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See a sample rate comparisonCPT 38227 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 38227 |
| Medicaid Fee Schedule | $31.805 median of the 8 states in the free preview · View Medicaid rates for 38227 |
National average reimbursement for CPT 38227 by major payers:
$57.39
$75.63
$600.00
$76.88
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CPT 38227
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Multispecialty Surgery Center
$7,400.00Published rateEye Surgery Center Of Nashville LLC
$1,064.00Published rateCmmp Surgical Center LLC
Cmmp Surgical Center
$780.00Published rateInterventional Spine And Pain Management Ambulatory Surgical Center, Ispm Asc
Interventional Spine And Pain Management Ambulatory Surgical Center
$523.00Published rateBoston Ivf, Inc., The Surgery Center Of Waltham
Boston Ivf, LLC
$177.00Published rate
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See a sample payer proposalCPT 38227 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38227 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 38227 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 |
|---|---|---|
| 38227-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 38227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38227 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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