What is procedure code 38242?

What is procedure code 38242?

For outpatient DLI, report CPT code 38242: Bone marrow or blood-derived peripheral blood stem cell transplantation; allogeneic donor lymphocyte infusions.

What is the CPT code for bone marrow transplant?

Use procedure code 38240 to report the transplantation of allogeneic bone marrow.

What is code 38207?

38207: Cryopreservation and Storage—Bone Marrow Peripheral Blood Progenitor Cells. The code 38207 is for the freezing and storing of hematopoietic and lymphopoietic cells for transplantation.

What is the CPT code for stem cell?

CPT® 38230, Under Bone Marrow or Stem Cell Services/Procedures. The Current Procedural Terminology (CPT®) code 38230 as maintained by American Medical Association, is a medical procedural code under the range – Bone Marrow or Stem Cell Services/Procedures.

Does Medi-cal cover bone marrow transplants?

‹‹Medi-Cal covers bone marrow (stem cell), heart, heart/lung, intestinal, liver, liver/intestinal, liver/kidney, lung and pancreas/kidney (pancreas after kidney [PAK], and simultaneous pancreas/kidney [SPK]) transplants only when performed by Medi-Cal approved Centers of Excellence (COE).

What is the CPT code for bone marrow biopsy?

Bone marrow aspiration and bone marrow biopsy procedures are often performed together, often at the same surgical site. If aspiration is performed alone, the appropriate code to report is CPT code 38220. When a bone marrow biopsy is performed alone, the appropriate code to report is CPT code 38221.

What is CPT code 0232T?

For all other uses of PRP, the CPT code 0232T should be billed. It describes the injection of PRP into a targeted site. The code’s definition includes the harvesting, preparation, and image guidance for the service.

What is the difference between autologous and allogeneic bone marrow transplant?

Autologous: Auto means self. The stem cells in autologous transplants come from the same person who will get the transplant, so the patient is their own donor. Allogeneic: Allo means other. The stem cells in allogeneic transplants are from a person other than the patient, either a matched related or unrelated donor.

What is the average cost of a bone marrow transplant?

Bone marrow transplantation is one of the most expensive cancer treatments, costing an average of $193,000 per patient; therefore, many economic studies have focused on the costs of the therapy.

Who pays for a bone marrow transplant?

Donors never pay for donating, and are never paid to donate. All medical costs for the donation procedure are covered by the National Marrow Donor Program® (NMDP), which operates the Be The Match Registry®, or by the patient’s medical insurance, as are travel expenses and other non-medical costs.

Is CPT 0232T covered by Medicare?

When PRP is used in this setting HCPCS code G0460 should be used and billed with CMS approved ICD-10 diagnosis codes maintained by the Medicare contractor. For all other uses of PRP, the CPT code 0232T should be billed. It describes the injection of PRP into a targeted site.

What are the three types of bone marrow transplants?

The different types of BMT include the following:

  • Autologous bone marrow transplant. The donor is the patient himself or herself.
  • Allogeneic bone marrow transplant. The donor shares the same genetic type as the patient.
  • Umbilical cord blood transplant.

What is the CPT code for stem cell treatment?

Coding. Code Description CPT. 0263T Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure including unilateral or bilateral bone marrow harvest

What is the CPT code for blood collection?

• 36416 (CPT) – Collection of capillary blood specimen (eg, finger, heel, ear stick) • S9529 (CPT) – ROUTINE VENIPUNCTURE FOR COLLECTION OF SPECIMEN (S), SINGLE HOME BOUND, NURSING; HOME, OR SKILLED NURSING FACILITY PATIENT

What is the CPT code for bone marrow aspiration?

allergic reaction to anesthesia

  • excessive bleeding
  • infection
  • long-lasting discomfort
  • What is the CPT code for adenotonsillectomy?

    Seven episodes in the past year; or

  • Five episodes per year for 2 years; or
  • Three episodes per year for 3 years; and
  • Documentation in the medical record for each episode of sore throat which includes at least one of the following: Temperature greater than 38.3 °C (100.9 °F); or Cervical adenopathy; or
    • October 28, 2022