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See a sample rate comparisonCPT 38225 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.
Car-T Hrv Bld-Drv T Lymphcyt, Chimeric Antigen Receptor T-Cell (Car-T) Therapy; Harvesting Of Blood-Derived T Lymphocytes For Development Of Genetically Modified Autologous Car-T Cells Per Day
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 38225 |
| Medicaid Fee Schedule | $77.965 median of the 8 states in the free preview · View Medicaid rates for 38225 |
National average reimbursement for CPT 38225 by major payers:
$142.23
$185.95
$600.00
$166.56
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CPT 38225
5 of 25 sample ratesHigher to lower in this preview
Teton Outpatient Services LLC
$2,153.00Published rateYuma Advanced Surgical Suites LLC
Yuma Advanced Surgical Suites, LLC
$1,064.00Published rateBeckley Surgery Center, Inc
Beckley Surgery Center Inc
$643.00Published rateCenter For Spine And Pain Medicine PC, Cspm Chattanooga Asc
Center For Spine And Pain Medici
$390.00Published rateScottsdale Eye Surgery Center, P.C
Scottsdale Eye Surgery Center
$104.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 38225 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38225 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 38225 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 |
|---|---|---|
| 38225-CPT | Low | Car-T Hrv Bld-Drv T Lymphcyt, Chimeric Antigen Receptor T-Cell (Car-T) Therapy; Harvesting Of Blood-Derived T Lymphocytes For Development Of Genetically Modified Autologous Car-T Cells Per Day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38225. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38225 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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