38240
No office rateTransplt allo hct/donor
38240 reports allogeneic hematopoietic cell transplantation. Choose 38243 for a subsequent hematopoietic cell boost after a prior transplant.
On this page
CMS RVU26D · Effective 2026-10-01
38243 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$103.18
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 transplantation
About 38243: Hematopoietic cell boost
Reports infusion of hematopoietic progenitor cells as a boost after failed engraftment, hematologic relapse, or graft rejection following an earlier transplant.
A hematopoietic progenitor cell boost delivers additional blood-forming cells after an earlier transplant when engraftment has failed, the disease has relapsed hematologically, or the graft has been rejected. The transplant physician or hematologist typically performs the infusion in a hospital setting. This service is distinct from the original allogeneic or autologous transplant and from an infusion of donor lymphocytes, which is not a hematopoietic cell boost.
Report 38243 for the boost itself, supported by documentation of the prior transplant, the clinical indication, and the infused hematopoietic cell product. The code 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 other procedures are subject to the standard 50% reduction. Bilateral adjustment does not apply. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 38243
- 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 RVU2.08 · 68%
- Practice expense (office) RVU0.82 · 27%
- Malpractice RVU0.14 · 5%
46
Medicare services in 2024 · #5403 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.
38243 compared with similar codes
Office rates for Redding, from the same CMS release.
38241
No office rateTransplt autol hct/donor
38241 reports autologous hematopoietic cell transplantation. It is not the code for a later boost following an earlier transplant.
No office rate
38242 reports infusion of donor lymphocytes. Use 38243 when the infused product is a hematopoietic progenitor cell boost.
The same code, a different location
How does Redding compare?
38243 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
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.
Other payment areas listed in California 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
Madera
California · 38243
Office
Unavailable
Facility
$103.18
No comparable office rate is available.
Merced
California · 38243
Office
Unavailable
Facility
$103.18
No comparable office rate is available.
Modesto
California · 38243
Office
Unavailable
Facility
$103.18
No comparable office rate is available.
Napa
California · 38243
Office
Unavailable
Facility
$112.32
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 38243
Office
Unavailable
Facility
$106.71
No comparable office rate is available.
Rest Of California
California · 38243
Office
Unavailable
Facility
$103.18
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 38243
Office
Unavailable
Facility
$104.73
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 38243
Office
Unavailable
Facility
$106.33
No comparable office rate is available.
Salinas
California · 38243
Office
Unavailable
Facility
$105.88
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 38243
Office
Unavailable
Facility
$106.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 38243
Office
Unavailable
Facility
$116.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 38243
Office
Unavailable
Facility
$116.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 38243
Office
Unavailable
Facility
$119.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 38243
Office
Unavailable
Facility
$118.47
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 38243
Office
Unavailable
Facility
$104.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 38243
Office
Unavailable
Facility
$106.72
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 38243
Office
Unavailable
Facility
$105.86
No comparable office rate is available.
Santa Rosa-Petaluma
California · 38243
Office
Unavailable
Facility
$107.70
No comparable office rate is available.
Stockton
California · 38243
Office
Unavailable
Facility
$103.18
No comparable office rate is available.
Vallejo
California · 38243
Office
Unavailable
Facility
$112.10
No comparable office rate is available.
Visalia
California · 38243
Office
Unavailable
Facility
$103.18
No comparable office rate is available.
Yuba City
California · 38243
Office
Unavailable
Facility
$103.18
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 38243
Office
Unavailable
Facility
$110.69
No comparable office rate is available.
Miami
Florida · 38243
Office
Unavailable
Facility
$109.81
No comparable office rate is available.
Chicago
Illinois · 38243
Office
Unavailable
Facility
$108.22
No comparable office rate is available.
Manhattan
New York · 38243
Office
Unavailable
Facility
$113.16
No comparable office rate is available.
Alaska*
Alaska · 38243
Office
Unavailable
Facility
$135.96
No comparable office rate is available.
Alabama
Alabama · 38243
Office
Unavailable
Facility
$96.09
No comparable office rate is available.
Arkansas
Arkansas · 38243
Office
Unavailable
Facility
$95.41
No comparable office rate is available.
Arizona
Arizona · 38243
Office
Unavailable
Facility
$100.02
No comparable office rate is available.
Colorado
Colorado · 38243
Office
Unavailable
Facility
$103.10
No comparable office rate is available.
Connecticut
Connecticut · 38243
Office
Unavailable
Facility
$106.02
No comparable office rate is available.
Delaware
Delaware · 38243
Office
Unavailable
Facility
$101.09
No comparable office rate is available.
Fort Lauderdale
Florida · 38243
Office
Unavailable
Facility
$105.67
No comparable office rate is available.
Rest Of Florida
Florida · 38243
Office
Unavailable
Facility
$102.69
No comparable office rate is available.
