CPT 38208 Fee Schedule
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.
| 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 | • None • UA • GY - Notice of Liability Not Issued, Not Required Under Payer Policy. |
| Complexity Level | Low |
National average reimbursement for CPT 38208 by major payers:
$35.30
$39.59
$46.79
$51.60
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 38208 | ||||||
United | 38208 | $77.00 | 1598700676 - FLORIDA EYE INSTITUTE SURGICENTER LLC | 134232690 - (FL) FLORIDA EYE INSTITUTE SURGICENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $312.00 | 1780851691 - PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C. | 911394965 - PACIFIC CATARACT AND LASER INSTITUTE, INC., PC | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $531.00 | 1265534556 - SOUTH FLORIDA AMBULATORY SURGICAL CENTER LLC | 651093026 - (FL) SOUTH FLORIDA AMBULATORY SURGI | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $65.00 | 1811001548 - AMBULATORY SURGERY CENTER OF OPELOUSAS | 721502278 - (LA) AMBULATORY SURGERY CENTER OF O | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $123.00 | 1982954640 - BAKERSFIELD SPECIALTY SURGERY CENTER, PC | 454955212 - (CA) BAKERSFIELD SPECIALTY SURGERY CENTER PC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $440.00 | 1154624526 - THE AMBULATORY SURGERY CENTER AT ST. MARY, LLC | 272871206 - (PA) AMBULATORY SURGICAL CENTER AT ST. MARY'S | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $117.00 | 1225457948 - AHS SURGERY CENTER CANTON LLC | 464090351 - (GA) AHS SURGERY CENTER CANTON LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $200.00 | 1669585964 - WEST LAS VEGAS SURGERY CENTER,LLC, VALLEY VIEW SURGERY CENTER | 201898649 - (NV) WEST LAS VEGAS SURGERY CENTER LLC D/B/A VALLEY VIEW SURGERY CENTER | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $50.00 | 1053356436 - EDGEWORTH COMMONS GROUP LLC, SURGERY CENTER AT EDGWORTH COMMONS | 20713415 - (PA) EDGEWORTH COMMONS GROUP LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $64.00 | 1578986550 - SUMMERVILLE ENDOSCOPY CENTER, LLC | 455241903 - (SC) SUMMERVILLE ENDOSCOPY CENTER LLC | SC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $418.00 | 1114312659 - UNITED SHOCKWAVE SERVICES, LTD., UNITED THERAPIES | 363415474 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $555.00 | 1215492061 - ADVANCED SPINE CENTER OF WISCONSIN, LLC | 832438541 - (WI) ADVANCED SPINE CENTER OF WISCONSIN | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $100.00 | 1275725673 - GASTROENTEROLOGY CONSULTANTS OF TUSCALOOSA INC, TUSCALOOSA ENDOSCOPY CENTER | 630892558 | AL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $489.00 | 1548249675 - ENDOSCOPY CENTER OF SANTA FE LP, THE ENDOSCOPY CENTER OF SANTA FE | 621548645 - (NM) ENDOSCOPY CENTER OF SANTA FE LP | NM | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 38208 | $200.00 | 1922660109 - BANNER SURGERY CENTER | 842157389 - (AZ) BANNER SURGERY CENTER | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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 | Transplant Preparation Of Hematopoietic Progenitor Cells; Cryopreservation And Storage |
| 38208-CPT | Low | Transplant Preparation Of Hematopoietic Progenitor Cells; Thawing Of Previously Frozen Harvest Without Washing (Rvsd 1/1/04) |
| 38209-CPT | Low | Transplant Preparation Of Hematopoietic Progenitor Cells; Thawing Of Previously Frozen Harvest With Washing (Rvsd 1/1/04) |
| 38210-CPT | Low | Transplant Preparation Of Hematopoietic Progenitor Cells; Specific Cell Depletion Within Harvest, T-Cell Depletion |
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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