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

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 Minnesota, Medicare pays $50.81 for 86077 in the office and $38.78 when it’s performed in a hospital or facility.

$50.81Office (non-facility)
$38.78Hospital or facility
−1.2%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 Minnesota
  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 Minnesota 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. Minnesota pays $50.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

86077 in Minnesota vs other payment areas
  1. Minnesota · this page$50.81
  2. Los Angeles, CA · California$55.62+$4.81
  3. Washington, DC area · District of Columbia$56.67+$5.86
  4. Miami, FL · Florida$54.77+$3.96
  5. Chicago, IL · Illinois$53.91+$3.10
  6. Manhattan, NY · New York$57.47+$6.66
  7. Alaska · Alaska$67.29+$16.48

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

Every other payment area

86077 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$48.33$38.10
ArkansasArkansas$47.94$37.90
ArizonaArizona$50.61$39.28
Bakersfield, CACalifornia$53.20$40.38
Chico, CACalifornia$53.01$40.20
El Centro, CACalifornia$53.02$40.21
Fresno, CACalifornia$53.01$40.20
Hanford, CACalifornia$53.01$40.20

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 Minnesota 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

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 86077 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.92× 1.0000.9200
Practice expense0.57× 1.0290.5865
Malpractice0.05× 0.2960.0148
Total RVUs1.5213
Conversion factor× 33.4009

Office rate, Minnesota$50.81

Office: (0.92 × 1 + 0.57 × 1.029 + 0.05 × 0.296) × $33.4009 = $50.81

Facility: (0.92 × 1 + 0.22 × 1.029 + 0.05 × 0.296) × $33.4009 = $38.78

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 Minnesota

86077 · Office / nonfacility

$50.81

Effective 2026-10-01

The base rate is $0.12 higher than on 2025-10-01, moving from $50.69 to $50.81 (0.2%).

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

    $50.69changed to$50.81

    • 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
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $51.92changed to$50.69

    • 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

    $51.07changed to$51.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $52.67changed to$51.07

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $52.77changed to$52.67

    • 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
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $53.56changed to$52.77

    • 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

    $55.39changed to$53.56

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $55.66changed to$55.39

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.58 changed to 0.57
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $56.69changed to$55.66

    • 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

    $56.59changed to$56.69

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $56.50changed to$56.59

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $55.98changed to$56.50

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.59 changed to 0.61

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $55.70changed to$55.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $53.87changed to$55.70

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.54 changed to 0.59
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $52.43changed to$53.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.58 changed to 0.54
    • Practice expense GPCI 1.012 changed to 1.016
    • Malpractice GPCI 0.282 changed to 0.301

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$52.43

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$50.81$38.78RVU26D
2026-07-01$50.81$38.78RVU26C
2026-04-01$50.81$38.78RVU26B
2026-01-01$50.81$38.78RVU26A
2025-10-01$50.69$45.71RVU25D
2025-07-01$50.69$45.71RVU25C
2025-04-01$50.69$45.71RVU25B
2025-01-01$50.69$45.71RVU25A
2024-10-01$51.92$47.14RVU24D
2024-07-01$51.92$47.14RVU24C
2024-04-01$51.92$47.14RVU24B
2024-03-09$51.92$47.14RVU24AR
2024-01-01$51.07$46.37RVU24A
2023-10-01$52.67$48.18RVU23D
2023-07-01$52.67$48.18RVU23C
2023-04-01$52.67$48.18RVU23B
2023-01-01$52.67$48.18RVU23A
2022-10-01$52.77$48.92RVU22D
2022-07-01$52.77$48.92RVU22C
2022-04-01$52.77$48.92RVU22B
2022-01-01$52.77$48.92RVU22A
2021-10-01$53.56$49.67RVU21D
2021-07-01$53.56$49.67RVU21C
2021-04-01$53.56$49.67RVU21B
2021-01-01$53.56$49.67RVU21A
2020-10-01$55.39$51.73RVU20D
2020-07-01$55.39$51.73RVU20C
2020-04-01$55.39$51.73RVU20B
2020-01-01$55.39$51.73RVU20A
2019-10-01$55.66$51.65RVU19D
2019-07-01$55.66$51.65RVU19C
2019-04-01$55.66$51.65RVU19B
2019-01-01$55.66$51.65RVU19A
2018-10-01$56.69$52.69RVU18D
2018-07-01$56.69$52.69RVU18C
2018-04-01$56.69$52.69RVU18B
2018-01-01$56.69$52.69RVU18AR1
2017-10-01$56.59$52.58RVU17D
2017-07-01$56.59$52.58RVU17C
2017-04-01$56.59$52.58RVU17B
2017-01-01$56.59$52.58RVU17A
2016-10-01$56.50$52.12RVU16D
2016-07-01$56.50$52.12RVU16C
2016-04-01$56.50$52.12RVU16B
2016-01-01$56.50$52.12RVU16A
2015-10-01$55.98$51.94RVU15D
2015-07-01$55.98$51.94RVU15C
2015-04-01$55.70$51.69RVU15B
2015-01-01$55.70$51.69RVU15A
2014-10-01$53.87$50.23RVU14D
2014-07-01$53.87$50.23RVU14C
2014-04-01$53.87$50.23RVU14B
2014-01-01$53.87$50.23RVU14A
2013-10-01$52.43$48.64RVU13D
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 Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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 MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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