Atlanta
Georgia · 38243
Office
Unavailable
Facility
$103.13
No comparable office rate is available.
Rest Of Georgia
Georgia · 38243
Office
Unavailable
Facility
$99.48
No comparable office rate is available.
Hawaii, Guam
Hawaii · 38243
Office
Unavailable
Facility
$103.32
No comparable office rate is available.
Iowa
Iowa · 38243
Office
Unavailable
Facility
$96.39
No comparable office rate is available.
Idaho
Idaho · 38243
Office
Unavailable
Facility
$96.88
No comparable office rate is available.
East St. Louis
Illinois · 38243
Office
Unavailable
Facility
$104.09
No comparable office rate is available.
Rest Of Illinois
Illinois · 38243
Office
Unavailable
Facility
$101.79
No comparable office rate is available.
Suburban Chicago
Illinois · 38243
Office
Unavailable
Facility
$106.37
No comparable office rate is available.
Indiana
Indiana · 38243
Office
Unavailable
Facility
$97.14
No comparable office rate is available.
Kansas
Kansas · 38243
Office
Unavailable
Facility
$96.59
No comparable office rate is available.
Kentucky
Kentucky · 38243
Office
Unavailable
Facility
$98.10
No comparable office rate is available.
New Orleans
Louisiana · 38243
Office
Unavailable
Facility
$100.56
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 38243
Office
Unavailable
Facility
$98.19
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 38243
Office
Unavailable
Facility
$109.19
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 38243
Office
Unavailable
Facility
$103.15
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 38243
Office
Unavailable
Facility
$105.76
No comparable office rate is available.
Rest Of Maryland
Maryland · 38243
Office
Unavailable
Facility
$102.18
No comparable office rate is available.
Rest Of Maine
Maine · 38243
Office
Unavailable
Facility
$97.58
No comparable office rate is available.
Southern Maine
Maine · 38243
Office
Unavailable
Facility
$99.57
No comparable office rate is available.
Detroit
Michigan · 38243
Office
Unavailable
Facility
$103.79
No comparable office rate is available.
Rest Of Michigan
Michigan · 38243
Office
Unavailable
Facility
$99.76
No comparable office rate is available.
Minnesota
Minnesota · 38243
Office
Unavailable
Facility
$99.04
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 38243
Office
Unavailable
Facility
$99.76
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 38243
Office
Unavailable
Facility
$100.23
No comparable office rate is available.
Rest Of Missouri
Missouri · 38243
Office
Unavailable
Facility
$97.64
No comparable office rate is available.
Mississippi
Mississippi · 38243
Office
Unavailable
Facility
$96.51
No comparable office rate is available.
Montana**
Montana · 38243
Office
Unavailable
Facility
$101.53
No comparable office rate is available.
North Carolina
North Carolina · 38243
Office
Unavailable
Facility
$98.02
No comparable office rate is available.
North Dakota**
North Dakota · 38243
Office
Unavailable
Facility
$98.76
No comparable office rate is available.
Nebraska
Nebraska · 38243
Office
Unavailable
Facility
$96.52
No comparable office rate is available.
New Hampshire
New Hampshire · 38243
Office
Unavailable
Facility
$102.08
No comparable office rate is available.
Northern Nj
New Jersey · 38243
Office
Unavailable
Facility
$110.62
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 38243
Office
Unavailable
Facility
$107.29
No comparable office rate is available.
New Mexico
New Mexico · 38243
Office
Unavailable
Facility
$100.21
No comparable office rate is available.
Nevada**
Nevada · 38243
Office
Unavailable
Facility
$100.79
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 38243
Office
Unavailable
Facility
$115.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 38243
Office
Unavailable
Facility
$108.25
No comparable office rate is available.
Queens
New York · 38243
Office
Unavailable
Facility
$113.04
No comparable office rate is available.
Rest Of New York
New York · 38243
Office
Unavailable
Facility
$98.78
No comparable office rate is available.
Ohio
Ohio · 38243
Office
Unavailable
Facility
$99.19
No comparable office rate is available.
Oklahoma
Oklahoma · 38243
Office
Unavailable
Facility
$97.57
No comparable office rate is available.
Portland
Oregon · 38243
Office
Unavailable
Facility
$104.49
No comparable office rate is available.
Rest Of Oregon
Oregon · 38243
Office
Unavailable
Facility
$100.04
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 38243
Office
Unavailable
Facility
$104.81
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 38243
Office
Unavailable
Facility
$99.04
No comparable office rate is available.
Puerto Rico
Puerto Rico · 38243
Office
Unavailable
Facility
$101.77
No comparable office rate is available.
Rhode Island
Rhode Island · 38243
Office
Unavailable
Facility
$103.26
No comparable office rate is available.
South Carolina
South Carolina · 38243
Office
Unavailable
Facility
$98.76
No comparable office rate is available.
