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See a sample rate comparisonCPT 38562 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 Surgery To Stage Cancer, Surgery To Remove Specific Lymph Nodes From The Body Or Abdomen. Tissue From The Nodes Can Be Used To Identify The Stage Of A Disease. This Procedure Commonly Supports A Treatment Plan.
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $669.69 national non-facility rate (2026) · View Medicare rates for 38562 |
| Medicaid Fee Schedule | $546.35 median of the 8 states in the free preview · View Medicaid rates for 38562 |
National average reimbursement for CPT 38562 by major payers:
$868.09
$930.62
$969.11
$1,144.64
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CPT 38562
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$18,903.00Published rateSouthern Hills Medical Center, LLC, Southern Hills Hospital & Medical Center
Southern Hills Medical Center LLC
$5,526.00Published rateEye Mds Of Puget Sound PLLC, Narrows Eye Surgery Center
Eye M.D.S Of Puget Sound, PLLC
$3,449.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$2,153.00Published rateMcdowell Ambulatory Surgery Center LLC
$795.00Published rate
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See a sample payer proposalCPT 38562 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38562 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 38562 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 |
|---|---|---|
| 38562-CPT | Moderate | Lymph Surgery To Stage Cancer, Surgery To Remove Specific Lymph Nodes From The Body Or Abdomen. Tissue From The Nodes Can Be Used To Identify The Stage Of A Disease. This Procedure Commonly Supports A Treatment Plan. |
| 38564-CPT | Moderate | Lymph Surgery To Stage Cancer, Surgery To Remove Specific Lymph Nodes From The Body Or Abdomen. Tissue From The Nodes Can Be Used To Identify The Stage Of A Disease. This Procedure Commonly Supports A Treatment Plan. |
| 38720-CPT | High | Cervical Lymphadenectomy (Complete) |
| 38900-CPT | Moderate | Sentinel Lymph Node Procedure, Intraoperative Identification (Eg Mapping) Of Sentinel Lymph Node(S) Includes Injection Of Non-Radioactive Dye When Performed (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38562 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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