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See a sample rate comparisonCPT 86910 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.
Paternity Probability Test, A Blood Sample Is Typed (Ab0 Rh) And Its Characteristics (Mn Typing) Noted. Mathematical Calculations Reveal The Statistical Likelihood Of A Particular Man Being The Biological Father Of A Child. Additional Analyses May Be Needed.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Transfusion Medicine Procedures |
| Common Place of Service | 23 - Emergency Room |
| Common Modifiers | TC - Technical component 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 86910 |
| Medicaid Fee Schedule | $25.565 median of the 8 states in the free preview · View Medicaid rates for 86910 |
National average reimbursement for CPT 86910 by major payers:
$30.02
$14.28
$22.71
$26.42
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CPT 86910
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$69.98Published rateAll Ways Homecare Inc
$55.00Published rateChristopher Raio
Mercy Medical Center
$38.51Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$17.95Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$7.73Published rate
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See a sample payer proposalCPT 86910 vs. Other Transfusion Medicine Procedures Codes
The CPT 86910 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 86910 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). |
| 86910-CPT | Low | Paternity Probability Test, A Blood Sample Is Typed (Ab0 Rh) And Its Characteristics (Mn Typing) Noted. Mathematical Calculations Reveal The Statistical Likelihood Of A Particular Man Being The Biological Father Of A Child. Additional Analyses May Be Needed. |
| 86911-CPT | Low | Paternity Probability Test, A Blood Sample Is Typed (Ab0 Rh) And Its Characteristics (Mn Typing) Noted. Mathematical Calculations Reveal The Statistical Likelihood Of A Particular Man Being The Biological Father Of A Child. Additional Analyses May Be Needed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86910. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86910 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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