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See a sample rate comparisonCPT 38380 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.
Surgery On Chest Lymph Channel, Surgery To Repair A Leak In The Large Lymph Channel That Runs Down The Chest Into The Abdomen.
| 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 | 51 - Multiple procedures RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $518.38 national non-facility rate (2026) · View Medicare rates for 38380 |
| Medicaid Fee Schedule | $417.245 median of the 8 states in the free preview · View Medicaid rates for 38380 |
National average reimbursement for CPT 38380 by major payers:
$732.73
$748.91
$766.63
$930.77
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CPT 38380
5 of 25 sample ratesHigher to lower in this preview
Atlanticare Surgery Center LLC
Atlanticare Health System Inc
$1,604.00Published ratePhysician'S Surgery Center Of Knoxville LLC
Physicians Surgery Center Of Knoxville LLC
$1,064.00Published rateCataract And Refractive Surgery Center, LLC, Novamed Surgery Center Of Richmond, LLC
Cataract And Refractive Surgery Center LLC
$728.00Published rateSummit Surgery Center Modesto, Inc
Summit Surgery Center Modesto Inc
$533.00Published rateNovamed Surgery Center Of Merrillville, LLC
$200.00Published rate
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See a sample payer proposalCPT 38380 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38380 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 38380 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 |
|---|---|---|
| 38380-CPT | Moderate | Surgery On Chest Lymph Channel, Surgery To Repair A Leak In The Large Lymph Channel That Runs Down The Chest Into The Abdomen. |
| 38381-CPT | High | Surgery On Chest Lymph Channel, Surgery To Repair A Leak In The Large Lymph Channel That Runs Down The Chest Into The Abdomen. |
| 38382-CPT | Moderate | Surgery On Chest Lymph Channel, Surgery To Repair A Leak In The Large Lymph Channel That Runs Down The Chest Into The Abdomen. |
| 38794-CPT | Moderate | Cannulation Thoracic Duct |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38380 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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