Does 38220 require prior authorization?

No, 38220 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 38220?

Medicare facility rate: $55.45. Non-facility rate: $167.67. Work RVU: 1.17.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

1.17

Facility

$55.45

Non-Facility

$167.67

BCBSIL-SUR703.029 — Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)

BCBSMT-SUR703.029 — Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)

BCBSNM-SUR703.029 — Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)

BCBSOK-SUR703.029 — Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)

Ask Verity about documentation requirements, denial risks, or coverage in your state.

BCBSIL-SUR703.041 — Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia

BCBSMT-SUR703.041 — Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia

BCBSNM-SUR703.041 — Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia

BCBSOK-SUR703.041 — Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia

BCBSIL-SUR703.034 — Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer

BCBSMT-SUR703.034 — Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer

BCBSNM-SUR703.034 — Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer

BCBSOK-SUR703.034 — Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer

BCBSIL-SUR703.033 — Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias

BCBSMT-SUR703.033 — Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias

BCBSNM-SUR703.033 — Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias

BCBSOK-SUR703.033 — Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias

BCBSIL-SUR703.046 — Hematopoietic Cell Transplantation for Primary Systemic Amyloidosis

BCBSMT-SUR703.046 — Hematopoietic Cell Transplantation for Primary Systemic Amyloidosis

BCBSNM-SUR703.046 — Hematopoietic Cell Transplantation for Primary Systemic Amyloidosis

BCBSOK-SUR703.046 — Hematopoietic Cell Transplantation for Primary Systemic Amyloidosis