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86078 Phys blood bank serv reactj

Pathology & Lab

Also known as: Transfusion reaction workup, acute hemolytic transfusion reaction evaluation

Physician services for blood bank workup including investigation of transfusion reactions, identifying cause of adverse reactions and determining compatibility issues.

In Plain Language

Transfusion safety investigation; Reaction diagnosis

Clinical Context

Used to investigate suspected transfusion reactions including hemolytic reactions, febrile non-hemolytic reactions, and allergic reactions. Guides clinical management.

RVU Breakdown

Work RVU0.92
Total RVU0.92

Est. Medicare Payment

$30.73

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Lab and pathology codes require an order from the treating provider with clinical indication. For molecular pathology and genetic testing, document the specific analytes tested and clinical rationale.

How This Code Compares

With a work RVU of 0.92, this code ranks in the 76th percentile among Pathology & Lab codes — 1.4x the median (0.68). The highest wRVU in this category is 2.78.

Specialties

Transfusion MedicineBlood BankingClinical Pathology

Frequently Asked Questions

What is CPT code 86078?

CPT 86078 (Phys blood bank serv reactj) is a Pathology & Lab code. Physician services for blood bank workup including investigation of transfusion reactions, identifying cause of adverse reactions and determining compatibility issues.

Who uses CPT code 86078?

CPT 86078 is used by Transfusion Medicine, Blood Banking, Clinical Pathology. Used to investigate suspected transfusion reactions including hemolytic reactions, febrile non-hemolytic reactions, and allergic reactions. Guides clinical management.

When is CPT 86078 used?

Used to investigate suspected transfusion reactions including hemolytic reactions, febrile non-hemolytic reactions, and allergic reactions. Guides clinical management.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.