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See a sample rate comparisonCPT 38794 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.
Cannulation Thoracic Duct
| 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 | GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $258.52 national non-facility rate (2026) · View Medicare rates for 38794 |
| Medicaid Fee Schedule | $227.905 median of the 8 states in the free preview · View Medicaid rates for 38794 |
National average reimbursement for CPT 38794 by major payers:
$363.76
$395.01
$395.59
$474.65
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CPT 38794
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$1,551.00Published rateEl Paso Center For Gastrointestinal Endoscopy, LLC
El Paso Center For Gastrointestinal Endoscopy LLC
$566.00Published rateMountain View Endoscopy Center Lp
Mountain View Endoscopy Center,
$330.00Published rateKalamazoo Endo Center LLC
$190.00Published rateHotchkiss And Katzen Ambulatory Surgical Center, Metro Ambulatory Surgical Center
Hotchkiss And Katzen Ambulatory Surgical Center
$41.00Published rate
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See a sample payer proposalCPT 38794 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38794 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 38794 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 |
|---|---|---|
| 38380-CPT | Moderate | Surgery On Chest Lymph Channel, Surgery To Repair A Leak In The Large Lymph Channel That Runs Down The Chest Into The Abdomen. |
| 38792-CPT | Low | Inject Proc; Radioactive Tracer For Id Of Sentinel, Injection Procedure; Radioactive Tracer For Identification Of Sentinel |
| 38794-CPT | Moderate | Cannulation Thoracic Duct |
| 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 38794. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38794 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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