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See a sample rate comparisonCPT 38241 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 Autologous 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 UA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $148.97 national non-facility rate (2026) · View Medicare rates for 38241 |
| Medicaid Fee Schedule | $120.785 median of the 8 states in the free preview · View Medicaid rates for 38241 |
National average reimbursement for CPT 38241 by major payers:
$208.05
$220.72
$273.71
$291.13
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CPT 38241
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$3,024.00Published rateWest Bend Surgery Center LLC
$1,526.00Published rateThe Regents Of The University Of California, Ucla Dept Of Medicine
$995.00Published rateSkin & Mohs Surgery Center, LLC
Skin Mohs Surgery Center LLC
$603.00Published rateGainesville Fl Orthopaedic Asc LLC, Orthopaedic Surgery Center
The Gainesville Fl Orthopaedic A
$400.00Published rate
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See a sample payer proposalCPT 38241 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38241 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 38241 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 |
|---|---|---|
| 38241-CPT | Moderate | Bone Marrow Or Blood-Derived P, Bone Marrow Or Blood-Derived Peripheral Stem Celltransplantation Autologous Bone Marrow Or Blood-Derived Peripheral Stem Cell |
| 38242-CPT | Low | Bone Marrow Infusion, An Infusion Of Bone Marrow Or Stem Cells From The Original Donor Is Used After A Transplant Surgery To Help Support The Immune System In Accepting The Transplant. |
| 38243-CPT | Low | Stem Cell Boost, An Additional Infusion Of Stem Cells To Make An Original Bone Marrow Transplant More Effective. |
| 38300-CPT | Moderate | Lymph Node Drainage, Procedure To Drain A Swollen Lymph Node Or A Pocket Of Infection (Abscess) That Has Collected At The Site Of A Node. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38241. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38241 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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