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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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | Q1 - Routine clinical service provided in a clinical research study UB |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 38210 |
| Medicaid Fee Schedule | $53.47 median of the 8 states in the free preview · View Medicaid rates for 38210 |
National average reimbursement for CPT 38210 by major payers:

$89.90

$108.37

$125.80

$130.82
Choose a payer to see a sample of rates for CPT 38210.
Central Jersey Ambulatory Surgical Center, LLC
Central Jersey Ambulatory Surgical Center LLC
Tampa Minimally Invasive Spine Surgery Center, LLC
Tampa Minimally Invasive Spine Surgery Center LLC
Clarksville Surgicenter, LLC
Midwest Surgery Center Inc
Southeastern Orthopaedics Surgery Center
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 38210 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38210 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 38210 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 |
|---|---|---|
| 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. |
| 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 38210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38210 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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