86920
No office rateCompatibility test spin
86920 represents laboratory performance of antiglobulin compatibility testing. 86077 is the physician’s interpretation of complex compatibility findings.
On this page
CMS RVU26D · Effective 2026-10-01
86077 Blood bank service Medicare reimbursement rates in Nebraska
Reports a physician’s interpretation of complex red-cell compatibility testing or evaluation of an alloantibody during transfusion planning. Compare 86077 office and facility rates across CMS payment localities in Nebraska.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 86077 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$48.93
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$38.14
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Transfusion medicine
About 86077: Physician interpretation of complex blood compatibility testing
Reports a physician’s interpretation of complex red-cell compatibility testing or evaluation of an alloantibody during transfusion planning.
A transfusion medicine physician or pathologist uses this service to interpret difficult red-cell compatibility findings, such as a complex crossmatch or an unexpected alloantibody that affects selection of compatible units. It may arise during pretransfusion testing for a patient with a prior transfusion, pregnancy, or known red-cell antibody. The physician assesses the serologic findings and their implications for transfusion support; routine testing performed by laboratory staff alone is not this physician service.
Report 86077 for the physician’s interpretive work, not for the laboratory’s technical performance of a crossmatch or antibody test. The record should support the complexity and clinical purpose of the interpretation, including relevant test findings and the physician’s conclusion or recommendation. CMS assigns physician work, practice expense, and malpractice RVUs; practice expense has separate office and facility values. The code is distinct from physician services for investigating a transfusion reaction or authorizing use of a blood product.
Where the value comes from
- Work RVU0.92 · 60%
- Practice expense (office) RVU0.57 · 37%
- Malpractice RVU0.05 · 3%
36.1K
Medicare services in 2024 · #912 by national volume
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.
86077 compared with similar codes
Office rates for Nebraska, from the same CMS release.
86870
No office rateRbc antibody identification
86870 reports red-cell antibody identification testing. 86077 reports physician interpretation of an alloantibody’s compatibility implications.
$48.93
86078 is for physician investigation of a transfusion reaction; 86077 concerns complex pretransfusion compatibility or alloantibody interpretation.
$48.62
86079 reports physician authorization to use a blood product. Choose 86077 when the service is interpretation of complex crossmatch or alloantibody findings.
Compare 86077 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Nebraska →
Office / nonfacility
$48.93
Facility
$38.14
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 86077 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
10,599
- Code
- 86077
- Physician work
- 0.92
- Practice expense
- 0.57
- Malpractice
- 0.05
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.92 | × 1.000 | 0.9200 |
| Practice expense | 0.57 | × 0.923 | 0.5261 |
| Malpractice | 0.05 | × 0.378 | 0.0189 |
| Total RVUs | 1.4650 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$48.93
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.92 | 1 |
| Practice expense | 0.57 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(0.92 × 1 + 0.57 × 0.923 + 0.05 × 0.378) × $33.4009 = $48.93
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.92 | 1 |
| Practice expense | 0.22 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(0.92 × 1 + 0.22 × 0.923 + 0.05 × 0.378) × $33.4009 = $38.14
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
86077 billing questions
Is 86077 reported for every routine crossmatch?
No. It represents physician interpretation of complex compatibility findings or alloantibody evaluation, rather than the laboratory’s routine performance of a crossmatch.
How does 86077 differ from the laboratory crossmatch code?
86077 describes the physician’s interpretive service. Codes such as 86920 describe technical compatibility testing performed by the laboratory.
What documentation supports 86077?
Document the relevant compatibility or antibody findings, why physician interpretation was needed, and the interpretation or transfusion recommendation.
Should 86077 be used for a transfusion reaction workup?
No. Physician investigation of a suspected transfusion reaction is represented by 86078, not 86077.
When is 86079 a better fit?
Use 86079 for a physician’s authorization to use a blood product; 86077 is for interpretation of complex crossmatch or alloantibody findings.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
10,59686053,,Aqaprn-4 antb flo cytmtry ea,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10,59786060,,Antistreptolysin o titer,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10,59886063,,Antistreptolysin o screen,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
10,59986077,,Phys blood bank serv xmatch,A,,0.92,0.57,,0.22,,0.05,1.54,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,60086078,,Phys blood bank serv reactj,A,,0.92,0.57,,0.22,,0.05,1.54,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,60186079,,Phys blood bank serv authrj,A,,0.92,0.56,,0.21,,0.05,1.53,1.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,60286140,,C-reactive protein,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068