No office rate
Choose 38232 when the harvested marrow is for the patient's own transplant; choose 38230 when it is harvested from an allogeneic donor.
On this page
CMS RVU26D · Effective 2026-10-01
38232 in Chicago
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$178.39
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Hematopoietic cell collection
About 38232: Autologous bone marrow harvest for transplant
Reports surgical collection of a patient's own bone marrow for hematopoietic cell transplantation, rather than diagnostic marrow sampling or peripheral blood collection.
A clinician harvests bone marrow for the patient's own future transplant, typically by repeated aspiration from the iliac bones in an operating room under anesthesia. The collection is intended to obtain hematopoietic cells for transplantation, not to investigate a suspected marrow disorder. The operating clinician documents the harvest procedure and the autologous transplant purpose.
Report 38232 for autologous marrow collection; use 38230 when the marrow is harvested from an allogeneic donor. The operative note should identify the autologous collection and describe the harvest performed. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 38232
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.41 · 72%
- Practice expense (office) RVU0.87 · 18%
- Malpractice RVU0.45 · 10%
590
Medicare services in 2024 · #3409 by national volume
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.
38232 compared with similar codes
Office rates for Chicago, from the same CMS release.
38206
No office rateHarvest auto stem cells
38206 is autologous peripheral blood stem cell collection. Use 38232 for a bone marrow harvest.
$183.60
38222 describes diagnostic marrow aspiration and biopsy. It is not the transplant harvest service reported with 38232.
The same code, a different location
How does Chicago compare?
38232 across payment areas
Same release and payment basis · bars start at $0
Chicago · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Illinois appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Manhattan
New York · 38232
Office
Unavailable
Facility
$178.79
No comparable office rate is available.
Alaska*
Alaska · 38232
Office
Unavailable
Facility
$210.07
No comparable office rate is available.
Alabama
Alabama · 38232
Office
Unavailable
Facility
$147.83
No comparable office rate is available.
Arkansas
Arkansas · 38232
Office
Unavailable
Facility
$146.60
No comparable office rate is available.
Arizona
Arizona · 38232
Office
Unavailable
Facility
$154.92
No comparable office rate is available.
Bakersfield
California · 38232
Office
Unavailable
Facility
$157.06
No comparable office rate is available.
Chico
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
El Centro
California · 38232
Office
Unavailable
Facility
$155.81
No comparable office rate is available.
Fresno
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Hanford-Corcoran
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Madera
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Merced
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Modesto
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Napa
California · 38232
Office
Unavailable
Facility
$167.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 38232
Office
Unavailable
Facility
$160.80
No comparable office rate is available.
Redding
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Rest Of California
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 38232
Office
Unavailable
Facility
$160.62
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 38232
Office
Unavailable
Facility
$159.85
No comparable office rate is available.
Salinas
California · 38232
Office
Unavailable
Facility
$159.16
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 38232
Office
Unavailable
Facility
$160.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 38232
Office
Unavailable
Facility
$172.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 38232
Office
Unavailable
Facility
$172.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 38232
Office
Unavailable
Facility
$176.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 38232
Office
Unavailable
Facility
$174.30
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 38232
Office
Unavailable
Facility
$156.99
No comparable office rate is available.
Santa Cruz-Watsonville
California · 38232
Office
Unavailable
Facility
$159.65
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 38232
Office
Unavailable
Facility
$159.03
No comparable office rate is available.
Santa Rosa-Petaluma
California · 38232
Office
Unavailable
Facility
$161.05
No comparable office rate is available.
Stockton
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Vallejo
California · 38232
Office
Unavailable
Facility
$166.27
No comparable office rate is available.
Visalia
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Yuba City
California · 38232
Office
Unavailable
Facility
$155.74
No comparable office rate is available.
Colorado
Colorado · 38232
Office
Unavailable
Facility
$157.92
No comparable office rate is available.
Connecticut
Connecticut · 38232
Office
Unavailable
Facility
$165.66
No comparable office rate is available.
Delaware
Delaware · 38232
Office
Unavailable
Facility
$156.69
No comparable office rate is available.
Fort Lauderdale
Florida · 38232
Office
Unavailable
Facility
$170.51
No comparable office rate is available.
Rest Of Florida
Florida · 38232
Office
Unavailable
Facility
$164.27
No comparable office rate is available.
Atlanta
Georgia · 38232
Office
Unavailable
Facility
$161.81
No comparable office rate is available.
Rest Of Georgia
Georgia · 38232
Office
Unavailable
Facility
$157.73
No comparable office rate is available.
Hawaii, Guam
Hawaii · 38232
Office
Unavailable
Facility
$155.64
No comparable office rate is available.
Iowa
Iowa · 38232
Office
Unavailable
Facility
$146.45
No comparable office rate is available.
Idaho
Idaho · 38232
Office
Unavailable
Facility
$147.74
No comparable office rate is available.
Indiana
Indiana · 38232
Office
Unavailable
Facility
$148.14
No comparable office rate is available.
Kansas
Kansas · 38232
Office
Unavailable
Facility
$147.74
No comparable office rate is available.
Kentucky
Kentucky · 38232
Office
Unavailable
Facility
$153.48
No comparable office rate is available.
New Orleans
Louisiana · 38232
Office
Unavailable
Facility
$158.32
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 38232
Office
Unavailable
Facility
$154.01
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 38232
Office
Unavailable
Facility
$166.64
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 38232
Office
Unavailable
Facility
$158.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 38232
Office
Unavailable
Facility
$165.49
No comparable office rate is available.
Rest Of Maryland
Maryland · 38232
Office
Unavailable
Facility
$158.24
No comparable office rate is available.
Rest Of Maine
Maine · 38232
Office
Unavailable
Facility
$149.98
No comparable office rate is available.
Southern Maine
Maine · 38232
Office
Unavailable
Facility
$152.18
No comparable office rate is available.
Detroit
Michigan · 38232
Office
Unavailable
Facility
$167.28
No comparable office rate is available.
Rest Of Michigan
Michigan · 38232
Office
Unavailable
Facility
$157.40
No comparable office rate is available.
Minnesota
Minnesota · 38232
Office
Unavailable
Facility
$148.25
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 38232
Office
Unavailable
Facility
$155.87
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 38232
Office
Unavailable
Facility
$156.62
No comparable office rate is available.
Rest Of Missouri
Missouri · 38232
Office
Unavailable
Facility
$153.59
No comparable office rate is available.
Mississippi
Mississippi · 38232
Office
Unavailable
Facility
$150.02
No comparable office rate is available.
Montana**
Montana · 38232
Office
Unavailable
Facility
$157.96
No comparable office rate is available.
North Carolina
North Carolina · 38232
Office
Unavailable
Facility
$150.61
No comparable office rate is available.
North Dakota**
North Dakota · 38232
Office
Unavailable
Facility
$149.06
No comparable office rate is available.
Nebraska
Nebraska · 38232
Office
Unavailable
Facility
$146.40
No comparable office rate is available.
New Hampshire
New Hampshire · 38232
Office
Unavailable
Facility
$157.30
No comparable office rate is available.
Northern Nj
New Jersey · 38232
Office
Unavailable
Facility
$170.83
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 38232
Office
Unavailable
Facility
$166.67
No comparable office rate is available.
New Mexico
New Mexico · 38232
Office
Unavailable
Facility
$158.60
No comparable office rate is available.
Nevada**
Nevada · 38232
Office
Unavailable
Facility
$155.51
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 38232
Office
Unavailable
Facility
$183.65
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 38232
Office
Unavailable
Facility
$169.03
No comparable office rate is available.
Queens
New York · 38232
Office
Unavailable
Facility
$177.21
No comparable office rate is available.
Rest Of New York
New York · 38232
Office
Unavailable
Facility
$152.07
No comparable office rate is available.
Ohio
Ohio · 38232
Office
Unavailable
Facility
$155.58
No comparable office rate is available.
Oklahoma
Oklahoma · 38232
Office
Unavailable
Facility
$151.53
No comparable office rate is available.
Portland
Oregon · 38232
Office
Unavailable
Facility
$159.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 38232
Office
Unavailable
Facility
$153.41
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 38232
Office
Unavailable
Facility
$164.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 38232
Office
Unavailable
Facility
$154.78
No comparable office rate is available.
Puerto Rico
Puerto Rico · 38232
Office
Unavailable
Facility
$158.08
No comparable office rate is available.
Rhode Island
Rhode Island · 38232
Office
Unavailable
Facility
$159.49
No comparable office rate is available.
South Carolina
South Carolina · 38232
Office
Unavailable
Facility
$153.52
No comparable office rate is available.
South Dakota**
South Dakota · 38232
Office
Unavailable
Facility
$148.01
No comparable office rate is available.
Tennessee
Tennessee · 38232
Office
Unavailable
Facility
$148.38
No comparable office rate is available.
Austin
Texas · 38232
Office
Unavailable
Facility
$158.19
No comparable office rate is available.
Beaumont
Texas · 38232
Office
Unavailable
Facility
$154.30
No comparable office rate is available.
Brazoria
Texas · 38232
Office
Unavailable
Facility
$155.33
No comparable office rate is available.
Dallas
Texas · 38232
Office
Unavailable
Facility
$156.76
No comparable office rate is available.
Fort Worth
Texas · 38232
Office
Unavailable
Facility
$156.67
No comparable office rate is available.
Galveston
Texas · 38232
Office
Unavailable
Facility
$156.11
No comparable office rate is available.
Houston
Texas · 38232
Office
Unavailable
Facility
$164.35
No comparable office rate is available.
