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See a sample rate comparisonCPT 38790 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.
Injection Procedure For Lymphangiography
| 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 | 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $75.82 national non-facility rate (2026) · View Medicare rates for 38790 |
| Medicaid Fee Schedule | $67.76 median of the 8 states in the free preview · View Medicaid rates for 38790 |
National average reimbursement for CPT 38790 by major payers:
$118.79
$153.58
$129.57
$141.02
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CPT 38790
5 of 25 sample ratesHigher to lower in this preview
Steamboat Surgery Center, LLC
Steamboat Surgery Center LLC
$1,202.00Published rateSurgcenter Of Greater Jacksonville, LLC
Surgcenter Of Greater Jacksonville LLC
$566.00Published rateTri-City Surgical Centers, LLC
Tricity Surgical Centers LLC
$200.00Published rateEndoscopy Center Of Santa Maria Inc, The Endoscopy Center Of Santa Maria, Inc.
Endoscopy Center Of Santa Maria, Inc.
$128.00Published rateEndoscopy Center Of Coastal Georgia, LLC
Endoscopy Center Of Coastal Georgia LLC
$85.00Published rate
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See a sample payer proposalCPT 38790 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38790 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 38790 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 |
|---|---|---|
| 38790-CPT | Low | Injection Procedure For Lymphangiography |
| 38792-CPT | Low | Inject Proc; Radioactive Tracer For Id Of Sentinel, Injection Procedure; Radioactive Tracer For Identification Of Sentinel |
| 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) |
| 38999-CPT | High | Unlisted Proc Hemic Or Lymphatic System, Unlisted Procedure Hemic Or Lymphatic System |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38790 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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