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

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, 2026One payment locality615 Medicare services in 2024

In Minnesota, Medicare pays $197.69 for 38240 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$197.69Hospital or facility

Check a contract rate as a % of Medicare · 38240 nationwide

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

We’ll open 38240 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 38240 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Minnesota compares for 38240

Across 109 of 109 payment localities, the facility rate for 38240 runs from $188.79 in Arkansas to $267.23 in Alaska. Minnesota pays $197.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

38240 in Minnesota vs other payment areas
  1. Minnesota · this page$197.69
  2. Los Angeles, CA · California$215.83+$18.14
  3. Washington, DC area · District of Columbia$220.96+$23.27
  4. Miami, FL · Florida$217.10+$19.41
  5. Chicago, IL · Illinois$213.78+$16.09
  6. Manhattan, NY · New York$225.20+$27.51
  7. Alaska · Alaska$267.23+$69.54

Other areas in Minnesota first, then benchmark localities. Bars start at $0.

Every other payment area

38240 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$190.23
ArkansasArkansas—$188.79
ArizonaArizona—$198.58
Bakersfield, CACalifornia—$207.01
Chico, CACalifornia—$206.14
El Centro, CACalifornia—$206.18
Fresno, CACalifornia—$206.14
Hanford, CACalifornia—$206.14

38240 rates by state

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

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

See 38240 in every payment locality

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.

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,731

Code
38240
Physician work
3.90
Practice expense
1.89
Malpractice
0.25

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 38240 in Minnesota
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense1.89× 1.0291.9448
Malpractice0.25× 0.2960.0740
Total RVUs5.9188
Conversion factor× 33.4009

Facility rate, Minnesota$197.69

Facility: (3.9 × 1 + 1.89 × 1.029 + 0.25 × 0.296) × $33.4009 = $197.69

Open 38240 in the RVU calculator

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

How 38240 has changed in Minnesota

38240 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$197.69RVU26D
2026-07-01Not available in this setting$197.69RVU26C
2026-04-01Not available in this setting$197.69RVU26B
2026-01-01Not available in this setting$197.69RVU26A
2025-10-01Not available in this setting$229.48RVU25D
2025-07-01Not available in this setting$229.48RVU25C
2025-04-01Not available in this setting$229.48RVU25B
2025-01-01Not available in this setting$229.48RVU25A
2024-10-01Not available in this setting$234.69RVU24D
2024-07-01Not available in this setting$234.69RVU24C
2024-04-01Not available in this setting$234.69RVU24B
2024-03-09Not available in this setting$234.69RVU24AR
2024-01-01Not available in this setting$230.86RVU24A
2023-10-01Not available in this setting$235.45RVU23D
2023-07-01Not available in this setting$235.45RVU23C
2023-04-01Not available in this setting$235.45RVU23B
2023-01-01Not available in this setting$235.45RVU23A
2022-10-01Not available in this setting$241.28RVU22D
2022-07-01Not available in this setting$241.28RVU22C
2022-04-01Not available in this setting$241.28RVU22B
2022-01-01Not available in this setting$241.28RVU22A
2021-10-01Not available in this setting$237.86RVU21D
2021-07-01Not available in this setting$237.86RVU21C
2021-04-01Not available in this setting$237.86RVU21B
2021-01-01Not available in this setting$237.86RVU21A
2020-10-01Not available in this setting$239.51RVU20D
2020-07-01Not available in this setting$239.51RVU20C
2020-04-01Not available in this setting$239.51RVU20B
2020-01-01Not available in this setting$239.51RVU20A
2019-10-01Not available in this setting$230.26RVU19D
2019-07-01Not available in this setting$230.26RVU19C
2019-04-01Not available in this setting$230.26RVU19B
2019-01-01Not available in this setting$230.26RVU19A
2018-10-01Not available in this setting$229.64RVU18D
2018-07-01Not available in this setting$229.64RVU18C
2018-04-01Not available in this setting$229.64RVU18B
2018-01-01Not available in this setting$229.64RVU18AR1
2017-10-01Not available in this setting$226.96RVU17D
2017-07-01Not available in this setting$226.96RVU17C
2017-04-01Not available in this setting$226.96RVU17B
2017-01-01Not available in this setting$226.96RVU17A
2016-10-01Not available in this setting$225.44RVU16D
2016-07-01Not available in this setting$225.44RVU16C
2016-04-01Not available in this setting$225.44RVU16B
2016-01-01Not available in this setting$225.44RVU16A
2015-10-01Not available in this setting$225.88RVU15D
2015-07-01Not available in this setting$225.88RVU15C
2015-04-01Not available in this setting$224.76RVU15B
2015-01-01Not available in this setting$224.76RVU15A
2014-10-01Not available in this setting$225.18RVU14D
2014-07-01Not available in this setting$225.18RVU14C
2014-04-01Not available in this setting$225.18RVU14B
2014-01-01Not available in this setting$225.18RVU14A
2013-10-01Not available in this setting$160.90RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 38240 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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