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CPT code 38240: Cell transplant, allogeneic, per donor2026 Medicare rate & RVUs

Report an allogeneic hematopoietic cell transplant when donor-derived progenitor cells are infused into a recipient to restore blood-forming function.

CMS RVU26DEffective Oct 1, 2026109 payment localities615 Medicare services in 2024

Medicare pays $201.74 for 38240 nationally in a facility.

Medicare rate · 38240

Cell transplant, allogeneic, per donor

Office or facility?

Work RVUs
3.9
Total RVUs
6.04
Global days
XXX

National rate · 2026

$201.74

Facility setting, before claim adjustments.

See every locality for 38240 →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 38240 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 38240 covers

Allogeneic hematopoietic cell transplantation transfers donor-derived blood-forming progenitor cells to a recipient, commonly following conditioning for hematologic malignancy or marrow failure. The graft may be obtained from bone marrow, peripheral blood, or cord blood. A transplant physician manages the recipient’s transplant; infusion is generally performed in a hospital setting.

Report 38240 for transplantation of allogeneic hematopoietic progenitor cells, per donor, rather than for an autologous transplant or a donor lymphocyte infusion. Documentation should establish that donor-derived progenitor cells were transplanted and identify the donor source and recipient service; collection alone is not this service. Medicare payment is restricted to specified circumstances, so apply the applicable coverage criteria. If multiple procedures subject to the standard multiple-procedure reduction occur in the same session, the highest-valued procedure is paid in full and each other procedure is paid at 50%.

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 38240 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

38240 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$190.23
AlaskaUnavailable$267.23
ArizonaUnavailable$198.58
ArkansasUnavailable$188.79
Atlanta, GAUnavailable$204.82
Austin, TXUnavailable$204.71
Bakersfield, CAUnavailable$207.01
Baltimore area, MDUnavailable$210.41
Beaumont, TXUnavailable$195.47
Brazoria, TXUnavailable$200.38

38240 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
38240 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 38240 rate is calculated

Each of 38240’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 · 38240

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.90

3.90 RVUs× 1.000 GPCI

Practice expense1.89

1.89 RVUs× 1.000 GPCI

Malpractice0.25

0.25 RVUs× 1.000 GPCI

Adjusted RVUs

6.0400

Conversion factor

$33.4009

Medicare rate

$201.74

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

Payment rules and modifiers for 38240

The CMS indicators that decide how 38240 is paid alongside other services.

CMS payment indicators · 38240

Cell transplant, allogeneic, per donor

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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

38240 without 51 · national facility

$201.74

Cell transplant, allogeneic, per donor

38240-51 · Second procedure: 50%

$100.87

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

38240 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 38240

    Cell transplant, allogeneic, per donor3.9 wRVU

    Not priced

  • 38241

    Cell transplant, autologous cells2.93 wRVU

    Not priced

  • 38242

    Lymphocyte infusion, allogeneic donor cells2.06 wRVU

    Not priced

  • 38243

    Cell boost, after transplant2.08 wRVU

    Not priced

  • 38205

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

    Not priced

How to choose

38241Cell transplantAutologous cells
38240 is for donor-derived hematopoietic cells; 38241 is for a transplant using the recipient’s own cells.
38242Lymphocyte infusionAllogeneic donor cells
38242 describes an allogeneic lymphocyte infusion, not transplantation of hematopoietic progenitor cells.
38243Cell boostAfter transplant
38243 identifies a hematopoietic cell boost, a distinct service; 38240 identifies allogeneic transplantation.
38205Stem cell collectionAllogeneic, blood-derived
38205 covers collection of allogeneic stem cells from a donor; 38240 covers transplantation of donor-derived cells into the recipient.

Codes related to 38240

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

Codes related to 38240
CodeHow it relatesNational office range
Same family
38241Cell transplant, autologous cellsRelated transplant code for cells collected from the recipient rather than a donor.No office rate

38240 billing questions

How does this differ from 38241?

Use 38240 for donor-derived cells and 38241 for a transplant using the recipient’s own cells. The distinction is the source of the transplanted cells.

Is the code reported per donor or per infusion bag?

It is reported per donor. Do not increase units just because the donor product is divided among bags or administered in portions.

Does this code cover donor cell collection?

It represents the recipient’s allogeneic transplant service, not the donor’s collection. Donor collection services are distinct and require their own documentation and coding.

What documentation supports reporting 38240?

Document that donor-derived hematopoietic progenitor cells were transplanted, identify the donor source, and record the recipient’s transplant service. The record should distinguish the transplant from a lymphocyte infusion or cell boost.

How does the multiple procedure reduction affect payment?

When this and other procedures subject to the standard reduction are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Is Medicare payment available for every allogeneic transplant?

No. CMS lists restricted coverage, meaning payment is limited to specific circumstances. The applicable coverage criteria determine whether the service qualifies.

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 38240PPRRVU2026_Oct_nonQPP.csv, line 4,731 (RVU26D)

Open CMS sourceHow we calculate rates

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