CPT code 38531: Groin node surgery, open inguinofemoral nodes2026 Medicare rate & RVUs in Mississippi
Report open surgical sampling or removal of inguinofemoral lymph nodes for diagnostic evaluation or cancer staging when the groin node basin is involved.
In Mississippi, Medicare pays $396.28 for 38531 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 38531 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 38531 covers
The surgeon makes an incision in the groin to obtain or remove one or more inguinofemoral lymph nodes for diagnostic evaluation or staging. Typical situations include sampling a suspicious groin node or a mapped node during evaluation of vulvar or skin malignancy. General, gynecologic, and surgical oncologists commonly perform the procedure in an operating room. This code represents open node sampling or excision, rather than removal of an entire nodal basin.
Choose the code based on the open approach and inguinofemoral location. The operative report should identify the groin nodal basin and describe the nodes sampled or removed and the reason for the procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Mississippi compares for 38531
Across 109 of 109 payment localities, the facility rate for 38531 runs from $383.77 in Arkansas to $528.13 in Alaska. Mississippi pays $396.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$396.28
- Los Angeles, CA · California$452.28+$56.00
- Washington, DC area · District of Columbia$478.78+$82.50
- Miami, FL · Florida$522.29+$126.01
- Chicago, IL · Illinois$505.38+$109.10
- Manhattan, NY · New York$504.19+$107.91
- Alaska · Alaska$528.13+$131.85
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $389.08 |
| ArkansasArkansas | — | $383.77 |
| ArizonaArizona | — | $419.78 |
| Bakersfield, CACalifornia | — | $430.65 |
| Chico, CACalifornia | — | $426.24 |
| El Centro, CACalifornia | — | $426.51 |
| Fresno, CACalifornia | — | $426.24 |
| Hanford, CACalifornia | — | $426.24 |
| Madera, CACalifornia | — | $426.24 |
| Merced, CACalifornia | — | $426.24 |
| Modesto, CACalifornia | — | $426.24 |
| Napa, CACalifornia | — | $470.03 |
| Oxnard, CACalifornia | — | $447.04 |
| Redding, CACalifornia | — | $426.24 |
| Rest of CaliforniaCalifornia | — | $426.24 |
| Riverside, CACalifornia | — | $443.72 |
| Sacramento, CACalifornia | — | $441.04 |
| Salinas, CACalifornia | — | $439.31 |
| San Diego, CACalifornia | — | $445.29 |
| Marin County, CACalifornia | — | $488.98 |
| San Francisco, CACalifornia | — | $487.13 |
| San Benito County, CACalifornia | — | $501.54 |
| Santa Clara County, CACalifornia | — | $493.98 |
| San Luis Obispo, CACalifornia | — | $433.06 |
| Santa Cruz, CACalifornia | — | $446.00 |
| Santa Maria, CACalifornia | — | $439.76 |
| Santa Rosa, CACalifornia | — | $450.04 |
| Stockton, CACalifornia | — | $426.24 |
| Vallejo, CACalifornia | — | $467.36 |
| Visalia, CACalifornia | — | $426.24 |
| Yuba City, CACalifornia | — | $426.24 |
| ColoradoColorado | — | $433.41 |
| ConnecticutConnecticut | — | $460.58 |
| DelawareDelaware | — | $426.24 |
| Fort Lauderdale, FLFlorida | — | $478.59 |
| Rest of FloridaFlorida | — | $452.95 |
| Atlanta, GAGeorgia | — | $446.68 |
| Rest of GeorgiaGeorgia | — | $425.86 |
| Hawaii, Guam, HIHawaii | — | $431.36 |
| IowaIowa | — | $386.23 |
| IdahoIdaho | — | $391.16 |
| East St. Louis, ILIllinois | — | $475.05 |
| Rest of IllinoisIllinois | — | $449.39 |
| Suburban Chicago, ILIllinois | — | $480.39 |
| IndianaIndiana | — | $392.98 |
| KansasKansas | — | $390.31 |
| KentuckyKentucky | — | $410.30 |
| New Orleans, LALouisiana | — | $430.59 |
| Rest of LouisianaLouisiana | — | $412.01 |
| Metropolitan Boston, MAMassachusetts | — | $466.33 |
| Rest of MassachusettsMassachusetts | — | $433.41 |
| Baltimore area, MDMaryland | — | $460.54 |
| Rest of MarylandMaryland | — | $432.18 |
| Rest of MaineMaine | — | $399.27 |
| Southern Maine, MEMaine | — | $411.02 |
| Detroit, MIMichigan | — | $464.34 |
| Rest of MichiganMichigan | — | $425.76 |
| MinnesotaMinnesota | — | $398.81 |
| Metropolitan Kansas City, MOMissouri | — | $421.61 |
| Metropolitan St. Louis, MOMissouri | — | $425.04 |
| Rest of MissouriMissouri | — | $409.23 |
| MontanaMontana | — | $432.43 |
| North CarolinaNorth Carolina | — | $402.26 |
| North DakotaNorth Dakota | — | $400.20 |
| NebraskaNebraska | — | $386.46 |
| New HampshireNew Hampshire | — | $432.24 |
| Northern New JerseyNew Jersey | — | $475.45 |
| Rest of New JerseyNew Jersey | — | $461.20 |
| New MexicoNew Mexico | — | $430.32 |
| NevadaNevada | — | $423.61 |
| NYC suburbs and Long Island, NYNew York | — | $523.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $468.92 |
| Queens, NYNew York | — | $499.53 |
| Rest of New YorkNew York | — | $408.44 |
| OhioOhio | — | $419.17 |
| OklahomaOklahoma | — | $403.42 |
| Portland, OROregon | — | $439.73 |
| Rest of OregonOregon | — | $415.74 |
| Metropolitan Philadelphia, PAPennsylvania | — | $453.50 |
| Rest of PennsylvaniaPennsylvania | — | $416.54 |
| Puerto RicoPuerto Rico | — | $433.47 |
| Rhode IslandRhode Island | — | $436.07 |
| South CarolinaSouth Carolina | — | $412.32 |
| South DakotaSouth Dakota | — | $396.39 |
| TennesseeTennessee | — | $392.90 |
| Austin, TXTexas | — | $435.98 |
| Beaumont, TXTexas | — | $414.40 |
| Brazoria, TXTexas | — | $420.89 |
| Dallas, TXTexas | — | $426.15 |
