30243Y0Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
- Billable / Specific Code
- Medicare Coverage Alert
30243Y0 is a billable ICD-10-PCS procedure code for Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRGs 016, 017. The root operation Transfusion involves putting in blood or blood products. Medicare may not cover this procedure when diagnosis C9100~C9200~C9210~C9211~C9240~C9250~C9260~C92A0~C9300~C9400~C9500 is on the claim.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 3 | Administration |
| 2 | Body System | 0 | Circulatory |
| 3 | Operation | 2 | Transfusion |
| 4 | BodySystem/Region | 4 | Central Vein |
| 5 | Approach | 3 | Percutaneous |
| 6 | Substance | Y | Stem Cells, Hematopoietic |
| 7 | Qualifier | 0 | Autologous |
Medicare Code Edits
Medicare Code Editor checks that affect claim validity for 30243Y0.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 30243Y0 under the General Equivalence Mappings.
Code History
- 30243C0 — Transfuse Autol HSPC, Gene Mod in Central Vein, Perc
Similar Procedure Codes
Questions About 30243Y0
Is 30243Y0 a billable code?
Yes. 30243Y0 is a complete seven-character ICD-10-PCS code, specific enough to report Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 30243Y0 mean?
30243Y0 breaks down character by character: the 1st character 3 is the Section (Administration); the 2nd character 0 is the Body System (Circulatory); the 3rd character 2 is the Operation (Transfusion); the 4th character 4 is the BodySystem/Region (Central Vein); the 5th character 3 is the Approach (Percutaneous); the 6th character Y is the Substance (Stem Cells, Hematopoietic); the 7th character 0 is the Qualifier (Autologous).
What MS-DRG does 30243Y0 group to?
On an inpatient stay, Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach maps to MS-DRGs 016, 017, with relative weights from 4.8383 to 5.9297. The MS-DRG sets the fixed Medicare payment for the stay.
Is 30243Y0 covered by Medicare?
Not always. The Medicare Code Editor flags 30243Y0 as non-covered when diagnosis C9100~C9200~C9210~C9211~C9240~C9250~C9260~C92A0~C9300~C9400~C9500 is reported as the principal or secondary diagnosis, since the procedure is then considered elective. Coverage otherwise follows standard rules.
What is the ICD-9-PCS equivalent of 30243Y0?
Under the General Equivalence Mappings, Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach crosswalks to ICD-9-PCS 41.04. The mapping is approximate, so confirm it fits the documentation.
