CPT code 86702: HIV antibody, HIV-2-specific2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Measures antibodies to HIV-2, typically when a laboratory evaluates possible HIV-2 infection or differentiates HIV-2 from other HIV screening results.
Medicare pays $13.52 for 86702 under the 2026 Clinical Laboratory Fee Schedule: one national amount, the same in every state and setting.
Medicare lab fee · CLFS 2026 Q4
National CLFS amount
$13.52
In effect since Jan 1, 2026. The same amount in every state, payment locality and setting.
- Geographic adjustment
- None
- Office vs facility
- Same
- Since 2020
- Unchanged
- CMS updates
- Quarterly
Medicare pays the lesser of the lab’s charge and this amount. Patients usually owe no Part B deductible or coinsurance for covered clinical lab tests.
On this page 8 sections
What 86702 covers
This serologic test analyzes a patient specimen for antibodies directed against HIV-2. It may be ordered when HIV-2 infection is a clinical concern or as part of follow-up testing after a reactive HIV screening result. Clinical laboratories perform and report the analysis; the code is specific to an HIV-2 antibody result rather than a combined HIV-1/HIV-2 result or a viral nucleic acid test.
Report 86702 for the HIV-2 antibody analysis performed. Medicare pays it through the CLFS, with one national amount across localities and care settings. The 2026 national CLFS amount is $13.52, unchanged from 2020 through 2026. The test is paid only from the CLFS and is excluded from the physician fee schedule.
This summary was written with AI assistance from CMS Clinical Laboratory Fee Schedule data. Amounts on this page come directly from CMS files.
How Medicare pays 86702
Clinical lab tests aren’t priced like physician services. They’re paid from their own fee schedule, with its own rules. See the whole lab fee schedule.
One national amount
CMS sets a single Clinical Laboratory Fee Schedule amount for 86702. There’s no geographic (GPCI) adjustment, so it pays the same in every state and payment locality.
No office or facility rate
Lab tests aren’t built from relative value units, so there’s no office and facility split: the place of service doesn’t change the CLFS amount.
Updated every quarter
CMS republishes the CLFS each quarter. New tests, often proprietary laboratory analyses (PLA codes), join during the year; existing amounts are updated each January.
Excluded from the physician fee schedule
The physician fee schedule lists 86702 with status X (excluded by statute), so the test itself is paid only from the CLFS.
86702 on the lab fee schedule since 2020
86702 · CLFS 2026 Q4 (current)
$13.52
Unchanged since Jan 1, 2020
27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.
86702 compared with similar tests
- 86701HIV-1 antibodyHIV-1-specific antibody$8.89
- Use 86701 for HIV-1 antibody analysis. Use 86702 when the antibody analysis is specific to HIV-2.
- 86703HIV antibodyCombined, single result$13.71
- Code 86703 is for an HIV-1/HIV-2 antibody test reported as one result; 86702 is specific to HIV-2 antibody.
- 87389HIV screenHIV-1 antigen plus HIV-1/2 antibodies$24.08
- Code 87389 describes a combined HIV-1 antigen and HIV-1/HIV-2 antibody screening assay, not HIV-2 antibody analysis alone.
86702 billing questions
When should 86702 be selected instead of 86703?
Use 86702 when the reported analysis is specific to HIV-2 antibody. Code 86703 represents an HIV-1/HIV-2 antibody test reported as one result.
How does 86702 differ from 86701?
Code 86702 identifies HIV-2 antibody analysis; 86701 identifies HIV-1 antibody analysis. Select the code that matches the antibody specificity of the test performed and reported.
Can 86702 be reported for an HIV screening assay that includes antigen testing?
No. Code 86702 describes HIV-2 antibody analysis, not a combined HIV-1 antigen and HIV-1/HIV-2 antibody screening assay. Code 87389 describes that combined screening approach.
How does Medicare pay for 86702?
Medicare pays 86702 through the CLFS at one national amount, with no geographic or office-versus-facility variation. It is paid only from the CLFS.
Where this amount comes from
FeeBase reads lab amounts directly from the CMS Clinical Laboratory Fee Schedule file for the quarter: one row per code, with its payment indicator and national amount. Contractor-priced tests are labeled, never given a made-up amount. Amounts are Medicare payment limits, not a patient’s bill or a commercial rate.
CMS CLFS 2026 Q4 · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file line behind this amount
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