CPT code 86077: Blood bank service, complex crossmatch interpretation2026 Medicare rate & RVUs in Chico, CA

Reports a physician’s interpretation of complex red-cell compatibility testing or evaluation of an alloantibody during transfusion planning.

CMS RVU26DEffective Oct 1, 2026One payment locality36.1K Medicare services in 2024

In Chico, CA, Medicare pays $53.01 for 86077 in the office and $40.20 when it’s performed in a hospital or facility.

$53.01Office (non-facility)
$40.20Hospital or facility
+3.1%vs the national office rate ($51.44)

Check a contract rate as a % of Medicare · 86077 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 86077 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Chico, CA
  2. What 86077 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 86077 covers

A transfusion medicine physician or pathologist uses this service to interpret difficult red-cell compatibility findings, such as a complex crossmatch or an unexpected alloantibody that affects selection of compatible units. It may arise during pretransfusion testing for a patient with a prior transfusion, pregnancy, or known red-cell antibody. The physician assesses the serologic findings and their implications for transfusion support; routine testing performed by laboratory staff alone is not this physician service.

Report 86077 for the physician’s interpretive work, not for the laboratory’s technical performance of a crossmatch or antibody test. The record should support the complexity and clinical purpose of the interpretation, including relevant test findings and the physician’s conclusion or recommendation. CMS assigns physician work, practice expense, and malpractice RVUs; practice expense has separate office and facility values. The code is distinct from physician services for investigating a transfusion reaction or authorizing use of a blood product.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Chico, CA compares for 86077

Across 109 of 109 payment localities, the office rate for 86077 runs from $47.94 in Arkansas to $67.29 in Alaska. Chico, CA pays $53.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

86077 in Chico, CA vs other payment areas
  1. Chico, CA · this page$53.01
  2. Bakersfield, CA · California$53.20+$0.19
  3. El Centro, CA · California$53.02+$0.01
  4. Fresno, CA · California$53.01
  5. Hanford, CA · California$53.01
  6. Los Angeles, CA · California$55.62+$2.61
  7. Madera, CA · California$53.01

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

86077 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$53.01$40.20
Modesto, CACalifornia$53.01$40.20
Napa, CACalifornia$58.61$43.20
Oxnard, CACalifornia$55.13$41.32
Redding, CACalifornia$53.01$40.20
Rest of CaliforniaCalifornia$53.01$40.20
Riverside, CACalifornia$53.57$40.76
Sacramento, CACalifornia$54.87$41.28

86077 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$47.94

$67.29

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
86077 office rate range by state
State / territoryOffice rate rangeLocalities
AK$67.291
AL$48.331
AR$47.941
AZ$50.611
CA$53.01–$62.4629
CO$52.661
CT$53.871
DC$56.671
DE$51.191
FL$51.44–$54.773
GA$49.70–$52.172
GU$53.341
HI$53.341
IA$48.811
ID$49.031
IL$50.72–$53.914
IN$49.191
KS$48.781
KY$49.181
LA$49.18–$50.542
MA$52.60–$56.212
MD$51.84–$56.673
ME$49.28–$50.652
MI$50.00–$51.922
MN$50.811
MO$48.77–$50.533
MS$48.361
MT$51.431
NC$49.561
ND$50.451
NE$48.931
NH$52.011
NJ$54.58–$56.532
NM$50.191
NV$51.181
NY$49.99–$58.435
OH$49.791
OK$49.031
OR$50.87–$53.612
PA$49.78–$53.092
PR$51.621
RI$52.471
SC$49.741
SD$50.331
TN$48.931
TX$49.61–$52.418
UT$50.121
VA$50.62–$56.672
VI$51.621
VT$50.421
WA$52.45–$56.992
WI$49.481
WV$49.661
WY$51.001

See 86077 in every payment locality

How the 86077 rate is calculated

Each of 86077’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 86077

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.92

0.92 RVUs× 1.000 GPCI

Practice expense0.57

0.57 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

1.5400

Conversion factor

$33.4009

Medicare rate

$51.44

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Chico, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

10,599

Code
86077
Physician work
0.92
Practice expense
0.57
Malpractice
0.05

GPCI2026.csv

9

Locality
Chico, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 86077 in Chico, CA
ComponentRVULocality factorAdjusted
Physician work0.92× 1.0170.9356
Practice expense0.57× 1.0960.6247
Malpractice0.05× 0.5360.0268
Total RVUs1.5872
Conversion factor× 33.4009

Office rate, Chico, CA$53.01

Office: (0.92 × 1.017 + 0.57 × 1.096 + 0.05 × 0.536) × $33.4009 = $53.01

Facility: (0.92 × 1.017 + 0.22 × 1.096 + 0.05 × 0.536) × $33.4009 = $40.20

Open 86077 in the RVU calculator

Payment rules and modifiers for 86077

86077 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 86077

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$51.44

Non-facility (office)
$51.44
Facility
$39.75

Higher because the practice carries its own overhead.

