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See a sample rate comparisonCPT 38200 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Contrast Injection Into Spleen, Injection Of Dye Or Other Material To Aid An Imaging Procedure That Evaluates The Spleen And Other Abdominal Areas.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $109.22 national non-facility rate (2026) · View Medicare rates for 38200 |
| Medicaid Fee Schedule | $89.385 median of the 8 states in the free preview · View Medicaid rates for 38200 |
National average reimbursement for CPT 38200 by major payers:
$175.36
$181.04
$177.64
$214.76
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CPT 38200
5 of 25 sample ratesHigher to lower in this preview
Quality Surgicenter LLC
$1,500.00Published rateCarondelet St. Mary'S Northwest, LLC, Carondelet Foothills Surgery Center
Camp Lowell Surgery Center
$566.00Published rateCharleston Ent Associates, LLC, Surgery Center Of Charleston
Charleston Ent Associates, LLC
$250.00Published rateBlaine Mn Multi Specialty Asc LLC, North Metro Surgery Center
Blaine Mn Multi Specialty Asc LLC
$125.00Published rateFemi-Care Surgery Center, LLC
Femicare Surgery Center LLC
$53.00Published rate
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See a sample payer proposalCPT 38200 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38200 code is part of the Surgery services used for Surgical Procedures on the Hemic and Lymphatic Systems. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 38200 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 38200-CPT | Low | Contrast Injection Into Spleen, Injection Of Dye Or Other Material To Aid An Imaging Procedure That Evaluates The Spleen And Other Abdominal Areas. |
| 38204-CPT | Low | Managmnt Of Recipient Hematopoie Progenitor Cell Donor Search &, Management Of Recipient Hematopoietic Progenitor Cell Donor Search And |
| 38205-CPT | Low | Stem Cell Collection, Collection Of Blood-Derived Stem Cells From A Donor. The Stem Cells Will Be Used To Regenerate Bone Marrow Or An Immune System Damaged By Chemotherapy Or Radiation. |
| 38206-CPT | Low | Stem Cell Collection, Collection Of Blood-Derived Stem Cells From A Donor. The Stem Cells Will Be Used To Regenerate Bone Marrow Or An Immune System Damaged By Chemotherapy Or Radiation. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38200 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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