sample rate comparisonCPT 86890 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.
Autologous Blood Or Component, Autologous Blood Or Component Collection Processing Andstorage Predeposited (Closest Clinically Equivalent Code Deleted In 1993 86128)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Transfusion Medicine Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 86890 |
| Medicaid Fee Schedule | $45.68 median of the 8 states in the free preview · View Medicaid rates for 86890 |
National average reimbursement for CPT 86890 by major payers:
$80.95
$55.65
$81.56
$100.92
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CPT 86890
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Upstate, Prisma Health Cancer Inst-Seneca
Prisma Health - Upstate
$782.16Published rateMethodist Hospitals Of Dallas, Methodist Charlton Medical Center
Methodist Hospitals Of Dallas
$131.83Published rateBaycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$69.08Published rateAll Ways Homecare Inc
$35.00Published rateBruce Madsen
Bridgeport Eye Physicians LLC
$26.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86890 vs. Other Transfusion Medicine Procedures Codes
The CPT 86890 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 86890 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 |
|---|---|---|
| 86890-CPT | Low | Autologous Blood Or Component, Autologous Blood Or Component Collection Processing Andstorage Predeposited (Closest Clinically Equivalent Code Deleted In 1993 86128) |
| 86891-CPT | Low | Autologous Blood Or Component, Autologous Blood Or Component Collection Processing Andstorage Intra- Or Postoperative Salvage (Closest Clinically Equivalent Code(S) Deleted In 1993 86130) |
| 86932-CPT | Low | Frozen Blood Preparation For, Frozen Blood Preparation For Freezing Each Unitwithfreezing And Thawing Code(S) Deleted In 199 3 86267) |
| 86960-CPT | Low | Blood Volume Reduction, Blood Volume Reduction Addresses Certain Conditions That Cause The Body To Produce Too Much Blood. Treatment Of Other Conditions Can Involve Manually Reducing The Amount Of A Particular Blood Component Such As Platelets. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86890. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86890 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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