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CPT code 86911: Antigen typing, blood group system2026 Medicare rate & RVUs

Reports laboratory testing that characterizes red-cell antigens by blood group system during transfusion-related evaluation, distinct from ABO, Rh(D), and single-antigen typing.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 86911

Antigen typing, blood group system

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 86911 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 86911 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 86911 covers

This laboratory service evaluates red-cell antigens at the blood-group-system level, rather than reporting routine ABO or Rh(D) typing or a single-antigen result. Transfusion-service and immunohematology laboratories perform testing on a blood specimen when broader antigen characterization is needed during transfusion evaluation. The result can help characterize a patient’s red-cell profile when selecting compatible blood. Code selection depends on the scope of antigen testing performed, distinguishing system-level typing from ABO, Rh(D), or individual-antigen testing.

Medicare lists this code with status N, meaning Medicare does not cover the service. It is a CPT blood-typing code. Report it for antigen-system typing; ABO, Rh(D), individual red-cell antigen typing, and compatibility testing are separate services represented by other codes.

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.

Where 86911 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

86911 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

86911 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.

View every state and territory as a table
86911 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 86911 rate is calculated

Each of 86911’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 · 86911

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 86911

86911 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 · 86911

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

86911 isn’t priced in this setting.

86911 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 86911

    Antigen typing, blood group system0 wRVU

    Not priced

  • 86905

    RBC antigen typing, other than ABO or Rh(D)Lab fee

    $3.83

  • 86902

    Donor antigen test, each antigen testedLab fee

    $6.35

  • 86906

    Rh phenotype, complete Rh antigen profileLab fee

    $7.75

  • 86901

    Rh typing, D antigenLab fee

    $2.99

How to choose

86905RBC antigen typingOther than ABO or Rh(D)
Choose 86911 for typing at the antigen-system level. Choose 86905 for red-cell antigen typing for an individual antigen.
86902Donor antigen testEach antigen tested
86902 describes donor blood typing for an antigen; 86911 describes antigen-system typing.
86906Rh phenotypeComplete Rh antigen profile
86906 describes serologic Rh phenotype testing. 86911 describes blood-group antigen-system typing.
86901Rh typingD antigen
86901 is serologic Rh(D) typing. 86911 describes antigen-system typing, not routine Rh(D) typing.

Codes related to 86911

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

Codes related to 86911
CodeHow it relatesNational office range
Same family
86905RBC antigen typing, other than ABO or Rh(D)Red-cell antigen typing for an individual antigen, rather than system-level typing.$3.83
86902Donor antigen test, each antigen testedDonor blood typing for an antigen.$6.35
86906Rh phenotype, complete Rh antigen profileSerologic Rh phenotype testing is a distinct blood-typing service.$7.75
86900ABO typing, serologic blood groupSerologic ABO blood typing.$2.99
86901Rh typing, D antigenSerologic Rh(D) blood typing.$2.99

86911 billing questions

How does 86911 differ from 86905?

86911 describes typing at the blood-group antigen-system level. 86905 describes red-cell antigen typing for an individual antigen.

How does 86911 differ from 86902?

86902 is used for donor blood typing for an antigen. 86911 describes antigen-system typing.

Is 86911 a compatibility test?

No. It describes antigen-system typing; compatibility testing is a separate service.

Does Medicare cover 86911?

No. Medicare lists the code with status N, meaning the service is not covered.

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

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