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38242 Transplt allo lymphocytes

Surgery Global 0d

Also known as: Donor lymphocyte infusion, DLI

Transplantation of allogeneic lymphocytes (donor lymphocyte infusion) to promote graft-versus-leukemia effect in allogeneic transplant recipients.

In Plain Language

Infusing donor immune cells

Clinical Context

Used post-allogeneic transplant to treat relapse or minimal residual disease and enhance graft-versus-leukemia effect.

RVU Breakdown

Work RVU2.06
Total RVU2.06

Est. Medicare Payment

$68.80

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 2.06, this code ranks in the 14th percentile among Surgery codes — 3.9x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Hematology/OncologyTransplant Medicine

Frequently Asked Questions

What is CPT code 38242?

CPT 38242 (Transplt allo lymphocytes) is a Surgery code. Transplantation of allogeneic lymphocytes (donor lymphocyte infusion) to promote graft-versus-leukemia effect in allogeneic transplant recipients.

What is the wRVU value for CPT 38242?

The work RVU for CPT 38242 is 2.06. This code is primarily used by Hematology/Oncology, Transplant Medicine.

When is CPT 38242 used?

Used post-allogeneic transplant to treat relapse or minimal residual disease and enhance graft-versus-leukemia effect.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.