CPT code 86923: Electronic crossmatch, per donor unit2026 Medicare rate & RVUs in Utah

CMS doesn’t publish a rate for 86923 in Utah.

Check a contract rate as a % of Medicare · 86923 nationwide

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

What 86923 covers

An electronic crossmatch uses a computer-based comparison of the recipient’s blood bank information with a donor red blood cell unit to check compatibility before release for transfusion. A hospital transfusion service or reference laboratory typically performs and reports the test as part of pretransfusion testing. Unlike a serologic crossmatch, the compatibility check is electronic rather than a physical test mixing recipient serum or plasma with donor cells.

The code is reported for each donor unit checked. Medicare physician fee schedule status X means the service is excluded from payment under the physician fee schedule because it is not a physician service under the statute. When Medicare covers the service, payment is under another fee schedule or payment system. The physician fee schedule does not pay this code.

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.

How Utah compares for 86923

Every other payment area

86923 rates by state

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

See 86923 in every payment locality

How the 86923 rate is calculated

Each of 86923’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 86923

86923 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.

Codes related to 86923

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

How 86923 has changed in Utah

Price 86923 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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