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See a sample rate comparisonCPT 38530 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $530.74 national non-facility rate (2026) · View Medicare rates for 38530 |
| Medicaid Fee Schedule | $422.05 median of the 8 states in the free preview · View Medicaid rates for 38530 |
National average reimbursement for CPT 38530 by major payers:
$713.69
$732.42
$780.66
$905.78
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CPT 38530
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Center Of Toms River, LLC
Endoscopy Center Of Toms River LLC
$2,717.00Published rateSkyway Surgery Center, LLC
Skyway Surgery Center LLC
$2,307.00Published rateUPMC Hamot Surgery Center, LLC
UPMC Hamot Surgery Center, L.L.C.
$1,096.00Published ratePacific Endoscopy And Surgery Center, LLC
$935.00Published rateAdvanced Ambulatory Surgery Center, LLC
Advanced Ambulatory Surgery Center LLC
$684.00Published rate
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See a sample payer proposalCPT 38530 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38530 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 38530 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). |
| 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). |
| 38531-CPT | Moderate | 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). |
| 38724-CPT | High | Cervical Lymphadenectomy (Modi, Cervical Lymphadenectomy (Modified Radical Neck Dissection) Cervical Lymphadenectomy (Modified Radical Neck Dissection) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38530 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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