Rest Of Texas
Texas · 38232
Office
Unavailable
Facility
$155.05
No comparable office rate is available.
Utah
Utah · 38232
Office
Unavailable
Facility
$154.71
No comparable office rate is available.
Virginia
Virginia · 38232
Office
Unavailable
Facility
$153.07
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 38232
Office
Unavailable
Facility
$158.08
No comparable office rate is available.
Vermont
Vermont · 38232
Office
Unavailable
Facility
$150.27
No comparable office rate is available.
Rest Of Washington
Washington · 38232
Office
Unavailable
Facility
$157.41
No comparable office rate is available.
Seattle (King Cnty)
Washington · 38232
Office
Unavailable
Facility
$167.53
No comparable office rate is available.
Wisconsin
Wisconsin · 38232
Office
Unavailable
Facility
$146.36
No comparable office rate is available.
West Virginia
West Virginia · 38232
Office
Unavailable
Facility
$160.66
No comparable office rate is available.
Wyoming**
Wyoming · 38232
Office
Unavailable
Facility
$154.08
No comparable office rate is available.
See how rates vary across the country
38232 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Chicago is a Medicare payment area. Our Census mapping connects it to 137 cities and communities in Illinois, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 38232 in Chicago
Multiple payment areas
- 38232 in Alsip
- 38232 in Arlington Heights
- 38232 in Barrington
Multiple payment areas
- 38232 in Barrington Hills
Multiple payment areas
- 38232 in Bartlett
Multiple payment areas
- 38232 in Bedford Park
- 38232 in Bellwood
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 38232 in Chicago. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$196.23
$178.39 × 110% = $196.23
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 38232 in Chicago.
PPRRVU2026_Oct_nonQPP.csv
4,730
- Code
- 38232
- Physician work
- 3.41
- Practice expense
- 0.87
- Malpractice
- 0.45
GPCI2026.csv
48
- Locality
- Chicago
- Physician work
- 1.007
- Practice expense
- 1.005
- Malpractice
- 2.295
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.007 | 3.4339 |
| Practice expense | 0.87 | × 1.005 | 0.8743 |
| Malpractice | 0.45 | × 2.295 | 1.0328 |
| Total RVUs | 5.3410 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chicago$178.39
Open 38232 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1.007 |
| Practice expense | 0.87 | 1.005 |
| Malpractice | 0.45 | 2.295 |
(3.41 × 1.007 + 0.87 × 1.005 + 0.45 × 2.295) × $33.4009 = $178.39
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
38232 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $178.39 | RVU26D |
| 2026-07-01 | Not available in this setting | $178.39 | RVU26C |
| 2026-04-01 | Not available in this setting | $178.39 | RVU26B |
| 2026-01-01 | Not available in this setting | $178.39 | RVU26A |
| 2025-10-01 | Not available in this setting | $196.66 | RVU25D |
| 2025-07-01 | Not available in this setting | $196.66 | RVU25C |
| 2025-04-01 | Not available in this setting | $196.66 | RVU25B |
| 2025-01-01 | Not available in this setting | $196.66 | RVU25A |
38232 billing questions
How does 38232 differ from 38230?
38232 is for harvesting marrow for the patient's own transplant. Use 38230 when the marrow comes from an allogeneic donor.
Is marrow collected for diagnosis reported with 38232?
No. Diagnostic marrow aspiration or biopsy is distinct from a transplant harvest; select the diagnostic service code when the purpose is evaluation rather than cell collection for transplantation.
How is 38232 different from 38206?
38232 describes autologous bone marrow harvest. Code 38206 describes autologous stem cell collection from peripheral blood, a different collection method.
Can modifier 50 be used for a harvest from both iliac bones?
No. CMS identifies bilateral adjustment as inappropriate for 38232, even when the harvest involves both sides.
When is an assistant at surgery payable?
Only when the record documents medical necessity for the assistant. Co-surgeons and team surgery are not permitted for this code.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. If other procedures are performed in the same session, the standard multiple procedure reduction applies.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,72738227,,Car-t receipt&prepj admn,B,+,0.78,0.17,NA,0.17,,0.07,1.02,1.02,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,72838228,,Car-t admn autologous,A,,3.00,6.35,,1.29,,0.20,9.55,4.49,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,72938230,,Bone marrow harvest allogen,A,,3.41,1.08,NA,1.08,,0.72,5.21,5.21,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,73038232,,Bone marrow harvest autolog,A,,3.41,0.87,NA,0.87,,0.45,4.73,4.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,73138240,,Transplt allo hct/donor,R,,3.90,1.89,NA,1.89,,0.25,6.04,6.04,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,73238241,,Transplt autol hct/donor,R,,2.93,1.33,NA,1.33,,0.20,4.46,4.46,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,73338242,,Transplt allo lymphocytes,A,,2.06,0.97,NA,0.97,,0.14,3.17,3.17,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563