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See a sample rate comparisonCPT 38215 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 | UB UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 38215 |
| Medicaid Fee Schedule | $35.26 median of the 8 states in the free preview · View Medicaid rates for 38215 |
National average reimbursement for CPT 38215 by major payers:
$54.88
$65.50
$76.38
$80.27
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CPT 38215
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Ambulatory Surgery Center At Spivey Station
Emory University
$1,471.00Published rateMillennium Surgical Center LLC
Millennium Surgical Center, LLC
$566.00Published rateAmbulatory Surgical Center Of Union County, LLC
$319.00Published ratePhysicians' Surgery Center Of Nevada LLC
Physicians Surgery Center Of Nevada LLC
$195.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$37.00Published rate
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See a sample payer proposalCPT 38215 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38215 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 38215 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. |
| 38215-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 38215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38215 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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