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86153 Cell enumeration phys interpretation

Pathology & Lab

Also known as: Cell count with interpretation, differential with interpretation

Cell enumeration and identification with physician interpretation, providing clinical analysis of cell counts and morphology relevant to diagnosis and patient management.

In Plain Language

Analyzed blood cell count; Expert cell interpretation

Clinical Context

Combines technical cell counting with physician analysis of cell morphology and relevance to clinical presentation. Guides diagnostic and therapeutic decisions.

RVU Breakdown

Work RVU0.69
Total RVU0.69

Est. Medicare Payment

$23.05

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 0.69, this code ranks in the 54th percentile among Pathology & Lab codes — 1.0x the median (0.68). The highest wRVU in this category is 2.78.

Specialties

HematologyClinical PathologyLaboratory Medicine

Frequently Asked Questions

What is CPT code 86153?

CPT 86153 (Cell enumeration phys interpretation) is a Pathology & Lab code. Cell enumeration and identification with physician interpretation, providing clinical analysis of cell counts and morphology relevant to diagnosis and patient management.

Who uses CPT code 86153?

CPT 86153 is used by Hematology, Clinical Pathology, Laboratory Medicine. Combines technical cell counting with physician analysis of cell morphology and relevance to clinical presentation. Guides diagnostic and therapeutic decisions.

When is CPT 86153 used?

Combines technical cell counting with physician analysis of cell morphology and relevance to clinical presentation. Guides diagnostic and therapeutic decisions.

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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.