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

In Wisconsin, Medicare pays $49.48 for 86077 in the office and $38.28 when it’s performed in a hospital or facility.

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.

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 Wisconsin 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. Wisconsin pays $49.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

86077 rates by state

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

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.

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.

Codes related to 86077

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 86077 has changed in Wisconsin

Price 86077 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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

Open CMS sourceHow we calculate rates