{
    "code": "86376",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/86376/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/86376/2018/A",
    "description": "A blood test for antimicrosomal antibodies, the thyroid autoantibodies more commonly referred to today as thyroid peroxidase antibodies. Their presence indicates that the immune system is attacking the thyroid gland, which is the underlying mechanism in Hashimoto thyroiditis and is also frequently seen in Graves disease. The test is reported per antibody tested, so a broader thyroid autoimmunity workup may involve more than one.",
    "answer": {
        "question": "Did Medicare pay separately for CPT 86376 in Q1 2018?",
        "text": "Not at a published national rate. CPT 86376 carries status X (statutory exclusion) in the Q1 2018 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "A",
        "label": "Q1 2018",
        "effective": "January 1 – March 31, 2018",
        "revision": 1
    },
    "status": {
        "code": "X",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q1 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18ar1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/A",
        "file": "PPRRVU18_JAN.csv",
        "row": 14312,
        "sha256": "b2c0cf1c065aa6f715438573eb2251381843a90991cf56818aaf33301c43c932"
    },
    "modified_at": "2026-08-04T03:08:09+00:00"
}