# CPT 38222: Diagnostic Bone Marrow Biopsies & Aspirations

Medicare CPT 38222 pays $177.02 in a non-facility setting and $62.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $157.16 in Arkansas to $206.64 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/38222-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Hematology & Oncology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $177.02 |
| National facility | $62.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $206.64 | $84.63 |
| District of Columbia | $202.45 | $67.50 |
| California | $199.79 | $64.23 |
| New Jersey | $195.66 | $66.66 |
| New York | $195.36 | $67.55 |
| Washington | $195.21 | $64.61 |
| Massachusetts | $193.23 | $64.52 |
| Hawaii | $192.45 | $62.19 |
| Connecticut | $188.57 | $65.18 |
| Colorado | $184.69 | $62.80 |
| Maryland | $183.32 | $63.89 |
| Oregon | $182.94 | $62.24 |
| New Hampshire | $181.64 | $62.38 |
| Rhode Island | $181.60 | $63.25 |
| Florida | $181.56 | $66.61 |
| Puerto Rico | $178.34 | $62.52 |
| Virgin Islands | $178.34 | $62.52 |
| Minnesota | $177.62 | $59.73 |
| Montana | $177.02 | $62.45 |
| Illinois | $176.89 | $66.20 |
| Nevada | $176.43 | $61.75 |
| Wyoming | $175.90 | $61.33 |
| Delaware | $175.31 | $62.12 |
| Pennsylvania | $175.17 | $62.95 |
| Texas | $175.02 | $62.23 |
| North Dakota | $174.45 | $59.88 |
| South Dakota | $174.14 | $59.58 |
| Vermont | $173.62 | $60.20 |
| Virginia | $173.61 | $60.99 |
| Arizona | $172.50 | $61.48 |
| Georgia | $172.16 | $62.86 |
| Michigan | $171.12 | $63.54 |
| Maine | $169.80 | $60.33 |
| Utah | $169.03 | $61.34 |
| Wisconsin | $168.73 | $58.98 |
| New Mexico | $167.45 | $62.39 |
| North Carolina | $167.02 | $60.13 |
| South Carolina | $166.80 | $60.95 |
| Missouri | $166.59 | $61.46 |
| Louisiana | $166.28 | $61.68 |
| Ohio | $166.10 | $61.51 |
| Indiana | $165.60 | $59.40 |
| Idaho | $164.66 | $59.26 |
| Nebraska | $164.63 | $58.88 |
| Iowa | $163.70 | $58.88 |
| Tennessee | $163.56 | $59.42 |
| Kansas | $162.78 | $59.22 |
| Kentucky | $162.68 | $60.83 |
| Oklahoma | $162.58 | $60.28 |
| West Virginia | $162.40 | $62.84 |
| Alabama | $159.40 | $59.16 |
| Mississippi | $158.39 | $59.75 |
| Arkansas | $157.16 | $58.75 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 38222 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules