CPT code 38242: Lymphocyte infusion, allogeneic donor cells2026 Medicare rate & RVUs in Alaska

In Alaska, Medicare pays $140.29 for 38242 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38242 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 38242 covers

This service covers infusing lymphocytes from an allogeneic donor into a recipient, commonly as donor lymphocyte infusion after an allogeneic hematopoietic cell transplant. A transplant hematologist or other physician managing cellular therapy typically directs the service in a hospital or transplant center. The clinical goal may include strengthening a graft-versus-tumor response, such as when disease persists or returns after transplant.

Choose this code for the lymphocyte infusion itself, not for a full hematopoietic cell transplant or a progenitor-cell boost. Documentation should identify the recipient, donor source, infused cell product, date, and clinical indication. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires documented 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 Alaska compares for 38242

Across 109 of 109 payment localities, the facility rate for 38242 runs from $99.04 in Arkansas to $140.29 in Alaska. Alaska pays $140.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38242 rates by state

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

See 38242 in every payment locality

How the 38242 rate is calculated

Each of 38242’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 38242

The CMS indicators that decide how 38242 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 38242

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

How 38242 has changed in Alaska

Price 38242 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

• Adak
• Akhiok
• Akiachak
• Akiak
• Akutan
• Alakanuk
• Alatna
• Alcan Border

Browse all communities in Alaska

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