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See a sample rate comparisonCPT 38212 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.
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.
| 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 Q1 - Routine clinical service provided in a clinical research study |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 38212 |
| Medicaid Fee Schedule | $35.26 median of the 8 states in the free preview · View Medicaid rates for 38212 |
National average reimbursement for CPT 38212 by major payers:
$53.50
$65.49
$74.87
$80.23
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CPT 38212
5 of 25 sample ratesHigher to lower in this preview
Stonesprings Surgicenter, LLC
Stonesprings Surgicenter LLC
$1,020.00Published rateSurgical Elite Of Avondale, LLC
Surgical Elite Of Avondale LLC
$531.00Published rateLubbock Surgery Center, LLC
Lubbock Surgery Center LLC
$200.00Published rateConroe Tx Endoscopy Asc LLC, River Oaks Endoscopy Center
$107.00Published rateSt. Agnes Healthcare, Inc., George Thomas Grace M.D. Surgery Center
St Agnes Healthcare Inc
$61.00Published rate
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See a sample payer proposalCPT 38212 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38212 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 38212 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 |
|---|---|---|
| 38211-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. |
| 38212-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. |
| 38213-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. |
| 38214-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 38212. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38212 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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