CPT code 86911: Antigen typing, blood group system2026 Medicare rate & RVUs in New York
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 doesn’t publish an office rate for 86911 in New York.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | Unavailable | Unavailable |
| NYC suburbs and Long Island, NY | Unavailable | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | Unavailable |
| Queens, NY | Unavailable | Unavailable |
| Rest of New York | Unavailable | Unavailable |
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
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
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86911 isn’t priced in this setting.
86911 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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