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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | UA GY - Notice of Liability Not Issued, Not Required Under Payer Policy. |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 38208 |
| Medicaid Fee Schedule | $21.395 median of the 8 states in the free preview · View Medicaid rates for 38208 |
National average reimbursement for CPT 38208 by major payers:

$35.30

$39.59

$46.79

$50.58
Choose a payer to see a sample of rates for CPT 38208.
Johnson County Surgery Center, L.P.
Johnson County Surgery Center Lp
Viewmont Surgery Center, LLC
Viewmont Surgery Center LLC
Lawrenceville Center For Pain And Spine, LLC
Lawrenceville Center For Pain And Spine LLC
Alabama Eye Surgery Center LLC
David Head
Deaconess Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 38208 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38208 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 38208 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 |
|---|---|---|
| 38207-CPT | Low | Transplnt Prep Of Hematopoie Progenitor Cells; Cryopreserva, Transplant Preparation Of Hematopoietic Progenitor Cells; Cryopreserva |
| 38208-CPT | Low | Transplant Preparation Of Hema, Transplant Preparation Of Hematopoietic Progenitorcells Thawing Of Previously Frozen Harvest With Out Washing Per Donor |
| 38209-CPT | Low | Transplant Preparation Of Hema, Transplant Preparation Of Hematopoietic Progenitorcells Thawing Of Previously Frozen Harvest With Washing Per Donor |
| 38210-CPT | Low | Stem Cell Preparation, Before A Transplant Certain Types Of Cells May Be Isolated Or Removed From Blood Containing Stem Cells. Types Can Include T-Cells Red Blood Cells Platelets Or Plasma. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38208. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38208 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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