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The CPT® Code 38205 refers to the process of harvesting blood-derived hematopoietic progenitor cells specifically for transplantation purposes. This procedure involves the collection of whole blood from a donor, which is then subjected to a specialized processing technique using a machine. The primary goal of this process is to separate hematopoietic progenitor cells, which are essential for the formation of blood cells, from other components of the blood. Once the hematopoietic progenitor cells are isolated, the remaining blood components, which may include plasma and red blood cells, are treated appropriately and reinfused back into the donor's circulation. This ensures that the donor's blood volume and composition are restored while allowing for the collection of the necessary cells for transplantation. It is important to note that this code is specifically used for allogeneic collections, meaning the cells are harvested from a donor other than the patient. For collections of cells derived from the patient's own blood, the appropriate code to use is 38206. Each instance of blood-derived donor cell collection is billed under code 38205.
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The procedure associated with CPT® Code 38205 is indicated for the collection of hematopoietic progenitor cells from a donor for the purpose of transplantation. This procedure is typically performed in the context of treating various hematological conditions, including but not limited to:
The procedure for harvesting blood-derived hematopoietic progenitor cells involves several key steps, which are outlined as follows:
After the harvesting procedure, the donor may experience some temporary side effects, such as fatigue or mild discomfort at the venipuncture site. It is essential for the donor to rest and hydrate adequately following the procedure. Monitoring for any signs of complications, such as infection or excessive bleeding, is also important. The healthcare team will provide specific post-procedure care instructions and may schedule follow-up appointments to ensure the donor's recovery is progressing well. Overall, the reinfusion of blood components helps to minimize any potential impact on the donor's health, allowing for a safe and effective collection of hematopoietic progenitor cells for transplantation.
| Short Descr | HARVEST ALLOGENEIC STEM CELL | Medium Descr | BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC | Long Descr | Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic | Status Code | Restricted Coverage | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 64 - Bone marrow transplant |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AG | Primary physician | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | Q3 | Live kidney donor surgery and related services | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2012-01-01 | Changed | Code description changed. |
| 2003-01-01 | Added | First appearance in code book in 2003. |
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