Tag Archives: 38240

Coding Education: Bone Marrow Harvesting for Autologous Transplant

Posted on 06. Oct, 2009 by Editor.

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Question: Is there a CPT code specific to harvesting bone marrow for autologous transplant?

Answer: Auto- vs. allo- doesn’t change harvest coding. You should report 38230 (Bone marrow harvesting for transplantation) for bone marrow harvesting whether the transplant will be autologous or allogenic.

The autologous vs. allogenic distinction, however, will be important when you code the transplant. You should choose 38241 (Bone marrow or blood-derived peripheral stem cell transplantation; autologous) for an autologous transplant, in which the physician takes stem cells from the patient before chemotherapy or radiation treatment. Following treatment, the patient receives those cells back. You may see this called a “rescue” transplant or “AuSCT.”

If the donor and patient are two separate individuals, you instead should report 38240 (… allogenic) for the transplant.

Hint: “Auto” means “self” and “allo” means “other.” This will help you remember which code describing the harvested tissue’s origin is appropriate.

Check out the agenda for our Oncology & Hematology 2010 Coding Update & Reimbursement Conference. December 6-8 in Orlando.

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Get a Grip on Stem-Cell Transplantation Codes

Posted on 01. Apr, 2009 by Editor.

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If you’re looking for a way to remember all the procedure codes for stem-cell transplantation, harvesting and storage, clip and save the following list to use as a quick refresher.

38204 — Management of recipient hematopoietic progenitor cell donor search and cell acquisition

38205 — Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogenic

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38206 — … autologous

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