86480
No office rateTb test cell immun measure
Choose 86580 for intradermal tuberculin placement; 86480 is used for blood-based tuberculosis immune-response testing.
On this page
CMS RVU26D · Effective 2026-10-01
86580 TB skin test Medicare reimbursement rates in Virginia
Report 86580 for intradermal placement of a tuberculin skin test, with the later reading and interpretation reported separately when appropriate. Compare 86580 office and facility rates across CMS payment localities in Virginia.
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 86580 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$10.74–$12.96
2 of 2 localities have a supported rate.
Facility setting
No supported rate
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.
Immunology
About 86580: Tuberculin skin test placement
Report 86580 for intradermal placement of a tuberculin skin test, with the later reading and interpretation reported separately when appropriate.
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.
CMS billing rules for 86580
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.32 · 97%
- Malpractice RVU0.01 · 3%
25.5K
Medicare services in 2024 · #1041 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.
86580 compared with similar codes
Office rates for Virginia, from the same CMS release.
86481
No office rateTb ag response t-cell susp
Code 86580 represents placing a skin test, while 86481 represents a blood-based tuberculosis immune-response test.
Compare 86580 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$12.96
Facility
Unavailable
Virginia →
Office / nonfacility
$10.74
Facility
Unavailable
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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 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.
10,68586485,,Skin test candida,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,68686486,,Skin test unlisted antign ea,A,,0.00,0.19,,0.19,NA,0.01,0.20,0.20,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,68786510,,Histoplasmosis skin test,A,,0.00,0.24,,0.24,NA,0.01,0.25,0.25,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,68886580,,Tb intradermal test,A,,0.00,0.32,,0.32,NA,0.01,0.33,0.33,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10,68986581,,Strptcs pneum antb serot ia,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
10,69086590,,Streptokinase antibody,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
10,69186592,,Syphilis test non-trep qual,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