Find policies, billing codes, payers, states, and providers
CPT 38209: Preparation of Frozen Hematopoietic Progenitor Cells for Transplantation
CPT code 38209 represents the clinical service of preparing previously frozen hematopoietic progenitor cells (HPCs) for transplantation by thawing and washing to remove cryoprotective agents, hemoglobin, and debris. This code is important nationally as it captures a critical step in hematopoietic stem cell and bone marrow transplant workflows, impacting clinical readiness, resource use in transplant centers, and billing for specialized laboratory procedures. Key payers in national coverage discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn the clinical context for the code, typical sites of service, and the kinds of operational and billing considerations associated with HPC thaw/wash procedures. The publication provides benchmarks where available, notes on payer coverage patterns, and policy or coding updates that affect transplant program billing. It also outlines how the service integrates into transplant care pathways and what elements are typically documented to support claim submission. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 38209 policy alerts
Get alerted when payer policies referencing 38209 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 38209 describes the preparation of previously frozen and stored hematopoietic progenitor cells (HPCs) for transplantation. The procedure includes thawing each donor’s cells and washing them to remove the cryoprotective solution, hemoglobin, and cellular debris so the cells are ready for infusion into the recipient.
-
Service type: Cell processing and preparation for transplantation
-
Typical site of service: Hospital outpatient infusion center, transplant center, or specialized laboratory associated with hematology/oncology services