CPT code 38564: Node dissection, open, limited retroperitoneal2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $728.90 for 38564 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38564 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 38564 covers

This service involves open surgical removal of a limited amount of lymph-node tissue from the retroperitoneum. It is typically performed by a surgeon during an abdominal operation for cancer staging or treatment; retroperitoneal nodal surgery may be part of care for testicular or other abdominal and pelvic malignancies. The operative report should establish the open approach, the retroperitoneal location, and the limited extent of the dissection.

Select this code for the documented procedure rather than a superficial-node biopsy, laparoscopic sampling, or a more extensive dissection. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery services may be paid; 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 Washington, DC area compares for 38564

Across 109 of 109 payment localities, the facility rate for 38564 runs from $592.85 in Arkansas to $824.26 in Alaska. Washington, DC area pays $728.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38564 rates by state

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

See 38564 in every payment locality

How the 38564 rate is calculated

Each of 38564’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 38564

38564 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 38564

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

How 38564 has changed in Washington, DC area

Price 38564 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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