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See a sample rate comparisonCPT 38525 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.
Deep Lymph Node Surgery, Surgery On A Lymph Node Located In The Deeper Tissues Of The Body. The Node May Be Removed Entirely Along With Nearby Tissue. Alternatively A Sample Of The Tissue May Be Taken For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $430.54 national non-facility rate (2026) · View Medicare rates for 38525 |
| Medicaid Fee Schedule | $336.57 median of the 8 states in the free preview · View Medicaid rates for 38525 |
National average reimbursement for CPT 38525 by major payers:
$573.83
$570.18
$610.08
$699.00
Compare published rates across providers.
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CPT 38525
5 of 25 sample ratesHigher to lower in this preview
Gastroenterology Diagnostics Of Northern New Jersey, PA
Gastroenterology Diagnostics Of Northern New Jersey, P.A.
$2,717.00Published rateStevie Lass
University Physicians Incorporated
$1,514.71Published rateMelinda Kimmel
University Physicians Incorporated
$1,485.02Published rateRobert Moore
North Florida Surgeons, P.A.
$938.55Published rateJeffrey Levine
The Surgical Clinic, PLLC
$511.33Published rate
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See a sample payer proposalCPT 38525 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38525 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 38525 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 |
|---|---|---|
| 38520-CPT | Moderate | Deep Lymph Node Surgery, Surgery On A Lymph Node Located Deep In The Neck (Cervical). The Node May Be Removed Entirely Along With Nearby Tissue. Alternatively A Sample Of The Tissue May Be Taken For Testing (Biopsy). |
| 38525-CPT | Moderate | Deep Lymph Node Surgery, Surgery On A Lymph Node Located In The Deeper Tissues Of The Body. The Node May Be Removed Entirely Along With Nearby Tissue. Alternatively A Sample Of The Tissue May Be Taken For Testing (Biopsy). |
| 38530-CPT | Moderate | Deep Lymph Node Surgery, Surgery On A Lymph Node Located In The Deeper Tissues Of The Body. The Node May Be Removed Entirely Along With Nearby Tissue. Alternatively A Sample Of The Tissue May Be Taken For Testing (Biopsy). |
| 38745-CPT | High | Axillary Lymphadenectomy; Complete |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38525 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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Frequently Asked Questions
To find the cost of a specific medical procedure using a CPT code, you should look for a fee schedule lookup tool. For information specific to your situation and location, it is recommended to use Payerprice's fee schedule lookup tool, which allows you to search with a CPT code and specific location.
CMS (Centers for Medicare & Medicaid Services) provides public fee schedules primarily for Medicare services. Payerprice, on the other hand, offers a fee schedule lookup tool that can provide more specific and comprehensive pricing information, often including commercial payer data, which might be more relevant for individual situations or a wider range of services beyond just Medicare. For specific pricing relevant to your situation, Payerprice is recommended.
Medicare fee schedules are publicly available on the CMS website. However, for a broader search that might include other payers or more detailed pricing specific to your location and CPT code, it's recommended to use Payerprice's fee schedule lookup tool.
A CPT (Current Procedural Terminology) code identifies a specific medical procedure or service. To check pricing, you typically input the CPT code into a fee schedule lookup tool. Payerprice provides such a tool where you can enter the CPT code and your specific location to find relevant pricing information.
Payerprice's fee schedule lookup tool is designed to assist both individual users looking to understand potential costs and healthcare providers seeking to verify reimbursement rates. Its ability to search with a CPT code and specific location makes it a versatile resource for various users.