CPT code 38241: Cell transplant, autologous cells2026 Medicare rate & RVUs in Arizona
Reports infusion of a patient’s own hematopoietic cells as a transplant, commonly after intensive treatment for a hematologic malignancy.
In Arizona, Medicare pays $146.63 for 38241 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 38241 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 38241 covers
CPT 38241 represents transplantation of autologous hematopoietic progenitor cells, such as cells collected from the patient’s peripheral blood or bone marrow. It is typically reported for the transplant infusion during a facility-based treatment course, often after high-dose therapy for a blood cancer. The transplant physician and cellular therapy team coordinate delivery of the patient’s cells; this is distinct from collecting the cells or processing them for storage or infusion.
Report the transplant when the patient’s own hematopoietic cells are infused as the transplant. Documentation should identify the autologous product, the transplant indication, and the infusion performed. CMS lists payment as restricted to specific circumstances, so payment depends on meeting the applicable coverage conditions. When multiple procedures subject to the standard multiple-procedure rule occur in the same session, the highest-valued procedure is paid in full and the others 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 Arizona compares for 38241
Across 109 of 109 payment localities, the facility rate for 38241 runs from $139.46 in Arkansas to $197.79 in Alaska. Arizona pays $146.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$146.63
- Los Angeles, CA · California$158.87+$12.24
- Washington, DC area · District of Columbia$162.91+$16.28
- Miami, FL · Florida$161.00+$14.37
- Chicago, IL · Illinois$158.53+$11.90
- Manhattan, NY · New York$166.34+$19.71
- Alaska · Alaska$197.79+$51.16
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $140.52 |
| ArkansasArkansas | — | $139.46 |
| Bakersfield, CACalifornia | — | $152.48 |
| Chico, CACalifornia | — | $151.80 |
| El Centro, CACalifornia | — | $151.83 |
| Fresno, CACalifornia | — | $151.80 |
| Hanford, CACalifornia | — | $151.80 |
| Madera, CACalifornia | — | $151.80 |
| Merced, CACalifornia | — | $151.80 |
| Modesto, CACalifornia | — | $151.80 |
| Napa, CACalifornia | — | $165.97 |
| Oxnard, CACalifornia | — | $157.27 |
| Redding, CACalifornia | — | $151.80 |
| Rest of CaliforniaCalifornia | — | $151.80 |
| Riverside, CACalifornia | — | $154.01 |
| Sacramento, CACalifornia | — | $156.63 |
| Salinas, CACalifornia | — | $155.97 |
| San Diego, CACalifornia | — | $157.55 |
| Marin County, CACalifornia | — | $172.86 |
| San Francisco, CACalifornia | — | $172.64 |
| San Benito County, CACalifornia | — | $176.27 |
| Santa Clara County, CACalifornia | — | $175.34 |
| San Luis Obispo, CACalifornia | — | $153.71 |
| Santa Cruz, CACalifornia | — | $157.47 |
| Santa Maria, CACalifornia | — | $155.98 |
| Santa Rosa, CACalifornia | — | $158.93 |
| Stockton, CACalifornia | — | $151.80 |
| Vallejo, CACalifornia | — | $165.65 |
| Visalia, CACalifornia | — | $151.80 |
| Yuba City, CACalifornia | — | $151.80 |
| ColoradoColorado | — | $151.52 |
| ConnecticutConnecticut | — | $155.75 |
| DelawareDelaware | — | $148.25 |
| Fort Lauderdale, FLFlorida | — | $154.94 |
| Rest of FloridaFlorida | — | $150.37 |
| Atlanta, GAGeorgia | — | $151.32 |
| Rest of GeorgiaGeorgia | — | $145.45 |
| Hawaii, Guam, HIHawaii | — | $152.24 |
| IowaIowa | — | $141.16 |
| IdahoIdaho | — | $141.89 |
| East St. Louis, ILIllinois | — | $152.19 |
| Rest of IllinoisIllinois | — | $148.86 |
