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See a sample rate comparisonCPT 38209 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.
Transplant Preparation Of Hema, Transplant Preparation Of Hematopoietic Progenitorcells Thawing Of Previously Frozen Harvest With Washing Per Donor
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 38209 |
| Medicaid Fee Schedule | $9.91 median of the 8 states in the free preview · View Medicaid rates for 38209 |
National average reimbursement for CPT 38209 by major payers:
$14.78
$16.94
$34.39
$23.75
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CPT 38209
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center LLC, Foot & Ankle Surgery Center
$3,922.00Published rateEl Paso Surgery Centers Lp
$550.00Published rateBelmar Ambulatory Surgical Center, LLC
Belmar Ambulatory Surgical Center LLC
$322.00Published ratePacific Eye Institute A Medical Group Inc, Pacific Eye Institute Ambulatory Surgery Ctr
Pacific Eye Institute Medical Corporation
$102.00Published rateMd Laser Surgery Center, LLC
Md Laser Surgery Center LLC
$64.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 38209 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38209 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 38209 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 |
|---|---|---|
| 38204-CPT | Low | Managmnt Of Recipient Hematopoie Progenitor Cell Donor Search &, Management Of Recipient Hematopoietic Progenitor Cell Donor Search And |
| 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 38209. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38209 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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