CPT code 38232: Bone marrow harvest, autologous transplant harvest2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $158.08 for 38232 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38232 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 38232 covers

A clinician harvests bone marrow for the patient's own future transplant, typically by repeated aspiration from the iliac bones in an operating room under anesthesia. The collection is intended to obtain hematopoietic cells for transplantation, not to investigate a suspected marrow disorder. The operating clinician documents the harvest procedure and the autologous transplant purpose.

Report 38232 for autologous marrow collection; use 38230 when the marrow is harvested from an allogeneic donor. The operative note should identify the autologous collection and describe the harvest performed. This minor procedure has 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 the others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of 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 38232

Across 109 of 109 payment localities, the facility rate for 38232 runs from $146.36 in Wisconsin to $210.07 in Alaska. Puerto Rico pays $158.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38232 rates by state

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

See 38232 in every payment locality

How the 38232 rate is calculated

Each of 38232’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 38232

The CMS indicators that decide how 38232 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 38232

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

How 38232 has changed in Puerto Rico

Price 38232 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