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CPT 82286

No Physician Fee Schedule amount — priced under the lab fee schedule

Status X is not separately payable under the PFS.

Clinical Laboratory Fee Schedule rate

$5.16

Medicare pays this for 82286 under the Q3 2026 Clinical Laboratory Fee Schedule — a national lab rate, the same in every state. See the CLFS rate below.

How much does Medicare pay for CPT 82286 in 2026? Copy link

Medicare pays $5.16 for CPT 82286 under the Clinical Laboratory Fee Schedule (CLFS) — a single national rate, the same in every locality, before the ~2% sequestration cut. On the Physician Fee Schedule CPT 82286 carries status X (statutory exclusion) because lab services are paid under the CLFS instead. Figure from the Q3 2026 CLFS file, effective January 1, 2026.

Source: Physician relative value file (Q3 2026) · effective July 2026 · materially updated Aug 4, 2026 · compact facts

The Medicare lab fee for 82286 Copy link

Priced under the Clinical Laboratory Fee Schedule, not the Physician Fee Schedule

82286 carries status X on the Physician Fee Schedule because Medicare pays for clinical lab tests under a separate fee schedule, the CLFS. Since 2018 the CLFS rate is a single national amount — the same in every state and setting, with no locality adjustment.

Original Medicare generally pays 100% of the CLFS amount for covered clinical diagnostic lab tests — no Part B coinsurance or deductible, unlike most physician services.

National CLFS rate

$5.16

Q3 2026 CLFS file · effective Jan 1, 2026

Before the ~2% sequestration cut applied at claim payment. Lab tests billed by a hospital outpatient department may be packaged into the facility payment instead.

Source: CMS Clinical Laboratory Fee Schedule quarterly file (26clabq3.zip), Q3 2026. The CLFS versions independently of the Physician Fee Schedule release this page shows.

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed the same date of service to check the current NCCI procedure-to-procedure edit between it and 82286.

See every current NCCI pair for 82286 →

Common questions Copy link

Why is there no payment amount for 82286?

Its status indicator is X (statutory exclusion). The statutory definition of physician services does not include this item. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for 82286 be denied or paid less?

Each item below comes from a CMS indicator on this page — not general billing advice.

  • Its status indicator is X (statutory exclusion) — The statutory definition of physician services does not include this item. Medicare prices this code under the Clinical Laboratory Fee Schedule instead; the CLFS rate is shown on this page. See CLFS rate
  • 1 code can never be billed with 82286 on the same date of service — NCCI denies the pair even with a modifier. See billing together

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill? Copy link

For patients
What does CPT code 82286 mean?

We haven't written the plain-language description for CPT 82286 yet — ask your provider's billing office what service it covers in the meantime.

Computation & policy

How this amount is computed Copy link

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Release Q3 2026
Component RVU
Work RVU blank
Practice expense RVU (non-facility) blank
Practice expense RVU (facility) blank
Malpractice RVU blank

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

History & related

Rate history by release Copy link

National non-facility amount for 82286 across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 – present X — —
Q2 2026 Mar 10, 2026 – Jun 29, 2026 X — —
Q1 2026 Dec 29, 2025 – Mar 9, 2026 X — —

Billing together (NCCI edits) Copy link

NCCI Q3 2026

Based on CMS's National Correct Coding Initiative (NCCI). A few examples appear here; use the complete edit page to check a specific pair.

Never billable with 82286 on the same date of service

Check a paired code or view all 1 NCCI pairs →

Did this answer your question about CPT 82286?

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q3 2026 release (schedule pfs, effective July 2026). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.

Physician relative value file (Q3 2026) · rvu26c-updated-06-30-2026.zip (PPRRVU2026_Jul_nonQPP.csv row 10,053)

Conversion factor $33.4009 read from the same file, row 11, column 26.

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q3 2026 figures, even after a newer release lands.

CPT 82286 Medicare Physician Fee Schedule rate (Q3 2026). Localis. https://localishealth.com/cpt/82286/2026/C