How To Use CPT Code 38214

CPT 38214 describes the process of preparing hematopoietic progenitor cells (HPCs) for transplantation by reducing the volume of plasma in the solution. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 38214?

CPT 38214 can be used to describe the preparation of hematopoietic progenitor cells (HPCs) for transplantation by reducing the volume of plasma in the solution. This code is used when the provider performs procedures such as centrifugation, apheresis, or cell washers to separate the cells and plasma from the rest of the HPCs solution, resulting in a smaller plasma volume.

2. Official Description

The official description of CPT code 38214 is: ‘Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion.’

3. Procedure

1. After harvesting, preserving, and thawing the HPCs, the provider prepares the solution for transplant by reducing the volume of plasma.
2. This process helps minimize the risk of toxicity due to the cryoprotective solution used in freezing and storing the cells.
3. The provider may perform procedures such as centrifugation, apheresis, or use cell washers to separate the cells and plasma from the rest of the HPCs solution.

4. Qualifying circumstances

CPT 38214 is used when the provider prepares the HPCs for transplantation by reducing the volume of plasma in the solution. This procedure is performed to minimize the risk of toxicity and ensure compatibility between the HPCs and the recipient. It is typically done after the HPCs have been harvested, preserved, and thawed.

5. When to use CPT code 38214

CPT code 38214 should be used when the provider performs procedures to reduce the volume of plasma in the HPCs solution for transplantation. It is important to note that this code should only be reported once per day.

6. Documentation requirements

To support a claim for CPT 38214, the provider must document the following information:

• Details of the procedure performed to reduce the volume of plasma in the HPCs solution
• Date of the procedure
• Start and end time of the procedure
• Any additional relevant information or complications encountered during the procedure

7. Billing guidelines

When billing for CPT 38214, ensure that the procedure performed involves the reduction of plasma volume in the HPCs solution. It is important to report this code only once per day. There are no specific guidelines regarding reporting CPT 38214 with other codes.

8. Historical information

CPT 38214 was added to the Current Procedural Terminology system on January 1, 2003. There have been no updates to the code since its addition.

9. Examples

1. A provider performing centrifugation to reduce the volume of plasma in the HPCs solution for transplantation.
2. A provider using apheresis to separate the cells and plasma in the HPCs solution, resulting in a smaller plasma volume.
3. A provider utilizing cell washers with buffered saline to remove plasma from the HPCs solution, preparing it for transplantation.
4. A provider performing a combination of centrifugation and apheresis to reduce the plasma volume in the HPCs solution.
5. A provider using specialized techniques to separate the cells and plasma in the HPCs solution, ensuring compatibility for transplantation.
6. A provider performing plasma volume depletion on HPCs to facilitate the transplantation process.
7. A provider preparing HPCs for transplantation by reducing the plasma volume in the solution.
8. A provider performing procedures to minimize the risk of toxicity in HPCs by reducing the plasma volume.
9. A provider utilizing centrifugation to separate the cells and plasma in the HPCs solution, resulting in a smaller plasma volume.
10. A provider performing plasma volume depletion on HPCs to ensure compatibility and minimize the risk of complications during transplantation.