CPT code 86922: Antiglobulin crossmatch, per donor unit2026 Medicare rate & RVUs in New Jersey
Reports an antiglobulin crossmatch of a recipient sample with donor red cells to assess compatibility before a red-cell transfusion.
CMS doesn’t publish an office rate for 86922 in New Jersey.
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 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 in New Jersey
| Payment locality | Office | Facility |
|---|---|---|
| Northern New Jersey | Unavailable | Unavailable |
| Rest of New Jersey | Unavailable | Unavailable |
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.
How the rate is built · 86922
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 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.
Place of service · 86922
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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86922 isn’t priced in this setting.
86922 compared with similar codes
Compare codes · National
4 codes, side by side
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.
86922 billing questions
When should the laboratory report 86922 instead of 86920?
Use 86922 for an antiglobulin-phase crossmatch. Code 86920 represents the immediate-spin method.
How does 86922 differ from 86921?
Code 86922 identifies the antiglobulin method. Code 86921 identifies compatibility testing by an incubation method.
How many units should be reported?
Report a unit for each donor red-cell unit crossmatched using the antiglobulin method.
Is an antibody screen the same test as 86922?
No. An antibody screen tests the recipient’s sample for red-cell antibodies; 86922 tests compatibility between that sample and selected donor red cells.
How does Medicare treat this code?
Status X means the physician fee schedule does not pay 86922. When covered, it is paid through another fee schedule or payment system.
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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