CPT code 38241: Cell transplant, autologous cells2026 Medicare rate & RVUs in Nevada

Reports infusion of a patient’s own hematopoietic cells as a transplant, commonly after intensive treatment for a hematologic malignancy.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In Nevada, Medicare pays $147.90 for 38241 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$147.90Hospital or facility

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.

We’ll open 38241 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 38241 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 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 Nevada 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. Nevada pays $147.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

38241 in Nevada vs other payment areas
  1. Nevada · this page$147.90
  2. Los Angeles, CA · California$158.87+$10.97
  3. Washington, DC area · District of Columbia$162.91+$15.01
  4. Miami, FL · Florida$161.00+$13.10
  5. Chicago, IL · Illinois$158.53+$10.63
  6. Manhattan, NY · New York$166.34+$18.44
  7. Alaska · Alaska$197.79+$49.89

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

Every other payment area

38241 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$140.52
ArkansasArkansas—$139.46
ArizonaArizona—$146.63
Bakersfield, CACalifornia—$152.48
Chico, CACalifornia—$151.80
El Centro, CACalifornia—$151.83
Fresno, CACalifornia—$151.80
Hanford, CACalifornia—$151.80

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
38241 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 38241 in every payment locality

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

Office or facility?

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 38241 in Nevada
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense1.33× 1.0011.3313
Malpractice0.20× 0.8330.1666
Total RVUs4.4279
Conversion factor× 33.4009

Facility rate, Nevada$147.90

Facility: (2.93 × 1 + 1.33 × 1.001 + 0.2 × 0.833) × $33.4009 = $147.90

Open 38241 in the RVU calculator

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

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

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%).

When to use modifier 51

How 38241 has changed in Nevada

38241 · 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$147.90RVU26D
2026-07-01Not available in this setting$147.90RVU26C
2026-04-01Not available in this setting$147.90RVU26B
2026-01-01Not available in this setting$147.90RVU26A
2025-10-01Not available in this setting$171.07RVU25D
2025-07-01Not available in this setting$171.07RVU25C
2025-04-01Not available in this setting$171.07RVU25B
2025-01-01Not available in this setting$171.07RVU25A
2024-10-01Not available in this setting$175.05RVU24D
2024-07-01Not available in this setting$175.05RVU24C
2024-04-01Not available in this setting$175.05RVU24B
2024-03-09Not available in this setting$175.05RVU24AR
2024-01-01Not available in this setting$172.20RVU24A
2023-10-01Not available in this setting$177.52RVU23D
2023-07-01Not available in this setting$177.52RVU23C
2023-04-01Not available in this setting$177.52RVU23B
2023-01-01Not available in this setting$177.52RVU23A
2022-10-01Not available in this setting$184.41RVU22D
2022-07-01Not available in this setting$184.41RVU22C
2022-04-01Not available in this setting$184.41RVU22B
2022-01-01Not available in this setting$184.41RVU22A
2021-10-01Not available in this setting$183.14RVU21D
2021-07-01Not available in this setting$183.14RVU21C
2021-04-01Not available in this setting$183.14RVU21B
2021-01-01Not available in this setting$183.14RVU21A
2020-10-01Not available in this setting$182.59RVU20D
2020-07-01Not available in this setting$182.59RVU20C
2020-04-01Not available in this setting$182.59RVU20B
2020-01-01Not available in this setting$182.59RVU20A
2019-10-01Not available in this setting$176.50RVU19D
2019-07-01Not available in this setting$176.50RVU19C
2019-04-01Not available in this setting$176.50RVU19B
2019-01-01Not available in this setting$176.50RVU19A
2018-10-01Not available in this setting$176.27RVU18D
2018-07-01Not available in this setting$176.27RVU18C
2018-04-01Not available in this setting$176.27RVU18B
2018-01-01Not available in this setting$176.27RVU18AR1
2017-10-01Not available in this setting$175.41RVU17D
2017-07-01Not available in this setting$175.41RVU17C
2017-04-01Not available in this setting$175.41RVU17B
2017-01-01Not available in this setting$175.41RVU17A
2016-10-01Not available in this setting$175.97RVU16D
2016-07-01Not available in this setting$175.97RVU16C
2016-04-01Not available in this setting$175.97RVU16B
2016-01-01Not available in this setting$175.97RVU16A
2015-10-01Not available in this setting$176.98RVU15D
2015-07-01Not available in this setting$176.98RVU15C
2015-04-01Not available in this setting$176.10RVU15B
2015-01-01Not available in this setting$176.10RVU15A
2014-10-01Not available in this setting$176.32RVU14D
2014-07-01Not available in this setting$176.32RVU14C
2014-04-01Not available in this setting$176.32RVU14B
2014-01-01Not available in this setting$176.32RVU14A
2013-10-01Not available in this setting$169.07RVU13D
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 38241 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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
RVUs for 38241PPRRVU2026_Oct_nonQPP.csv, line 4,732 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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