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See a sample rate comparisonCPT 38765 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Inguinofemoral Lymphadenectomy, Inguinofemoral Lymphadenectomy Superficial In Continuitywith Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes (Separate Procedure)
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,225.48 national non-facility rate (2026) · View Medicare rates for 38765 |
| Medicaid Fee Schedule | $966.005 median of the 8 states in the free preview · View Medicaid rates for 38765 |
National average reimbursement for CPT 38765 by major payers:
$1,798.20
$1,710.98
$1,730.88
$2,088.75
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CPT 38765
5 of 25 sample ratesHigher to lower in this preview
Delaware Surgery Center, LLC
$4,300.00Published rateUrlogy Ambulatory Surgery Center LLC, Wolf River Surgery Center
Urlogy Ambulatory Surgery Center LLC
$1,121.00Published rateHattiesburg Clinic PA, Ambulatory Surgery Center
Hattiesburg Clinic, P.A.
$695.00Published rateSaratoga Surgical Center, LLC
Saratoga Surgical Center LLC
$475.00Published rateOxon Hill Urology Surgery Center PC
$100.00Published rate
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See a sample payer proposalCPT 38765 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38765 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 38765 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 |
|---|---|---|
| 38760-CPT | High | Inguinofemoral Lymphadenectomy, Inguinofemoral Lymphadenectomy Superficial Includingcloquets Node (Separate Procedure) Inguinofemoral Lymphadenectomy Superficial Including |
| 38765-CPT | High | Inguinofemoral Lymphadenectomy, Inguinofemoral Lymphadenectomy Superficial In Continuitywith Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes (Separate Procedure) |
| 38770-CPT | High | Pelvic Lymphadenectomy Includ, Pelvic Lymphadenectomy Including External Iliachypogastric And Obturator Nodes (Separate Procedure) Pelvic Lymphadenectomy Including External Iliac |
| 38780-CPT | High | Retroperitoneal Transabdominal, Retroperitoneal Transabdominal Lymphadenectomy Extensiveincluding Pelvic Aortic And Renal Nodes (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38765. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38765 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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