38205
No office rateHarvest allogeneic stem cell
Choose 38230 for marrow collected directly from bone; choose 38205 for allogeneic stem cells collected from peripheral blood.
On this page
CMS RVU26D · Effective 2026-10-01
38230 Marrow harvest Medicare reimbursement rates in Nebraska
Reports operative bone marrow collection from a donor for another person’s transplant, rather than collection of peripheral blood stem cells or autologous marrow. Compare 38230 office and facility rates across CMS payment localities in Nebraska.
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 38230 in Nebraska?
Nebraska 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
$156.28
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Stem cell collection
About 38230: Allogeneic bone marrow harvest
Reports operative bone marrow collection from a donor for another person’s transplant, rather than collection of peripheral blood stem cells or autologous marrow.
CPT 38230 describes an operative collection of bone marrow from a donor for use in another person’s treatment, commonly hematopoietic cell transplantation. A physician, such as a transplant surgeon or hematologist, typically performs the harvest in a surgical setting. Marrow is collected through repeated aspiration from bone, commonly the pelvic bones, with the collection planned to supply the intended recipient’s transplant needs.
Choose this code when the collected marrow is allogeneic: the donor and recipient are different people. The operative report should identify the donor, collection site and method, and the allogeneic purpose; distinguish this procedure from peripheral blood stem cell collection and autologous marrow harvest. CMS assigns 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 multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 38230
- 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 · 65%
- Practice expense (office) RVU1.08 · 21%
- Malpractice RVU0.72 · 14%
40
Medicare services in 2024 · #5499 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.
38230 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
The distinction is who will receive the marrow: 38230 is for an allogeneic donor collection, while 38232 is for autologous collection.
$164.63
Code 38222 describes diagnostic marrow aspiration and biopsy, not an operative harvest intended to provide marrow for transplantation.
Compare 38230 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$156.28
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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 38230 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,729
- Code
- 38230
- Physician work
- 3.41
- Practice expense
- 1.08
- Malpractice
- 0.72
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 1.08 | × 0.923 | 0.9968 |
| Malpractice | 0.72 | × 0.378 | 0.2722 |
| Total RVUs | 4.6790 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$156.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1 |
| Practice expense | 1.08 | 0.923 |
| Malpractice | 0.72 | 0.378 |
(3.41 × 1 + 1.08 × 0.923 + 0.72 × 0.378) × $33.4009 = $156.28
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.
38230 billing questions
How does 38230 differ from 38205?
38230 is for operative marrow collection from bone. Code 38205 is for allogeneic stem cell collection from peripheral blood.
When should 38232 be used instead?
Use 38232 for an operative marrow harvest when the collected marrow is autologous, meaning it is intended for the same patient. Code 38230 is for a donor providing marrow to another person.
Does 38230 include the transplant?
No. The code describes the donor’s marrow collection, not the recipient’s transplant procedure. The donor harvest and recipient transplant concern different patients.
Can modifier 50 be reported for bilateral collection?
No. CMS identifies bilateral adjustment as inappropriate for this code, even when collection involves both sides.
What documentation supports reporting 38230?
Document that the collection was an operative bone marrow harvest, identify the collection site and method, and establish that the marrow was donated for another person’s treatment.
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.
4,72638226,,Car-t prep t lymphcyt f/trns,B,+,0.77,0.17,NA,0.17,,0.07,1.01,1.01,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,72738227,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068