38241
Transplt autol hct/donor
Code typePrimary
Payment statusRestricted coverage (R)
Global periodNone
Restricted coverage: Covered only in unusual circumstances; special instructions apply.
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary38241Transplt autol hct/donor
1
$148.97
$148.97
RVU Breakdown
Component
Office
Facility
Work
2.93
2.93
Practice expense
1.33
1.33
Malpractice
0.20
0.20
Total RVU
4.46
4.46
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Co-surgeon -62Team surgeon -66Prof / tech split