| Fort Worth, TXTexas | — | $425.27 |
| Galveston, TXTexas | — | $423.82 |
| Houston, TXTexas | — | $453.66 |
| Rest of TexasTexas | — | $419.17 |
| UtahUtah | — | $417.47 |
| VirginiaVirginia | — | $413.84 |
| Virgin Islands, VIUnited States Virgin Islands | — | $433.47 |
| VermontVermont | — | $404.06 |
| Rest of WashingtonWashington | — | $430.79 |
| King County, WAWashington | — | $469.57 |
| WisconsinWisconsin | — | $388.20 |
| West VirginiaWest Virginia | — | $435.22 |
| WyomingWyoming | — | $418.39 |
38531 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 38531 rate is calculated
Each of 38531’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 38531
RVUs × geographic indexes × conversion factor
Work6.57
6.57 RVUs× 1.000 GPCI
Practice expense4.75
4.75 RVUs× 1.000 GPCI
Malpractice1.63
1.63 RVUs× 1.000 GPCI
Adjusted RVUs
12.9500
Conversion factor
$33.4009
Medicare rate
$432.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,747
- Code
- 38531
- Physician work
- 6.57
- Practice expense
- 4.75
- Malpractice
- 1.63
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.57 | × 1.000 | 6.5700 |
| Practice expense | 4.75 | × 0.861 | 4.0897 |
| Malpractice | 1.63 | × 0.739 | 1.2046 |
| Total RVUs | 11.8643 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$396.28
Facility: (6.57 × 1 + 4.75 × 0.861 + 1.63 × 0.739) × $33.4009 = $396.28
Payment rules and modifiers for 38531
38531 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 38531
Groin node surgery, open inguinofemoral nodes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.73/0.16 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 38531
Groin node surgery, open inguinofemoral nodes
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
38531 without 50 · national facility
$432.54
Groin node surgery, open inguinofemoral nodes
38531-50 · Bilateral: 150%
$648.81
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 38531 has changed in Mississippi
38531 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2019
RVU19A
No ratechanged toNo rate
Held through RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $396.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $396.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $396.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $396.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $402.45 | RVU25D |
| 2025-07-01 | Not available in this setting | $402.45 | RVU25C |
| 2025-04-01 | Not available in this setting | $402.45 | RVU25B |
| 2025-01-01 | Not available in this setting | $402.45 | RVU25A |
| 2024-10-01 | Not available in this setting | $412.12 | RVU24D |
| 2024-07-01 | Not available in this setting | $412.12 | RVU24C |
| 2024-04-01 | Not available in this setting | $412.12 | RVU24B |
| 2024-03-09 | Not available in this setting | $412.12 | RVU24AR |
| 2024-01-01 | Not available in this setting | $405.39 | RVU24A |
| 2023-10-01 | Not available in this setting | $412.84 | RVU23D |
| 2023-07-01 | Not available in this setting | $412.84 | RVU23C |
| 2023-04-01 | Not available in this setting | $412.84 | RVU23B |
| 2023-01-01 | Not available in this setting | $412.84 | RVU23A |
| 2022-10-01 | Not available in this setting | $414.93 | RVU22D |
| 2022-07-01 | Not available in this setting | $414.93 | RVU22C |
| 2022-04-01 | Not available in this setting | $414.93 | RVU22B |
| 2022-01-01 | Not available in this setting | $414.93 | RVU22A |
| 2021-10-01 | Not available in this setting | $413.62 | RVU21D |
| 2021-07-01 | Not available in this setting | $413.62 | RVU21C |
| 2021-04-01 | Not available in this setting | $413.62 | RVU21B |
| 2021-01-01 | Not available in this setting | $413.62 | RVU21A |
| 2020-10-01 | Not available in this setting | $408.38 | RVU20D |
| 2020-07-01 | Not available in this setting | $408.38 | RVU20C |
| 2020-04-01 | Not available in this setting | $408.38 | RVU20B |
| 2020-01-01 | Not available in this setting | $408.38 | RVU20A |
| 2019-10-01 | Not available in this setting | $403.93 | RVU19D |
| 2019-07-01 | Not available in this setting | $403.93 | RVU19C |
| 2019-04-01 | Not available in this setting | $403.93 | RVU19B |
| 2019-01-01 | Not available in this setting | $403.93 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
38531 billing questions
How does this differ from an open superficial-node biopsy elsewhere?
Use this code when the open node procedure is in the inguinofemoral basin. Code 38500 describes open sampling or removal of superficial nodes at other sites.
Can a needle sample of a groin node be reported with this code?
No. Code 38505 describes needle sampling of a lymph node; this code is for an open surgical approach.
Does this code describe a complete inguinal lymphadenectomy?
It describes open sampling or removal of inguinofemoral nodes, not a broad nodal-basin dissection. A more extensive dissection may require a different code based on its extent.
How is bilateral surgery reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays it at 150%.
What documentation supports an assistant-at-surgery claim?
Document the assistant's role and the medical necessity for assistance. CMS payment for an assistant at surgery is limited to cases with documented medical necessity.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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