US · guidance
CMS Pub. 100-04, ch. 16, § 100.3
Procedures Not Subject to Fee Schedule When Billed With Blood
Products
(Rev. 1, 10-01-03)
The following codes are not subject to fee schedule limitations when submitted for
payment on the same bill with charges for blood products. Rather, assume they are to be
used for blood matching and not for diagnostic purposes.
Codes: 86901, 86905, 86930-86932, 86920-86922, 86890, 86870, 86891, 86880-86886,
86971, and 86930.
If no blood product is provided and billed for on the same claim, assume the codes are
diagnostic and subject to the clinical laboratory fee schedule.
The shared system provides for this processing.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
5a64e185bc221b8ceb0a437c12c72ea8a21d170a8092925e7a3ad3f7ffbb6cb7
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