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CMS RVU26D · Effective 2026-10-01

38228 in Wyoming**

Office / nonfacility

$317.24

Base rate per service

Facility setting

$148.23

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.

Cell therapy

About 38228: Autologous CAR T-cell administration

Report this service for administering a patient’s own genetically modified T cells as CAR T-cell therapy, rather than for collecting or preparing the cells.

This code identifies the administration step of autologous chimeric antigen receptor (CAR) T-cell therapy. A patient’s T lymphocytes are collected and modified for treatment, then the resulting cell product is administered back to that patient. Hematologists, oncologists, and other clinicians involved in cellular therapy typically oversee the infusion in a hospital or specialized treatment setting. The code is specific to CAR T-cell administration, not conventional chemotherapy or hematopoietic stem-cell transplantation.

Select the code for the actual administration of the autologous CAR T-cell product. Collection and preparation activities occur at different stages and are represented by separate codes in the CAR T sequence when applicable. Documentation should identify the autologous CAR T product and record that it was administered, including the date and supporting infusion documentation. CMS assigns physician work, practice expense, and malpractice relative values to the service; no additional payment rule is listed in the supplied CMS facts.

Where the value comes from

  • Work RVU3.00 · 31%
  • Practice expense (office) RVU6.35 · 66%
  • Malpractice RVU0.20 · 2%

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.

38228 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

38227

Car-t receipt&prepj admn

No office rate

Use 38227 for receipt and preparation of the CAR T-cell product; use 38228 for administering it to the patient.

38226

Car-t prep t lymphcyt f/trns

No office rate

38226 concerns preparing blood-derived T lymphocytes for transport. 38228 concerns administering the completed autologous CAR T-cell product.

38241

Transplt autol hct/donor

No office rate

38241 describes autologous hematopoietic cell transplantation. 38228 is specific to administration of autologous CAR T cells.

The same code, a different location

How does Wyoming** compare?

38228 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $317.24

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $359.66

    $42.42 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $362.90

    $45.66 higher than Wyoming**

  4. Miami

    $337.89

    $20.65 higher than Wyoming**

  5. Chicago

    $329.39

    $12.15 higher than Wyoming**

  6. Manhattan

    $363.67

    $46.43 higher than Wyoming**

  7. Alaska*

    $379.87

    $62.63 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 38228 ranges from $285.83 in Arkansas to $420.65 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Alabama

    Alabama · 38228

    Office

    $289.57

    Facility

    $141.68

    $27.67 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 38228

    Office

    $285.83

    Facility

    $140.65

    $31.41 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 38228

    Office

    $311.44

    Facility

    $147.67

    $5.80 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 38228

    Office

    $338.63

    Facility

    $153.40

    $21.39 higher than Wyoming** for the office setting.

  • Chico

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • El Centro

    California · 38228

    Office

    $337.98

    Facility

    $152.74

    $20.74 higher than Wyoming** for the office setting.

  • Fresno

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Madera

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Merced

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Modesto

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Napa

    California · 38228

    Office

    $389.45

    Facility

    $166.70

    $72.21 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 38228

    Office

    $357.87

    Facility

    $158.10

    $40.63 higher than Wyoming** for the office setting.

  • Redding

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 38228

    Office

    $340.16

    Facility

    $154.93

    $22.92 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 38228

    Office

    $354.06

    Facility

    $157.50

    $36.82 higher than Wyoming** for the office setting.

  • Salinas

    California · 38228

    Office

    $352.71

    Facility

    $156.83

    $35.47 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 38228

    Office

    $360.50

    Facility

    $158.36

    $43.26 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 38228

    Office

    $411.84

    Facility

    $173.54

    $94.60 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 38228

    Office

    $411.62

    Facility

    $173.31

    $94.38 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 38228

    Office

    $420.65

    Facility

    $176.94

    $103.41 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 38228

    Office

    $419.72

    Facility

    $176.01

    $102.48 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 38228

    Office

    $347.06

    Facility

    $154.56

    $29.82 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 38228

    Office

    $363.58

    Facility

    $158.24

    $46.34 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 38228

    Office

    $353.89

    Facility

    $156.83

    $36.65 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 38228

    Office

    $367.24

    Facility

    $159.70

    $50.00 higher than Wyoming** for the office setting.

  • Stockton

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Vallejo

    California · 38228

    Office

    $389.12

    Facility

    $166.37

    $71.88 higher than Wyoming** for the office setting.

