Oncology & Hematology Coding Alert
Stem Denials With G0267 Substitutes
Question: We-ve always reported G0267 for stem cell services, but one payer recently sent back a denial. The company said we should use CPT codes instead. Which CPT codes should we use for transplant preparation? Answer: There are six codes you should use to replace G0267 as your payer requests: 38210-38215. Use this list to keep track of which codes to assign in place of G0267 (Bone marrow or peripheral stem cell harvest, modification or treatment to eliminate cell type[s] [e.g., T-cells, metastatic carcinoma]) based on the services you provide:
Maine Subscriber
- 38210--Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion
- 38211--- tumor cell depletion
- 38212-- - red blood cell removal
- 38213--- platelet depletion
- 38214-- - plasma (volume) depletion
- 38215-- -cell concentration in plasma, mononuclear, or buffy coat layer.
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Stem Denials With G0267 Substitutes
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