How 86077 has changed in Chico, CA

86077 · Office / nonfacility

$53.01

Effective 2026-10-01

The base rate is $0.24 higher than on 2025-10-01, moving from $52.77 to $53.01 (0.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $52.77changed to$53.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.94 changed to 0.92
    • Practice expense RVU 0.60 changed to 0.57
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $54.13changed to$52.77

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.59 changed to 0.60
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $53.24changed to$54.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $54.88changed to$53.24

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $55.08changed to$54.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.56 changed to 0.59
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $55.91changed to$55.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.57 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $57.80changed to$55.91

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $58.02changed to$57.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.58 changed to 0.57
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $59.11changed to$58.02

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.61 changed to 0.58

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $59.26changed to$59.11

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$59.26

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$53.01$40.20RVU26D
2026-07-01$53.01$40.20RVU26C
2026-04-01$53.01$40.20RVU26B
2026-01-01$53.01$40.20RVU26A
2025-10-01$52.77$47.47RVU25D
2025-07-01$52.77$47.47RVU25C
2025-04-01$52.77$47.47RVU25B
2025-01-01$52.77$47.47RVU25A
2024-10-01$54.13$49.03RVU24D
2024-07-01$54.13$49.03RVU24C
2024-04-01$54.13$49.03RVU24B
2024-03-09$54.13$49.03RVU24AR
2024-01-01$53.24$48.23RVU24A
2023-10-01$54.88$50.13RVU23D
2023-07-01$54.88$50.13RVU23C
2023-04-01$54.88$50.13RVU23B
2023-01-01$54.88$50.13RVU23A
2022-10-01$55.08$51.03RVU22D
2022-07-01$55.08$51.03RVU22C
2022-04-01$55.08$51.03RVU22B
2022-01-01$55.08$51.03RVU22A
2021-10-01$55.91$51.82RVU21D
2021-07-01$55.91$51.82RVU21C
2021-04-01$55.91$51.82RVU21B
2021-01-01$55.91$51.82RVU21A
2020-10-01$57.80$53.93RVU20D
2020-07-01$57.80$53.93RVU20C
2020-04-01$57.80$53.93RVU20B
2020-01-01$57.80$53.93RVU20A
2019-10-01$58.02$53.76RVU19D
2019-07-01$58.02$53.76RVU19C
2019-04-01$58.02$53.76RVU19B
2019-01-01$58.02$53.76RVU19A
2018-10-01$59.11$54.86RVU18D
2018-07-01$59.11$54.86RVU18C
2018-04-01$59.11$54.86RVU18B
2018-01-01$59.11$54.86RVU18AR1
2017-10-01$59.26$55.00RVU17D
2017-07-01$59.26$55.00RVU17C
2017-04-01$59.26$55.00RVU17B
2017-01-01$59.26$55.00RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 86077 for an earlier date of service

Where the Chico, CA rate applies

Chico, CA is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Chico
  • Bangor
  • Berry Creek
  • Biggs
  • Butte Creek Canyon
  • Butte Meadows
  • Butte Valley
  • Cherokee

Browse all communities in California

86077 billing questions

Is 86077 reported for every routine crossmatch?

No. It represents physician interpretation of complex compatibility findings or alloantibody evaluation, rather than the laboratory’s routine performance of a crossmatch.

How does 86077 differ from the laboratory crossmatch code?

86077 describes the physician’s interpretive service. Codes such as 86920 describe technical compatibility testing performed by the laboratory.

What documentation supports 86077?

Document the relevant compatibility or antibody findings, why physician interpretation was needed, and the interpretation or transfusion recommendation.

Should 86077 be used for a transfusion reaction workup?

No. Physician investigation of a suspected transfusion reaction is represented by 86078, not 86077.

When is 86079 a better fit?

Use 86079 for a physician’s authorization to use a blood product; 86077 is for interpretation of complex crossmatch or alloantibody findings.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 86077PPRRVU2026_Oct_nonQPP.csv, line 10,599 (RVU26D)
Geographic factors for Chico, CAGPCI2026.csv, line 9 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 86077 pays in Chico, CA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 86077 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist