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CPT code 38230: Marrow harvest, allogeneic donor2026 Medicare rate & RVUs

Reports operative bone marrow collection from a donor for another person’s transplant, rather than collection of peripheral blood stem cells or autologous marrow.

CMS RVU26DEffective Oct 1, 2026109 payment localities40 Medicare services in 2024

Medicare pays $174.02 for 38230 nationally in a facility.

Medicare rate · 38230

Marrow harvest, allogeneic donor

Office or facility?

Work RVUs
3.41
Total RVUs
5.21
Global days
000

National rate · 2026

$174.02

Facility setting, before claim adjustments.

See every locality for 38230 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 38230 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 38230 covers

CPT 38230 describes an operative collection of bone marrow from a donor for use in another person’s treatment, commonly hematopoietic cell transplantation. A physician, such as a transplant surgeon or hematologist, typically performs the harvest in a surgical setting. Marrow is collected through repeated aspiration from bone, commonly the pelvic bones, with the collection planned to supply the intended recipient’s transplant needs.

Choose this code when the collected marrow is allogeneic: the donor and recipient are different people. The operative report should identify the donor, collection site and method, and the allogeneic purpose; distinguish this procedure from peripheral blood stem cell collection and autologous marrow harvest. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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 38230 pays more and less

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

109 of 109 payment localities

38230 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$159.07
AlaskaUnavailable$222.51
ArizonaUnavailable$169.44
ArkansasUnavailable$157.27
Atlanta, GAUnavailable$179.77
Austin, TXUnavailable$173.60
Bakersfield, CAUnavailable$170.24
Baltimore area, MDUnavailable$184.17
Beaumont, TXUnavailable$169.06
Brazoria, TXUnavailable$169.31

38230 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
38230 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 38230 rate is calculated

Each of 38230’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.

How the rate is built · 38230

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense1.08

1.08 RVUs× 1.000 GPCI

Malpractice0.72

0.72 RVUs× 1.000 GPCI

Adjusted RVUs

5.2100

Conversion factor

$33.4009

Medicare rate

$174.02

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 38230

The CMS indicators that decide how 38230 is paid alongside other services.

CMS payment indicators · 38230

Marrow harvest, allogeneic donor

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

38230 without 51 · national facility

$174.02

Marrow harvest, allogeneic donor

38230-51 · Second procedure: 50%

$87.01

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

38230 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 38230

    Marrow harvest, allogeneic donor3.41 wRVU

    Not priced

  • 38205

    Stem cell collection, allogeneic, blood-derived1.46 wRVU

    Not priced

  • 38232

    Bone marrow harvest, autologous transplant harvest3.41 wRVU

    Not priced

  • 38222

    Bone marrow exam, aspiration and biopsy1.4 wRVU

    $177.02

How to choose

38205Stem cell collectionAllogeneic, blood-derived
Choose 38230 for marrow collected directly from bone; choose 38205 for allogeneic stem cells collected from peripheral blood.
38232Bone marrow harvestAutologous transplant harvest
The distinction is who will receive the marrow: 38230 is for an allogeneic donor collection, while 38232 is for autologous collection.
38222Bone marrow examAspiration and biopsy
Code 38222 describes diagnostic marrow aspiration and biopsy, not an operative harvest intended to provide marrow for transplantation.

Codes related to 38230

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

Codes related to 38230
CodeHow it relatesNational office range
Used instead
38205Stem cell collection, allogeneic, blood-derivedAllogeneic stem cell collection from peripheral blood rather than marrow.No office rate
Same family
38232Bone marrow harvest, autologous transplant harvestOperative marrow harvest for autologous use rather than donation to another person.No office rate
Often billed with
38207Stem cell cryopreservation, freezing-based preservationReports cryopreservation when the collected stem cell product is frozen.No office rate

38230 billing questions

How does 38230 differ from 38205?

38230 is for operative marrow collection from bone. Code 38205 is for allogeneic stem cell collection from peripheral blood.

When should 38232 be used instead?

Use 38232 for an operative marrow harvest when the collected marrow is autologous, meaning it is intended for the same patient. Code 38230 is for a donor providing marrow to another person.

Does 38230 include the transplant?

No. The code describes the donor’s marrow collection, not the recipient’s transplant procedure. The donor harvest and recipient transplant concern different patients.

Can modifier 50 be reported for bilateral collection?

No. CMS identifies bilateral adjustment as inappropriate for this code, even when collection involves both sides.

What documentation supports reporting 38230?

Document that the collection was an operative bone marrow harvest, identify the collection site and method, and establish that the marrow was donated for another person’s treatment.

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

Show the CMS file lines behind this rate
RVUs for 38230PPRRVU2026_Oct_nonQPP.csv, line 4,729 (RVU26D)

Open CMS sourceHow we calculate rates

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