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Official Description

Blood typing, for paternity testing, per individual; each additional antigen system

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 86911 refers to the process of blood typing specifically for paternity testing. This procedure involves drawing blood samples from a male, presumed to be the father, and a child to ascertain the biological relationship between them. The primary objective of this test is to identify specific blood antibodies present in the samples, which are then compared to determine the likelihood that the male is indeed the biological father of the child. The results of this analysis yield a statistical probability, providing evidence that can support or refute claims of paternity. In cases where the initial test results are inconclusive, this code is applicable for further testing, which may involve additional antigen systems to enhance the accuracy of the paternity determination. This procedure is critical in legal contexts, such as custody disputes or child support cases, where establishing paternity is essential.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 86911 is indicated in specific scenarios where paternity needs to be established. The following conditions warrant the use of this blood typing test:

  • Paternity Disputes This test is often performed in legal cases where the biological relationship between a father and child is questioned.
  • Child Support Cases Establishing paternity is crucial in determining financial responsibilities for child support.
  • Custody Arrangements In custody disputes, proving paternity can influence decisions regarding guardianship and visitation rights.
  • Medical History Assessment Understanding biological relationships can be important for assessing hereditary health risks and medical histories.

2. Procedure

The procedure for blood typing for paternity testing as described by CPT® Code 86911 involves several key steps that ensure accurate results. The following outlines the procedural steps:

  • Step 1: Sample Collection Blood samples are collected from both the male and the child. This is typically done through venipuncture, where a needle is inserted into a vein to draw blood. Proper techniques and sterile equipment are essential to prevent contamination and ensure the integrity of the samples.
  • Step 2: Antibody Identification Once the blood samples are obtained, laboratory technicians analyze the samples to identify specific blood antibodies. This process involves using various reagents and techniques to detect the presence of antigens that are characteristic of the individuals being tested.
  • Step 3: Comparison of Results The identified antibodies from both samples are compared to determine compatibility. This comparison helps in calculating the statistical probability of paternity, indicating how likely it is that the male is the biological father of the child based on the presence or absence of specific antigens.
  • Step 4: Reporting After the analysis is complete, the results are compiled into a report that details the findings, including the statistical probability of paternity. This report is then provided to the requesting party, which may include legal representatives or the individuals involved in the paternity dispute.

3. Post-Procedure

After the blood typing procedure is completed, there are several considerations for post-procedure care. Patients may experience minor discomfort or bruising at the site of blood collection, which typically resolves on its own. It is important for individuals to follow any specific instructions provided by the healthcare provider regarding follow-up testing or additional procedures if the initial results are inconclusive. In cases where further testing is required, the healthcare provider will discuss the next steps and any additional antigen systems that may be utilized to enhance the accuracy of the paternity determination. Additionally, the results of the paternity test may have significant implications for legal matters, so it is advisable for individuals to consult with legal counsel regarding the interpretation and use of the test results.

Short Descr BLOOD TYPING ANTIGEN SYSTEM
Medium Descr BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS
Long Descr Blood typing, for paternity testing, per individual; each additional antigen system
Status Code Non-Covered Service
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Non-Covered Service, not paid under OPPS
Type of Service (TOS) 5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS) T1H - Lab tests - other (non-Medicare fee schedule)
MUE 0
CCS Clinical Classification 235 - Other Laboratory
Date
Action
Notes
2011-01-01 Changed Short description changed.
1994-01-01 Added First appearance in code book in 1994.
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