  • Visalia

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Yuba City

    California · 38228

    Office

    $337.94

    Facility

    $152.71

    $20.70 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 38228

    Office

    $332.29

    Facility

    $152.47

    $15.05 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 38228

    Office

    $338.72

    Facility

    $156.69

    $21.48 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 38228

    Office

    $316.26

    Facility

    $149.28

    $0.98 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 38228

    Office

    $327.13

    Facility

    $155.93

    $9.89 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 38228

    Office

    $313.01

    Facility

    $151.43

    $4.23 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 38228

    Office

    $324.02

    Facility

    $152.30

    $6.78 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 38228

    Office

    $297.35

    Facility

    $146.60

    $19.89 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 38228

    Office

    $345.22

    Facility

    $153.06

    $27.98 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 38228

    Office

    $296.92

    Facility

    $142.28

    $20.32 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 38228

    Office

    $298.49

    Facility

    $143.00

    $18.75 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 38228

    Office

    $308.78

    Facility

    $153.30

    $8.46 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 38228

    Office

    $304.29

    Facility

    $149.98

    $12.95 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 38228

    Office

    $330.56

    Facility

    $156.99

    $13.32 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 38228

    Office

    $300.06

    Facility

    $143.39

    $17.18 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 38228

    Office

    $295.30

    Facility

    $142.52

    $21.94 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 38228

    Office

    $294.87

    Facility

    $144.62

    $22.37 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 38228

    Office

    $307.37

    Facility

    $148.34

    $9.87 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 38228

    Office

    $294.31

    Facility

    $144.73

    $22.93 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 38228

    Office

    $363.50

    Facility

    $161.70

    $46.26 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 38228

    Office

    $330.47

    Facility

    $152.50

    $13.23 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 38228

    Office

    $337.65

    Facility

    $156.30

    $20.41 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 38228

    Office

    $321.98

    Facility

    $150.94

    $4.74 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 38228

    Office

    $299.49

    Facility

    $144.00

    $17.75 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 38228

    Office

    $314.60

    Facility

    $147.12

    $2.64 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 38228

    Office

    $316.14

    Facility

    $153.04

    $1.10 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 38228

    Office

    $301.39

    Facility

    $147.08

    $15.85 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 38228

    Office

    $320.43

    Facility

    $146.52

    $3.19 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 38228

    Office

    $305.89

    Facility

    $147.19

    $11.35 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 38228

    Office

    $308.81

    Facility

    $147.92

    $8.43 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 38228

    Office

    $289.54

    Facility

    $143.85

    $27.70 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 38228

    Office

    $287.75

    Facility

    $142.24

    $29.49 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 38228

    Office

    $318.97

    Facility

    $149.96

    $1.73 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 38228

    Office

    $302.36

    Facility

    $144.67

    $14.88 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 38228

    Office

    $315.01

    Facility

    $146.00

    $2.23 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 38228

    Office

    $298.49

    Facility

    $142.50

    $18.75 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 38228

    Office

    $326.84

    Facility

    $150.90

    $9.60 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 38228

    Office

    $359.68

    Facility

    $163.63

    $42.44 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 38228

    Office

    $343.15

    Facility

    $158.59

    $25.91 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 38228

    Office

    $302.72

    Facility

    $147.74

    $14.52 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 38228

    Office

    $318.08

    Facility

    $148.90

    $0.84 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 38228

    Office

    $371.20

    Facility

    $170.25

    $53.96 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 38228

    Office

    $345.04

    Facility

    $159.98

    $27.80 higher than Wyoming** for the office setting.

  • Queens

    New York · 38228

    Office

    $366.95

    Facility

    $167.18

    $49.71 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 38228

    Office

    $306.39

    Facility

    $145.83

    $10.85 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 38228

    Office

    $300.58

    Facility

    $146.27

    $16.66 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 38228

    Office

    $294.79

    Facility

    $143.87

    $22.45 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 38228

    Office

    $342.41

    Facility

    $154.65

    $25.17 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 38228

    Office

    $316.15

    Facility

    $147.81

    $1.09 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 38228

    Office

    $330.77

    Facility

    $154.83

    $13.53 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 38228

    Office

    $301.22

    Facility

    $146.07

    $16.02 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 38228

    Office

    $321.21

    Facility

    $150.34

    $3.97 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 38228

    Office

    $327.16

    Facility

    $152.57

    $9.92 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 38228

    Office

    $301.86

    Facility

    $145.69

    $15.38 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 38228

    Office

    $314.54

    Facility

    $145.53

    $2.70 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 38228

    Office

    $296.58

    Facility

    $142.96

    $20.66 lower than Wyoming** for the office setting.

