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See a sample rate comparisonHealthcare 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.
| 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 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $978.98 national non-facility rate (2026) · View Medicare rates for 38780 |
| Medicaid Fee Schedule | $775.72 median of the 8 states in the free preview · View Medicaid rates for 38780 |
National average reimbursement for CPT 38780 by major payers:

$1,308.44

$1,383.46

$1,458.18

$1,695.75
Choose a payer to see a sample of rates for CPT 38780.
Memorial Hermann Surgery Center Main Street, LLC
Gateway Ambulatory Surgery Center LLC, Gateway Surgery Center
Gateway Ambulatory Surgery Center
Tradition Surgery Center, LLC
Tradition Surgery Center LLC
Hattiesburg Ambulatory Surgery Center Lp, South Mississippi Surgery Center
Hattiesburg Ambulatory Surgery Center Lp
Eye Surgery Center-Northland LLC
Eye Surgery Centernorthland LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 38780 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38780 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 38780 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 |
|---|---|---|
| 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) |
| 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 38780. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38780 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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