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See a sample rate comparisonCPT 38240 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.
Bone Marrow Or Blood-Derived P, Bone Marrow Or Blood-Derived Peripheral Stem Celltransplantation Allogenic Bone Marrow Or Blood-Derived Peripheral Stem Cell
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AG - Primary physician Q1 - Routine clinical service provided in a clinical research study |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $201.74 national non-facility rate (2026) · View Medicare rates for 38240 |
| Medicaid Fee Schedule | $163.73 median of the 8 states in the free preview · View Medicaid rates for 38240 |
National average reimbursement for CPT 38240 by major payers:
$260.56
$277.81
$340.80
$381.19
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CPT 38240
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center, Virginia Mason Lynnwood Asc
Virginia Mason Medical Center
$6,724.00Published rateMountain Empire Surgery Center Lp
$5,354.00Published rateGeorgia Cataract And Eye Specialty Center LLC, Georgia Cataract And Eye Specialty Center
Georgia Cataract And Eye Specialty Center LLC
$2,675.00Published rateTruxtun Surgery Center Inc
Truxtun Surgery Center, Inc.
$1,648.00Published rateJessica Hoesli
Deaconess Hospital Inc
$189.46Published rate
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See a sample payer proposalCPT 38240 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38240 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 38240 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 |
| 38240-CPT | Moderate | Bone Marrow Or Blood-Derived P, Bone Marrow Or Blood-Derived Peripheral Stem Celltransplantation Allogenic Bone Marrow Or Blood-Derived Peripheral Stem Cell |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38240 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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