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 Bone marrow harvest Medicare reimbursement rates in Alaska
Reports surgical collection of a patient's own bone marrow for hematopoietic cell transplantation, rather than diagnostic marrow sampling or peripheral blood collection. Compare 38232 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 38232 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$210.07
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alaska, 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.
$206.64
38222 describes diagnostic marrow aspiration and biopsy. It is not the transplant harvest service reported with 38232.
Compare 38232 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$210.07
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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 Alaska*.
PPRRVU2026_Oct_nonQPP.csv
4,730
- Code
- 38232
- Physician work
- 3.41
- Practice expense
- 0.87
- Malpractice
- 0.45
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.500 | 5.1150 |
| Practice expense | 0.87 | × 1.065 | 0.9265 |
| Malpractice | 0.45 | × 0.551 | 0.2480 |
| Total RVUs | 6.2895 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$210.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1.5 |
| Practice expense | 0.87 | 1.065 |
| Malpractice | 0.45 | 0.551 |
(3.41 × 1.5 + 0.87 × 1.065 + 0.45 × 0.551) × $33.4009 = $210.07
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.
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
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609