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

In Puerto Rico, Medicare pays $174.05 for 38230 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38230 nationwide

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

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.

How Puerto Rico compares for 38230

Across 109 of 109 payment localities, the facility rate for 38230 runs from $155.86 in Wisconsin to $222.51 in Alaska. Puerto Rico pays $174.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38230 rates by state

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

See 38230 in every payment locality

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.

Payment rules and modifiers for 38230

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

What modifiers do to the payment

When to use modifier 51

Codes related to 38230

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

How 38230 has changed in Puerto Rico

Price 38230 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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