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CPT code 86580: TB skin test, intradermal placement2026 Medicare rate & RVUs in Washington, DC area

Report 86580 for intradermal placement of a tuberculin skin test, with the later reading and interpretation reported separately when appropriate.

CMS RVU26DEffective Oct 1, 2026One payment locality25.5K Medicare services in 2024

In Washington, DC area, Medicare pays $12.96 for 86580 in the office.

$12.96Office (non-facility)
Not available in this settingHospital or facility
+17.6%vs the national office rate ($11.02)

Check a contract rate as a % of Medicare · 86580 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 86580 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 86580 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 86580 covers

Code 86580 covers placing a tuberculin skin test intradermally, typically on the forearm, to assess immune response to tuberculosis infection. Office and clinic staff commonly administer the test under appropriate clinical supervision; the patient returns for a trained clinician to assess the reaction, usually 48 to 72 hours later. The reading focuses on induration, not redness alone.

Select this code for the skin-test placement, not for a blood-based tuberculosis assay. Documentation should identify the test administered and support the placement; document the later finding and interpretation in the reading service record. CMS classifies 86580 as technical-component-only, so interpretation is reported separately under the appropriate service code. A separately documented nurse visit for reading may be reported with 99211 when its requirements are met.

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 Washington, DC area compares for 86580

Across 109 of 109 payment localities, the office rate for 86580 runs from $9.35 in Arkansas to $15.59 in San Benito County, CA. Washington, DC area pays $12.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

86580 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$12.96
  2. Los Angeles, CA · California$12.87−$0.09
  3. Miami, FL · Florida$11.97−$0.99
  4. Chicago, IL · Illinois$11.51−$1.45
  5. Manhattan, NY · New York$12.95−$0.01
  6. Alaska · Alaska$11.57−$1.39
  7. Alabama · Alabama$9.54−$3.42

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

86580 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$9.35—
ArizonaArizona$10.64—
Bakersfield, CACalifornia$11.92—
Chico, CACalifornia$11.89—
El Centro, CACalifornia$11.90—
Fresno, CACalifornia$11.89—
Hanford, CACalifornia$11.89—
Madera, CACalifornia$11.89—

86580 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$9.35

$13.74

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

View every state and territory as a table
86580 office rate range by state
State / territoryOffice rate rangeLocalities
AK$11.571
AL$9.541
AR$9.351
AZ$10.641
CA$11.89–$15.5929
CO$11.631
CT$11.921
DC$12.961
DE$10.861
FL$10.72–$11.973
GA$9.93–$11.262
GU$12.351
HI$12.351
IA$9.911
ID$9.991
IL$10.28–$11.574
IN$10.071
KS$9.831
KY$9.811
LA$9.78–$10.442
MA$11.52–$13.062
MD$11.12–$12.963
ME$10.04–$10.802
MI$10.14–$10.882
MN$11.101
MO$9.54–$10.513
MS$9.451
MT$11.021
NC$10.191
ND$10.821
NE$9.991
NH$11.421
NJ$12.04–$12.762
NM$10.201
NV$10.981
NY$10.39–$13.335
OH$10.101
OK$9.801
OR$10.88–$12.122
PA$10.13–$11.522
PR$11.131
RI$11.341
SC$10.161
SD$10.801
TN$9.901
TX$10.04–$11.608
UT$10.351
VA$10.74–$12.962
VI$11.131
VT$10.751
WA$11.51–$13.392
WI$10.341
WV$9.771
WY$10.941

See 86580 in every payment locality

How the 86580 rate is calculated

Each of 86580’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 · 86580

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.32

0.32 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.3300

Conversion factor

$33.4009

Medicare rate

$11.02

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

10,688

Code
86580
Physician work
0.00
Practice expense
0.32
Malpractice
0.01

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 86580 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0540.0000
Practice expense0.32× 1.1780.3770
Malpractice0.01× 1.1130.0111
Total RVUs0.3881
Conversion factor× 33.4009

Office rate, Washington, DC area$12.96

Office: (0 × 1.054 + 0.32 × 1.178 + 0.01 × 1.113) × $33.4009 = $12.96

Open 86580 in the RVU calculator

Payment rules and modifiers for 86580

The CMS indicators that decide how 86580 is paid alongside other services.

CMS payment indicators · 86580

TB skin test, intradermal placement

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Codes related to 86580

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

Codes related to 86580
CodeHow it relatesOffice range, Washington, DC area
Used instead
86480TB blood test, gamma interferon responseBlood-based tuberculosis immune-response testing is an alternative to intradermal skin testing.$61.98
86481TB cellular assay, T-cell enumerationA different blood-based tuberculosis immune-response test, rather than skin-test placement.$100.00

How 86580 has changed in Washington, DC area

86580 · Office / nonfacility

$12.96

Effective 2026-10-01

The base rate is $1.40 higher than on 2025-10-01, moving from $11.56 to $12.96 (12.1%).

