Hello,

We have created a panel for Weak D Testing, separate drom ABO Rh. Has anyone else done the same and if so, how are you billing for it if at all? The closest CPT code that I have seen is 86906 (Blood typing Rh phenotype.) Is anyone using that code? Also, we are trying to determine the number of RVUs. Any advice on that would be helpful. Thanks all!

If I was going to do that I would probably use the code for antiglobulin ag testing rather than Rh Phenotype (which could possibly be construed as fraud since Rh phenotype really has a different meaning than Weak D testing). Only my opinion.

I could be wrong, but I don't think there is a CPT Code intended for Weak D Testing.

Donna

CPT 86906 is intended for a 'complete' Rh phenotype ..... D, C, c, E and e antigen types, rather than a weak D determination.

I agree with Donna - I believe that if a weak D is done it is included as part of the routine D typing, not billed out by itself.

So when you are doing a complete antigen phenotype on a patient which includes 4 Rh antigens, can you charge 86906 four times? Or by the word "complete" does it mean you can only charge it once and it includes all four antigens?

So when you are doing a complete antigen phenotype on a patient which includes 4 Rh antigens, can you charge 86906 four times? Or by the word "complete" does it mean you can only charge it once and it includes all four antigens?

You would charge it once and it would include all five antigens - D, C, c, E and e.

We don't charge weak D testing either, it's considered part of a blood type.