CPT code 38214: Volume depletion, stem cell harvest2026 Medicare rate & RVUs in Texas

CMS doesn’t publish an office rate for 38214 in Texas.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 38214 covers

38214 identifies processing that reduces the overall volume of a harvested stem cell product. It concerns the harvested material after collection, not the collection procedure or later administration. The service is distinct from washing the harvest (38209), depleting a specific cell population or component (38210–38213), and concentrating a stem cell harvest (38215). The processing code selected should reflect the procedure performed: overall volume reduction is the distinction captured by 38214, while the neighboring codes identify those other processing procedures.

Medicare lists 38214 as not valid for Medicare and uses a different code to report and pay for this service. For Medicare reporting, use the different code Medicare uses for this service rather than 38214. This status governs Medicare reporting and payment; it does not change the distinction between overall volume reduction and the separate washing, selective-depletion, and concentration procedures.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 38214 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 of 8 payment localities

How the 38214 rate is calculated

Each of 38214’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 38214

38214 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

38214 compared with similar codes

How to choose

38209Stem cell washingHarvested cell product

Use 38209 for washing the harvest. Use 38214 when processing reduces the product's overall volume.

38213Platelet depletionStem cell harvest processing

38213 identifies platelet depletion. 38214 concerns overall product volume reduction, not selective platelet removal.

38215Stem-cell concentrationHarvested product

38215 identifies stem cell concentration; 38214 identifies volume depletion. Select the code that matches the processing performed.

Codes related to 38214

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates