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See a sample rate comparisonCPT 86900 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.
Blood Typing, This Test Combines A Sample Of Whole Blood With Types 0 A B And Ab. By Observing Which Combinations Cause Blood Cells To Clump A Technician Can Match The Sample To A Type. The Test Is Done Before Giving A Transfusion.
| 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 TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $2.99 national lab fee schedule rate (2026) · View Medicare rates for 86900 |
| Medicaid Fee Schedule | $2.955 median of the 8 states in the free preview · View Medicaid rates for 86900 |
National average reimbursement for CPT 86900 by major payers:
$2.61
$2.19
$3.95
$4.52
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CPT 86900
5 of 25 sample ratesHigher to lower in this preview
Jacqueline Young
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.78Published rateNikhil Bhatia
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.78Published rateKathryn Tyree
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.51Published rateLekia Wilson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.51Published rateLisa Flaherty
Pinellas Medical Associates, PA
$1.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86900 vs. Other Transfusion Medicine Procedures Codes
The CPT 86900 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 86900 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 |
|---|---|---|
| 86900-CPT | Low | Blood Typing, This Test Combines A Sample Of Whole Blood With Types 0 A B And Ab. By Observing Which Combinations Cause Blood Cells To Clump A Technician Can Match The Sample To A Type. The Test Is Done Before Giving A Transfusion. |
| 86901-CPT | Low | Rh Blood Typing, This Test Refines Basic Ab0 Blood Typing Prior To Giving A Transfusion. If Rh (D) Antigens Are Present The Blood Is Typed + (Positive) And If Not The Blood Is Rh- (Negative). |
| 86902-CPT | Low | Donor Blood Typing, Before A Transfusion Blood Must Be Matched Between Donor And Recipient. Donor Blood Is Typed Prior To Storage By Adding A Substance To A Small Sample Of The Blood. The Blood Is Checked Again Before Being Given In A Transfusion. |
| 86904-CPT | Low | Blood Typing For A Match, Before A Transfusion Blood Is Checked To Ensure A Match Between Donor And Recipient. The Testing Can Be Done By Adding A Substance To The Recipients Blood Sample Or By Mixing The Sample With A Small Amount Of Donor Blood. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86900 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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Frequently Asked Questions
CPT 86900 reports ABO blood typing, which determines whether blood is type A, B, AB or O. It is commonly done before a transfusion or surgery and during pregnancy.
No. Rh(D) typing is reported separately with 86901, and an antibody screen with 86850.
Medicare pays CPT 86900 under the Clinical Laboratory Fee Schedule, a single national rate based on what private payers paid labs, rather than under the Physician Fee Schedule. Commercial lab rates are negotiated separately and vary widely by payer and by whether the test is run by an independent lab, a hospital outpatient lab or a physician office lab.
This page lists the rates commercial payers have published for CPT 86900 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.