South Dakota**
South Dakota · 38243
Office
Unavailable
Facility
$98.43
No comparable office rate is available.
Tennessee
Tennessee · 38243
Office
Unavailable
Facility
$96.88
No comparable office rate is available.
Austin
Texas · 38243
Office
Unavailable
Facility
$102.73
No comparable office rate is available.
Beaumont
Texas · 38243
Office
Unavailable
Facility
$98.74
No comparable office rate is available.
Brazoria
Texas · 38243
Office
Unavailable
Facility
$100.82
No comparable office rate is available.
Dallas
Texas · 38243
Office
Unavailable
Facility
$101.39
No comparable office rate is available.
Fort Worth
Texas · 38243
Office
Unavailable
Facility
$101.18
No comparable office rate is available.
Galveston
Texas · 38243
Office
Unavailable
Facility
$101.10
No comparable office rate is available.
Houston
Texas · 38243
Office
Unavailable
Facility
$103.66
No comparable office rate is available.
Rest Of Texas
Texas · 38243
Office
Unavailable
Facility
$99.69
No comparable office rate is available.
Utah
Utah · 38243
Office
Unavailable
Facility
$99.42
No comparable office rate is available.
Virginia
Virginia · 38243
Office
Unavailable
Facility
$99.70
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 38243
Office
Unavailable
Facility
$101.77
No comparable office rate is available.
Vermont
Vermont · 38243
Office
Unavailable
Facility
$98.95
No comparable office rate is available.
Rest Of Washington
Washington · 38243
Office
Unavailable
Facility
$102.78
No comparable office rate is available.
Seattle (King Cnty)
Washington · 38243
Office
Unavailable
Facility
$110.37
No comparable office rate is available.
Wisconsin
Wisconsin · 38243
Office
Unavailable
Facility
$97.15
No comparable office rate is available.
West Virginia
West Virginia · 38243
Office
Unavailable
Facility
$99.97
No comparable office rate is available.
Wyoming**
Wyoming · 38243
Office
Unavailable
Facility
$100.32
No comparable office rate is available.
See how rates vary across the country
38243 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 38243 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$113.50
$103.18 × 110% = $113.50
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 38243 in Redding.
PPRRVU2026_Oct_nonQPP.csv
4,734
- Code
- 38243
- Physician work
- 2.08
- Practice expense
- 0.82
- Malpractice
- 0.14
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.08 | × 1.017 | 2.1154 |
| Practice expense | 0.82 | × 1.096 | 0.8987 |
| Malpractice | 0.14 | × 0.536 | 0.0750 |
| Total RVUs | 3.0891 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$103.18
Open 38243 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.08 | 1.017 |
| Practice expense | 0.82 | 1.096 |
| Malpractice | 0.14 | 0.536 |
(2.08 × 1.017 + 0.82 × 1.096 + 0.14 × 0.536) × $33.4009 = $103.18
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
38243 · 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 | $103.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $103.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $103.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $103.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $122.78 | RVU25D |
| 2025-07-01 | Not available in this setting | $122.78 | RVU25C |
| 2025-04-01 | Not available in this setting | $122.78 | RVU25B |
| 2025-01-01 | Not available in this setting | $122.78 | RVU25A |
38243 billing questions
When should 38243 be chosen instead of 38240 or 38241?
Use 38243 for an additional hematopoietic cell infusion after a prior transplant in the setting of failed engraftment, hematologic relapse, or graft rejection. Codes 38240 and 38241 describe allogeneic and autologous transplantation, respectively.
How is 38243 different from donor lymphocyte infusion?
38243 is for a hematopoietic progenitor cell boost. An infusion of donor lymphocytes is a different service reported with 38242.
Does 38243 include cell collection or processing?
The service is the boost infusion, not the harvest or laboratory manipulation of cells. Review separately performed collection or processing against the applicable code instructions and documentation.
What documentation supports reporting 38243?
Document the previous transplant, the reason for the boost, and the hematopoietic cell product infused. The record should distinguish the boost from an initial transplant or donor lymphocyte infusion.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
How does the multiple-procedure reduction affect 38243?
When it is performed in the same session with other procedures, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. The 0-day global period includes same-day preoperative and postoperative care.
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.
4,73138240,,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
4,73438243,,Transplj hematopoietic boost,A,,2.08,0.82,NA,0.82,,0.14,3.04,3.04,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,73538300,,Drainage lymph node lesion,A,,2.30,8.42,,3.56,,0.61,11.33,6.47,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,73638305,,Drainage lymph node lesion,A,,6.51,6.46,NA,6.46,,1.74,14.71,14.71,0,090,0.11,0.73,0.16,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,73738308,,Incision of lymph channels,A,,6.64,5.25,NA,5.25,,1.51,13.40,13.40,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536