CPT code 38232: Bone marrow harvest2026 Medicare rate & RVUs in Kansas
Reports surgical collection of a patient's own bone marrow for hematopoietic cell transplantation, rather than diagnostic marrow sampling or peripheral blood collection.
CMS doesn’t publish an office rate for 38232 in Kansas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 38232 covers
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.
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 in Kansas
| Payment locality | Office | Facility |
|---|---|---|
| Kansas | Unavailable | $147.74 |
How the 38232 rate is calculated
Each of 38232’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.
How the rate is built · 38232
RVUs × geographic indexes × conversion factor
Work3.41
3.41 RVUs× 1.000 GPCI
Practice expense0.87
0.87 RVUs× 1.000 GPCI
Malpractice0.45
0.45 RVUs× 1.000 GPCI
Adjusted RVUs
4.7300
Conversion factor
$33.4009
Medicare rate
$157.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 38232
The CMS indicators that decide how 38232 is paid alongside other services.
CMS payment indicators · 38232
Bone marrow harvest
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
38232 without 51 · national facility
$157.99
Bone marrow harvest
38232-51 · Second procedure: 50%
$79.00
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
38232 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 38230Marrow harvest
- Choose 38232 when the harvested marrow is for the patient's own transplant; choose 38230 when it is harvested from an allogeneic donor.
- 38206Harvest auto stem cells
- 38206 is autologous peripheral blood stem cell collection. Use 38232 for a bone marrow harvest.
- 38222Bone marrow exam
- 38222 describes diagnostic marrow aspiration and biopsy. It is not the transplant harvest service reported with 38232.
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 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
Show the CMS file lines behind this rate
Fee sheets
Put 38232 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →