CPT procedure code

38240

Medicare payment

$201.74

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator R

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

38240

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 38240

CLV Intelligence is tracking 4 policy changes that cite CPT 38240 between 2026-06-05 and 2026-07-24, drawn from 4 LCD/NCD coverage updates. The changes span Hematology and Oncology.

LCD/NCD coverage updates
4

Counts reflect the source documents CLV has matched to CPT 38240 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 38240

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L39396: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin — Noridian

Hematology · LCD-L39396

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L39434: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin — CGS

Hematology · LCD-L39434

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L39398: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin — Noridian

Hematology · LCD-L39398

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L39513: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin — Wellpoint Federal

Oncology · LCD-L39513

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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Audit documentation

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