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38243 Transplj hematopoietic boost

Surgery Global 0d

Also known as: Hematopoietic boost, Second infusion

Transplantation of hematopoietic cells with boost infusion to enhance or supplement engraftment in a transplant recipient.

In Plain Language

Additional cell infusion

Clinical Context

Used to improve hematopoietic recovery or supplement initial engraftment with additional stem cells or progenitor cells.

RVU Breakdown

Work RVU2.08
Total RVU2.08

Est. Medicare Payment

$69.47

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 2.08, this code ranks in the 15th percentile among Surgery codes — 3.8x 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 38243?

CPT 38243 (Transplj hematopoietic boost) is a Surgery code. Transplantation of hematopoietic cells with boost infusion to enhance or supplement engraftment in a transplant recipient.

What is the wRVU value for CPT 38243?

The work RVU for CPT 38243 is 2.08. This code is primarily used by Hematology/Oncology, Transplant Medicine.

When is CPT 38243 used?

Used to improve hematopoietic recovery or supplement initial engraftment with additional stem cells or progenitor cells.

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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.