Hematopoietic Cell Transplantation (Hematopoietic Stem Cell Transplantation, Bone Marrow Transplantation): How CPT Codes Are Reported (June 2009)

Why This Topic Matters

Hematopoietic cell transplantation spans multiple clinical and technical services that may be billed separately depending on the step in the process. Understanding the article helps readers orient themselves to the CPT framework used for transplant-related donor search, collection, processing, infusion, and associated reporting considerations.

Article Sections

1. June 2009 pages 3-6

   Introductory overview of the hematopoietic cell transplantation process and the general CPT reporting approach used throughout the article.

2. Apheresis Codes Relevant to HCT

   Discusses the place of apheresis within the transplant episode and the types of professional oversight and documentation associated with this category.

3. Management of Recipient Hematopoietic Progenitor Cell Donor Search and Cell Acquisition

   Covers the donor search and acquisition category in the transplant workflow and the related physician management concepts described by the article.

4. Allogeneic and Autologous HCT Collection by Apheresis

   Addresses collection by apheresis for transplant, including the distinction between allogeneic and autologous settings and the supervisory role described in the article.

5. Cell Processing

   Summarizes the transplant preparation and processing portion of the workflow, including the broader categories of preparation services and related reporting considerations.

6. Examples: Codes 38207- 38215

   Provides expanded discussion of the processing-related examples and the documentation themes associated with the cell-preparation codes.

7. Bone Marrow Harvesting for Transplantation

   Covers the surgical harvesting portion of the transplant process and how it is positioned relative to other marrow aspiration and biopsy services.

8. Allogeneic and Autologous Stem Cell Transplantation

   Discusses infusion of stem cells in transplant recipients and the general workflow elements described for these transplant services.

9. Allogeneic Donor Lymphocyte Infusions

   Addresses donor lymphocyte infusion services in the transplant setting and the related management concepts noted in the article.

10. The Role of Modifier 25

    Explains the article’s general discussion of separate evaluation and management reporting in relation to transplant-related services.