CPT code 86922: Antiglobulin crossmatch, per donor unit2026 Medicare rate & RVUs

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

What 86922 covers

Code 86922 describes a pretransfusion crossmatch using the antiglobulin phase. A transfusion service tests the recipient’s serum or plasma against red cells from a selected donor unit to detect incompatibility involving antibodies that react with donor red cells. Clinical laboratory or blood bank personnel perform the test, typically as part of red-cell preparation when serologic compatibility testing is needed. The laboratory reports the testing performed for each donor unit crossmatched.

Medicare assigns status X: this is not a physician service under the Medicare statute, so the physician fee schedule does not pay it. When covered, payment is through another fee schedule or payment system. The code identifies the antiglobulin method; choose it rather than an immediate-spin, incubation-only, or electronic compatibility method when the antiglobulin crossmatch is performed.

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 86922 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

86922 rates by state

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

How the 86922 rate is calculated

Each of 86922’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 86922

86922 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.

86922 compared with similar codes

How to choose

86920Compatibility testImmediate spin, per unit

86920 is the immediate-spin compatibility method. Use 86922 when the crossmatch uses the antiglobulin phase.

86921Compatibility testIncubation technique

86921 represents an incubation-method compatibility test; 86922 identifies the antiglobulin method.

86923Electronic crossmatchPer donor unit

86923 is for electronic compatibility testing. Use 86922 when compatibility is assessed with an antiglobulin crossmatch.

Codes related to 86922

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

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