CPT code 38562: Pelvic lymphadenectomy, limited staging removal2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $607.83 for 38562 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38562 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 38562 covers

This code describes limited removal of pelvic lymph nodes for cancer staging, rather than a comprehensive pelvic node dissection. It is typically performed by a gynecologic or urologic surgeon during an open operation for a pelvic malignancy. The removed nodes are submitted for pathologic examination to assess regional spread. The operative note should identify the pelvic nodal tissue removed and its staging purpose.

Report the code when the limited staging procedure is separately reportable, not when nodal removal is integral to a more extensive procedure. The documentation should support the pelvic site and limited extent of the dissection. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 Wisconsin compares for 38562

Across 109 of 109 payment localities, the facility rate for 38562 runs from $600.18 in Arkansas to $831.22 in Alaska. Wisconsin pays $607.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38562 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 38562 in every payment locality

How the 38562 rate is calculated

Each of 38562’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.

Payment rules and modifiers for 38562

38562 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 38562

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 38562 has changed in Wisconsin

Price 38562 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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

Open CMS sourceHow we calculate rates