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See a sample rate comparisonHealthcare 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.
| 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 | 59 - Distinct Procedural Service 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $239.48 national non-facility rate (2026) · View Medicare rates for 38747 |
| Medicaid Fee Schedule | $186.135 median of the 8 states in the free preview · View Medicaid rates for 38747 |
National average reimbursement for CPT 38747 by major payers:

$343.62

$357.52

$380.05

$428.37
Choose a payer to see a sample of rates for CPT 38747.
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
Chattanooga Pain Management Center LLC, Chattanooga Pain Surgery Center
Chattanooga Pain Management
Austell Surgery Center, LLC
Austell Surgery Center LLC
Ambulatory Surgery Center Of Wny
Leo R. Mccafferty, M.D., Surgical Center
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Rate Benchmarking
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See a sample payer proposalCPT 38747 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38747 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 38747 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. |
| 38746-CPT | Moderate | Thoracic Lymphadenectomy By Th, Thoracic Lymphadenectomy By Thoracotomy Mediastinal And Regional Lymphadenectomy (List Separately In Addition To Code For Primary Procedure) |
| 38747-CPT | Moderate | Remove Abdominal Lymph Nodes, Abdominal Lymphadenectomy Regional Including Celiac Gastric Portal Peripancreatic With Or Without Para Aortic And Vena Caval Nodes List Separately In Addition To Code For Primary Procedure |
| 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 38747. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38747 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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