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See a sample rate comparisonCPT 38226 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.
Immune Cell Therapy, Immune Cell Therapy Done To Treat Various Cancers. Blood Is Drawn And The T Cells Are Separated Out And Then Genetically Engineered To Produce Receptors.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 38226 |
| Medicaid Fee Schedule | $31.51 median of the 8 states in the free preview · View Medicaid rates for 38226 |
National average reimbursement for CPT 38226 by major payers:
$56.98
$74.99
$600.00
$76.36
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CPT 38226
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, East Washington Surgery Center
$7,400.00Published rateRiverside Park Surgicenter LLC
$1,064.00Published rateCss Jv, LLC, Center For Specialty Surgery
Css Jv LLC
$752.00Published rateTattnall Hospital Company, LLC, Optim Surgery Center
$472.00Published rateLynn Eye Surgery Center, LLC, Lynn Eye Surgery Center
Lynn Eye Surgery Center LLC
$256.00Published rate
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See a sample payer proposalCPT 38226 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38226 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 38226 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 |
|---|---|---|
| 38226-CPT | Low | Immune Cell Therapy, Immune Cell Therapy Done To Treat Various Cancers. Blood Is Drawn And The T Cells Are Separated Out And Then Genetically Engineered To Produce Receptors. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38226. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38226 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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