| Suburban Chicago, ILIllinois | — | $156.01 |
| IndianaIndiana | — | $142.29 |
| KansasKansas | — | $141.39 |
| KentuckyKentucky | — | $143.47 |
| New Orleans, LALouisiana | — | $147.26 |
| Rest of LouisianaLouisiana | — | $143.58 |
| Metropolitan Boston, MAMassachusetts | — | $160.86 |
| Rest of MassachusettsMassachusetts | — | $151.53 |
| Baltimore area, MDMaryland | — | $155.36 |
| Rest of MarylandMaryland | — | $149.93 |
| Rest of MaineMaine | — | $142.89 |
| Southern Maine, MEMaine | — | $146.10 |
| Detroit, MIMichigan | — | $152.00 |
| Rest of MichiganMichigan | — | $145.96 |
| MinnesotaMinnesota | — | $145.55 |
| Metropolitan Kansas City, MOMissouri | — | $146.10 |
| Metropolitan St. Louis, MOMissouri | — | $146.85 |
| Rest of MissouriMissouri | — | $142.66 |
| MississippiMississippi | — | $141.05 |
| MontanaMontana | — | $148.95 |
| North CarolinaNorth Carolina | — | $143.58 |
| North DakotaNorth Dakota | — | $145.00 |
| NebraskaNebraska | — | $141.39 |
| New HampshireNew Hampshire | — | $149.95 |
| Northern New JerseyNew Jersey | — | $162.70 |
| Rest of New JerseyNew Jersey | — | $157.62 |
| New MexicoNew Mexico | — | $146.62 |
| NevadaNevada | — | $147.90 |
| NYC suburbs and Long Island, NYNew York | — | $169.35 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $158.99 |
| Queens, NYNew York | — | $166.27 |
| Rest of New YorkNew York | — | $144.76 |
| OhioOhio | — | $145.16 |
| OklahomaOklahoma | — | $142.73 |
| Portland, OROregon | — | $153.75 |
| Rest of OregonOregon | — | $146.81 |
| Metropolitan Philadelphia, PAPennsylvania | — | $153.84 |
| Rest of PennsylvaniaPennsylvania | — | $144.96 |
| Puerto RicoPuerto Rico | — | $149.36 |
| Rhode IslandRhode Island | — | $151.57 |
| South CarolinaSouth Carolina | — | $144.59 |
| South DakotaSouth Dakota | — | $144.53 |
| TennesseeTennessee | — | $141.83 |
| Austin, TXTexas | — | $150.98 |
| Beaumont, TXTexas | — | $144.50 |
| Brazoria, TXTexas | — | $147.88 |
| Dallas, TXTexas | — | $148.72 |
| Fort Worth, TXTexas | — | $148.37 |
| Galveston, TXTexas | — | $148.29 |
| Houston, TXTexas | — | $151.95 |
| Rest of TexasTexas | — | $146.05 |
| UtahUtah | — | $145.62 |
| VirginiaVirginia | — | $146.25 |
| Virgin Islands, VIUnited States Virgin Islands | — | $149.36 |
| VermontVermont | — | $145.22 |
| Rest of WashingtonWashington | — | $151.00 |
| King County, WAWashington | — | $162.72 |
| WisconsinWisconsin | — | $142.48 |
| West VirginiaWest Virginia | — | $146.03 |
| WyomingWyoming | — | $147.23 |
38241 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 38241 rate is calculated
Each of 38241’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 · 38241
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense1.33
1.33 RVUs× 1.000 GPCI
Malpractice0.20
0.20 RVUs× 1.000 GPCI
Adjusted RVUs
4.4600
Conversion factor
$33.4009
Medicare rate
$148.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,732
- Code
- 38241
- Physician work
- 2.93
- Practice expense
- 1.33
- Malpractice
- 0.20
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 1.33 | × 0.969 | 1.2888 |
| Malpractice | 0.20 | × 0.856 | 0.1712 |
| Total RVUs | 4.3900 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$146.63
Facility: (2.93 × 1 + 1.33 × 0.969 + 0.2 × 0.856) × $33.4009 = $146.63
Payment rules and modifiers for 38241
The CMS indicators that decide how 38241 is paid alongside other services.
CMS payment indicators · 38241
Cell transplant, autologous cells
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
38241 without 51 · national facility
$148.97
Cell transplant, autologous cells
38241-51 · Second procedure: 50%
$74.49
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%).
