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See a sample rate comparisonCPT 38305 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Lymph Node Drainage, Procedure To Drain A Swollen Lymph Node Or A Pocket Of Infection (Abscess) That Has Collected At The Site Of A Node.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AG - Primary physician LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $491.33 national non-facility rate (2026) · View Medicare rates for 38305 |
| Medicaid Fee Schedule | $383.94 median of the 8 states in the free preview · View Medicaid rates for 38305 |
National average reimbursement for CPT 38305 by major payers:
$626.90
$631.44
$635.90
$780.76
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CPT 38305
5 of 25 sample ratesHigher to lower in this preview
Texan Ambulatory Surgery Center, Lp
$2,859.00Published rateSummit Ambulatory Surgical Center, LLC
$2,307.00Published rateSummit Ambulatory Surgical Center, LLC
$2,206.00Published rateAthens Eye Surgery Center,LLC
Athens Eye Surgery Centerllc
$1,199.00Published rateInterventional Spine And Pain Management Ambulatory Surgical Center, Ispm Asc
Interventional Spine And Pain Management Ambulatory Surgical Center
$900.00Published rate
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See a sample payer proposalCPT 38305 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38305 code is part of the Surgery services used for Surgical Procedures on the Hemic and Lymphatic Systems. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 38305 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 38300-CPT | Moderate | Lymph Node Drainage, Procedure To Drain A Swollen Lymph Node Or A Pocket Of Infection (Abscess) That Has Collected At The Site Of A Node. |
| 38305-CPT | Moderate | Lymph Node Drainage, Procedure To Drain A Swollen Lymph Node Or A Pocket Of Infection (Abscess) That Has Collected At The Site Of A Node. |
| 38308-CPT | Moderate | Removal Of Lymph Tumor, Surgery To Remove A Lymph Tumor (Cystic Hygroma) From A Node Or Within The Lymph Channels. The Procedure May Involve Treatment Of Nerves And Blood Vessels. |
| 38505-CPT | Low | Lymph Node Surgery, Surgery On A Lymph Node. The Node May Be Removed Entirely Or A Sample Of The Tissue May Be Taken For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38305 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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