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See a sample rate comparisonCPT 38222 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.
Diagnostic Bone Marrow Biopsy, Diagnostic Bone Marrow Biopsy(Ies) And Aspiration(S) Toring Percutaneous Subsequent Vein(S) Treated In A Single Extremity Each Through Separate Access
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $177.03 national non-facility rate (2026) · View Medicare rates for 38222 |
| Medicaid Fee Schedule | $139.44 median of the 8 states in the free preview · View Medicaid rates for 38222 |
National average reimbursement for CPT 38222 by major payers:
$209.93
$229.43
$240.55
$154.57
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CPT 38222
5 of 25 sample ratesHigher to lower in this preview
Childrens National Medical Center
Childrens Hospital
$4,617.00Published rateMegan Hornyak
Deaconess Hospital Inc
$302.57Published rateErin Kelly
Town Center Orthopaedic Associates, P.C.
$220.89Published rateThijs Wolf
St James Hospital
$185.11Published rateJamie Baux-Johnson
Sikiru A Gbadamosi Md LLC
$67.13Published rate
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See a sample payer proposalCPT 38222 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38222 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 38222 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 |
|---|---|---|
| 38220-CPT | Low | Bone Marrow Biopsy, Insertion Of A Needle To Remove A Sample Of Bone Marrow For Testing (Biopsy). |
| 38221-CPT | Low | Bone Marrow Biopsy, Insertion Of A Needle To Remove A Sample Of Bone Marrow For Testing (Biopsy). |
| 38222-CPT | Moderate | Diagnostic Bone Marrow Biopsy, Diagnostic Bone Marrow Biopsy(Ies) And Aspiration(S) Toring Percutaneous Subsequent Vein(S) Treated In A Single Extremity Each Through Separate Access |
| 38230-CPT | Moderate | Bone Marrow Collection, Collection Of Bone Marrow For Transplantation. The Bone Marrow May Be Collected From A Donor Or From A Site In The Recipients Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38222. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38222 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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