Billing code 86580: TB skin testMedicare rate & RVUs in Utah
Report 86580 for intradermal placement of a tuberculin skin test, with the later reading and interpretation reported separately when appropriate.
Medicare pays $10.35 for 86580 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 86580 covers
Code 86580 covers placing a tuberculin skin test intradermally, typically on the forearm, to assess immune response to tuberculosis infection. Office and clinic staff commonly administer the test under appropriate clinical supervision; the patient returns for a trained clinician to assess the reaction, usually 48 to 72 hours later. The reading focuses on induration, not redness alone.
Select this code for the skin-test placement, not for a blood-based tuberculosis assay. Documentation should identify the test administered and support the placement; document the later finding and interpretation in the reading service record. CMS classifies 86580 as technical-component-only, so interpretation is reported separately under the appropriate service code. A separately documented nurse visit for reading may be reported with 99211 when its requirements are met.
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.
86580 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $10.35 | Unavailable |
How the 86580 rate is calculated
Each of 86580’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 · 86580
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.32
0.32 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3300
Conversion factor
$33.4009
Medicare rate
$11.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 86580
The CMS indicators that decide how 86580 is paid alongside other services.
CMS payment indicators · 86580
TB skin test
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
86580 compared with similar codes
Compare codes · National
86580 vs 86480 vs 86481: Medicare rates
How to choose
86580 billing questions
Does 86580 cover both placement and reading?
It covers the technical service of placing the skin test. The later reading and interpretation are reported separately under the appropriate service code.
Can the reading be reported with 99211?
A separately documented nurse visit for reading may be reported with 99211 when the service meets that code's requirements. Document the test finding and the work performed.
When should 86580 be chosen instead of a TB blood test code?
Use 86580 for intradermal tuberculin skin-test placement. Codes 86480 and 86481 describe blood-based immune-response testing instead.
What should the record show for the reading?
Document the reading visit and the measured induration, rather than relying on redness alone. The result supports the separately reported interpretation service.
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
Show the CMS file lines behind this rate
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