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

    $11.56changed to$12.96

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.29 changed to 0.32
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $12.29changed to$11.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.30 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $12.09changed to$12.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $12.35changed to$12.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.29 changed to 0.30
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $13.28changed to$12.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.30 changed to 0.29
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $12.53changed to$13.28

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.28 changed to 0.30

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $11.48changed to$12.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.25 changed to 0.28
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $10.44changed to$11.48

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.23 changed to 0.25
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $10.00changed to$10.44

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.22 changed to 0.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $9.97changed to$10.00

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $9.52changed to$9.97

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.21 changed to 0.22
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $9.55changed to$9.52

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $9.51changed to$9.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $9.47changed to$9.51

    • Conversion factor 35.8228 changed to 35.7547
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $9.76changed to$9.47

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.23 changed to 0.21
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $9.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$12.96Not available in this settingRVU26D
2026-07-01$12.96Not available in this settingRVU26C
2026-04-01$12.96Not available in this settingRVU26B
2026-01-01$12.96Not available in this settingRVU26A
2025-10-01$11.56Not available in this settingRVU25D
2025-07-01$11.56Not available in this settingRVU25C
2025-04-01$11.56Not available in this settingRVU25B
2025-01-01$11.56Not available in this settingRVU25A
2024-10-01$12.29Not available in this settingRVU24D
2024-07-01$12.29Not available in this settingRVU24C
2024-04-01$12.29Not available in this settingRVU24B
2024-03-09$12.29Not available in this settingRVU24AR
2024-01-01$12.09Not available in this settingRVU24A
2023-10-01$12.35Not available in this settingRVU23D
2023-07-01$12.35Not available in this settingRVU23C
2023-04-01$12.35Not available in this settingRVU23B
2023-01-01$12.35Not available in this settingRVU23A
2022-10-01$13.28Not available in this settingRVU22D
2022-07-01$13.28Not available in this settingRVU22C
2022-04-01$13.28Not available in this settingRVU22B
2022-01-01$13.28Not available in this settingRVU22A
2021-10-01$12.53Not available in this settingRVU21D
2021-07-01$12.53Not available in this settingRVU21C
2021-04-01$12.53Not available in this settingRVU21B
2021-01-01$12.53Not available in this settingRVU21A
2020-10-01$11.48Not available in this settingRVU20D
2020-07-01$11.48Not available in this settingRVU20C
2020-04-01$11.48Not available in this settingRVU20B
2020-01-01$11.48Not available in this settingRVU20A
2019-10-01$10.44Not available in this settingRVU19D
2019-07-01$10.44Not available in this settingRVU19C
2019-04-01$10.44Not available in this settingRVU19B
2019-01-01$10.44Not available in this settingRVU19A
2018-10-01$10.00Not available in this settingRVU18D
2018-07-01$10.00Not available in this settingRVU18C
2018-04-01$10.00Not available in this settingRVU18B
2018-01-01$10.00Not available in this settingRVU18AR1
2017-10-01$9.97Not available in this settingRVU17D
2017-07-01$9.97Not available in this settingRVU17C
2017-04-01$9.97Not available in this settingRVU17B
2017-01-01$9.97Not available in this settingRVU17A
2016-10-01$9.52Not available in this settingRVU16D
2016-07-01$9.52Not available in this settingRVU16C
2016-04-01$9.52Not available in this settingRVU16B
2016-01-01$9.52Not available in this settingRVU16A
2015-10-01$9.55Not available in this settingRVU15D
2015-07-01$9.55Not available in this settingRVU15C
2015-04-01$9.51Not available in this settingRVU15B
2015-01-01$9.51Not available in this settingRVU15A
2014-10-01$9.47Not available in this settingRVU14D
2014-07-01$9.47Not available in this settingRVU14C
2014-04-01$9.47Not available in this settingRVU14B
2014-01-01$9.47Not available in this settingRVU14A
2013-10-01$9.76Not available in this settingRVU13D
2013-07-01$9.76Not available in this settingRVU13C
2013-04-01$9.76Not available in this settingRVU13B
2013-01-01$9.76Not available in this settingRVU13AR

Price 86580 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

86580 billing questions

Does 86580 cover both placement and reading?

It covers the technical service of placing the skin test. The later reading and interpretation are reported separately under the appropriate service code.

Can the reading be reported with 99211?

A separately documented nurse visit for reading may be reported with 99211 when the service meets that code's requirements. Document the test finding and the work performed.

When should 86580 be chosen instead of a TB blood test code?

Use 86580 for intradermal tuberculin skin-test placement. Codes 86480 and 86481 describe blood-based immune-response testing instead.

What should the record show for the reading?

Document the reading visit and the measured induration, rather than relying on redness alone. The result supports the separately reported interpretation service.

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 86580PPRRVU2026_Oct_nonQPP.csv, line 10,688 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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