How 38241 has changed in Arizona
38241 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $146.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $146.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $146.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $146.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $169.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $169.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $169.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $169.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $173.38 | RVU24D |
| 2024-07-01 | Not available in this setting | $173.38 | RVU24C |
| 2024-04-01 | Not available in this setting | $173.38 | RVU24B |
| 2024-03-09 | Not available in this setting | $173.38 | RVU24AR |
| 2024-01-01 | Not available in this setting | $170.55 | RVU24A |
| 2023-10-01 | Not available in this setting | $173.41 | RVU23D |
| 2023-07-01 | Not available in this setting | $173.41 | RVU23C |
| 2023-04-01 | Not available in this setting | $173.41 | RVU23B |
| 2023-01-01 | Not available in this setting | $173.41 | RVU23A |
| 2022-10-01 | Not available in this setting | $176.85 | RVU22D |
| 2022-07-01 | Not available in this setting | $176.85 | RVU22C |
| 2022-04-01 | Not available in this setting | $176.85 | RVU22B |
| 2022-01-01 | Not available in this setting | $176.85 | RVU22A |
| 2021-10-01 | Not available in this setting | $175.67 | RVU21D |
| 2021-07-01 | Not available in this setting | $175.67 | RVU21C |
| 2021-04-01 | Not available in this setting | $175.67 | RVU21B |
| 2021-01-01 | Not available in this setting | $175.67 | RVU21A |
| 2020-10-01 | Not available in this setting | $177.46 | RVU20D |
| 2020-07-01 | Not available in this setting | $177.46 | RVU20C |
| 2020-04-01 | Not available in this setting | $177.46 | RVU20B |
| 2020-01-01 | Not available in this setting | $177.46 | RVU20A |
| 2019-10-01 | Not available in this setting | $172.97 | RVU19D |
| 2019-07-01 | Not available in this setting | $172.97 | RVU19C |
| 2019-04-01 | Not available in this setting | $172.97 | RVU19B |
| 2019-01-01 | Not available in this setting | $172.97 | RVU19A |
| 2018-10-01 | Not available in this setting | $172.73 | RVU18D |
| 2018-07-01 | Not available in this setting | $172.73 | RVU18C |
| 2018-04-01 | Not available in this setting | $172.73 | RVU18B |
| 2018-01-01 | Not available in this setting | $172.73 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $171.54 | RVU17D |
| 2017-07-01 | Not available in this setting | $171.54 | RVU17C |
| 2017-04-01 | Not available in this setting | $171.54 | RVU17B |
| 2017-01-01 | Not available in this setting | $171.54 | RVU17A |
| 2016-10-01 | Not available in this setting | $171.74 | RVU16D |
| 2016-07-01 | Not available in this setting | $171.74 | RVU16C |
| 2016-04-01 | Not available in this setting | $171.74 | RVU16B |
| 2016-01-01 | Not available in this setting | $171.74 | RVU16A |
| 2015-10-01 | Not available in this setting | $172.72 | RVU15D |
| 2015-07-01 | Not available in this setting | $172.72 | RVU15C |
| 2015-04-01 | Not available in this setting | $171.86 | RVU15B |
| 2015-01-01 | Not available in this setting | $171.86 | RVU15A |
| 2014-10-01 | Not available in this setting | $171.32 | RVU14D |
| 2014-07-01 | Not available in this setting | $171.32 | RVU14C |
| 2014-04-01 | Not available in this setting | $171.32 | RVU14B |
| 2014-01-01 | Not available in this setting | $171.32 | RVU14A |
| 2013-10-01 | Not available in this setting | $163.20 | RVU13D |
| 2013-07-01 | Not available in this setting | $163.20 | RVU13C |
| 2013-04-01 | Not available in this setting | $163.20 | RVU13B |
| 2013-01-01 | Not available in this setting | $163.20 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
38241 billing questions
How is 38241 different from 38240?
38241 is for transplantation of the patient’s own hematopoietic cells. Use 38240 for transplantation of cells from an allogeneic donor.
Does 38241 include cell collection?
No. It represents the transplant infusion, not the earlier collection of autologous cells. Cell collection is separately represented by 38206 when that service is performed.
Can thawing be reported with 38241?
When previously preserved cells are thawed for the transplant, 38208 identifies the thawing service and may be reported with the transplant when performed.
What documentation supports 38241?
Document that the infused cells are the patient’s own hematopoietic cells, the transplant indication, and the transplant infusion. The record should distinguish the infusion from cell collection and processing.
How does the multiple-procedure rule affect 38241?
When multiple procedures subject to the rule are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. CMS also restricts payment for 38241 to specific circumstances.
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
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