  • Austin

    Texas · 38228

    Office

    $330.72

    Facility

    $151.91

    $13.48 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 38228

    Office

    $299.42

    Facility

    $145.62

    $17.82 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 38228

    Office

    $316.40

    Facility

    $148.91

    $0.84 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 38228

    Office

    $318.08

    Facility

    $149.75

    $0.84 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 38228

    Office

    $316.05

    Facility

    $149.41

    $1.19 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 38228

    Office

    $317.15

    Facility

    $149.32

    $0.09 lower than Wyoming** for the office setting.

  • Houston

    Texas · 38228

    Office

    $320.81

    Facility

    $152.98

    $3.57 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 38228

    Office

    $307.51

    Facility

    $147.12

    $9.73 lower than Wyoming** for the office setting.

  • Utah

    Utah · 38228

    Office

    $305.57

    Facility

    $146.70

    $11.67 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 38228

    Office

    $313.41

    Facility

    $147.27

    $3.83 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 38228

    Office

    $321.21

    Facility

    $150.34

    $3.97 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 38228

    Office

    $313.56

    Facility

    $146.24

    $3.68 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 38228

    Office

    $329.93

    Facility

    $151.96

    $12.69 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 38228

    Office

    $370.91

    Facility

    $163.54

    $53.67 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 38228

    Office

    $305.45

    Facility

    $143.54

    $11.79 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 38228

    Office

    $294.07

    Facility

    $147.20

    $23.17 lower than Wyoming** for the office setting.

See how rates vary across the country

38228 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$285.83

$379.87

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$379.871
AL$289.571
AR$285.831
AZ$311.441
CA$337.94–$420.6529
CO$332.291
CT$338.721
DC$362.901
DE$316.261
FL$313.01–$337.893
GA$297.35–$324.022
GU$345.221
HI$345.221
IA$296.921
ID$298.491
IL$304.29–$330.564
IN$300.061
KS$295.301
KY$294.871
LA$294.31–$307.372
MA$330.47–$363.502
MD$321.98–$362.903
ME$299.49–$314.602
MI$301.39–$316.142
MN$320.431
MO$289.54–$308.813
MS$287.751
MT$318.971
NC$302.361
ND$315.011
NE$298.491
NH$326.841
NJ$343.15–$359.682
NM$302.721
NV$318.081
NY$306.39–$371.205
OH$300.581
OK$294.791
OR$316.15–$342.412
PA$301.22–$330.772
PR$321.211
RI$327.161
SC$301.861
SD$314.541
TN$296.581
TX$299.42–$330.728
UT$305.571
VA$313.41–$362.902
VI$321.211
VT$313.561
WA$329.93–$370.912
WI$305.451
WV$294.071
WY$317.241

Explore 38228 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 38228 in Wyoming**, the physician’s office rate is $317.24 and the facility-setting rate is $148.23: a difference of $169.01.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 38228 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$348.96

$317.24 × 110% = $348.96

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.

Compare your contract offer →

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 38228 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

4,728

Code
38228
Physician work
3.00
Practice expense
6.35
Malpractice
0.20

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 38228 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work3.00× 1.0003.0000
Practice expense6.35× 1.0006.3500
Malpractice0.20× 0.7400.1480
Total RVUs9.4980
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$317.24

Open 38228 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work31
Practice expense6.351
Malpractice0.20.74

(3 × 1 + 6.35 × 1 + 0.2 × 0.74) × $33.4009 = $317.24

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work31
Practice expense1.291
Malpractice0.20.74

(3 × 1 + 1.29 × 1 + 0.2 × 0.74) × $33.4009 = $148.23

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

38228 · Office / nonfacility

$317.24

Effective 2026-10-01

The base rate is $38.81 higher than on 2025-10-01, moving from $278.43 to $317.24 (13.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $278.43changed to$317.24

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 5.46 changed to 6.35
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $278.43

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$317.24$148.23RVU26D
2026-07-01$317.24$148.23RVU26C
2026-04-01$317.24$148.23RVU26B
2026-01-01$317.24$148.23RVU26A
2025-10-01$278.43$168.78RVU25D
2025-07-01$278.43$168.78RVU25C
2025-04-01$278.43$168.78RVU25B
2025-01-01$278.43$168.78RVU25A

38228 billing questions

How is 38228 different from 38227?

38228 identifies administration of the autologous CAR T-cell product. 38227 describes receipt and preparation of the product for administration, a distinct step.

Does 38228 cover cell collection or preparation?

No. It represents administration, not collection of the patient’s T cells or preparation of cells for transport or infusion.

What documentation supports reporting 38228?

Document that the product was autologous CAR T cells and that administration occurred. The infusion record should support the date and service performed.

Is 38228 reported for CAR T-cell collection?

No. Collection is a separate service; 38228 is selected for the later administration of the CAR T-cell product.

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.

RVUs for 38228PPRRVU2026_Oct_nonQPP.csv, line 4,728 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet