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See a sample rate comparisonCPT 38570 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 Biopsy Or Removal, Lymph Node Surgery Aided By A Scope (Laparoscopy). The Procedure May Remove One Or More Lymph Nodes Or Take A Sample Of Lymph Tissue 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 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $480.64 national non-facility rate (2026) · View Medicare rates for 38570 |
| Medicaid Fee Schedule | $382.59 median of the 8 states in the free preview · View Medicaid rates for 38570 |
National average reimbursement for CPT 38570 by major payers:
$682.10
$696.59
$739.19
$850.51
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CPT 38570
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$14,053.00Published rateSt. Joseph'S Outpatient Surgery Center, LLC
St Josephs Outpatient Surgery Center LLC
$6,087.00Published rateVirginia Eye Institute Inc, Virginia Eye Institute Surgery Pavilion
Virginia Eye Institute Inc
$4,365.00Published rateSurgery Center Of Volusia, LLC, Surgery Center Of Volusia
Surgery Center Of Volusia
$2,200.00Published rateAngi Kiewel
Deaconess Hospital Inc
$411.76Published rate
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See a sample payer proposalCPT 38570 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38570 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 38570 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 |
|---|---|---|
| 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. |
| 38570-CPT | Moderate | Lymph Node Biopsy Or Removal, Lymph Node Surgery Aided By A Scope (Laparoscopy). The Procedure May Remove One Or More Lymph Nodes Or Take A Sample Of Lymph Tissue For Testing (Biopsy). |
| 38572-CPT | High | Lymph Node Biopsy Or Removal, Lymph Node Surgery Aided By A Scope (Laparoscopy). The Procedure May Remove One Or More Lymph Nodes Or Take A Sample Of Lymph Tissue For Testing (Biopsy). |
| 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 38570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38570 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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