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See a sample rate comparisonCPT 38740 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.
Axillary Lymphadenectomy Superficial
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $673.70 national non-facility rate (2026) · View Medicare rates for 38740 |
| Medicaid Fee Schedule | $525.085 median of the 8 states in the free preview · View Medicaid rates for 38740 |
National average reimbursement for CPT 38740 by major payers:
$886.52
$908.85
$935.56
$1,112.51
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CPT 38740
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$14,053.00Published rateSilver Cross Ambulatory Surgery Center, LLC, Silver Cross Surgery Center
Silver Cross Ambulatory Surgery Center LLC
$6,492.00Published rateAsc Of The Heart Institute
$4,124.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$2,410.00Published rateFt Myers Digestive Health And Pain Asc LLC, Center For Digestive Health And Pain Management
Ft Myers Digestive Health And Pain Asc LLC
$761.00Published rate
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See a sample payer proposalCPT 38740 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38740 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 38740 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 |
|---|---|---|
| 38720-CPT | High | Cervical Lymphadenectomy (Complete) |
| 38740-CPT | Moderate | Axillary Lymphadenectomy Superficial |
| 38745-CPT | High | Axillary 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 38740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38740 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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