CPT code 38571: Pelvic lymphadenectomy, laparoscopic, bilateral2026 Medicare rate & RVUs in Connecticut

Report this service for laparoscopic removal of pelvic lymph nodes on both sides, commonly performed for staging gynecologic malignancies.

CMS RVU26DEffective Oct 1, 2026One payment locality22.4K Medicare services in 2024

In Connecticut, Medicare pays $627.62 for 38571 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$627.62Hospital or facility

Check a contract rate as a % of Medicare · 38571 nationwide

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

We’ll open 38571 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 38571 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 38571 covers

This service involves laparoscopic dissection and removal of pelvic lymphatic tissue on both sides, commonly including the external iliac, internal iliac, and obturator nodal regions. Gynecologic oncologists often perform it during operative staging for cancers such as endometrial or cervical cancer. It represents a bilateral lymphadenectomy, not simply sampling one or more nodes for biopsy.

Report the code when the operative note supports a laparoscopic bilateral pelvic nodal dissection; document the approach, nodal regions addressed, and tissue removed. The code is already priced as bilateral, so modifier 50 does not increase payment. Related postoperative visits during the 10-day global period are included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. CMS allows assistant-at-surgery payment and co-surgeons, but not team surgery.

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 Connecticut compares for 38571

Across 109 of 109 payment localities, the facility rate for 38571 runs from $548.34 in Arkansas to $776.64 in Alaska. Connecticut pays $627.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

38571 in Connecticut vs other payment areas
  1. Connecticut · this page$627.62
  2. Los Angeles, CA · California$621.27−$6.35
  3. Washington, DC area · District of Columbia$650.64+$23.02
  4. Miami, FL · Florida$687.98+$60.36
  5. Chicago, IL · Illinois$672.26+$44.64
  6. Manhattan, NY · New York$678.53+$50.91
  7. Alaska · Alaska$776.64+$149.02

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

38571 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$553.59
ArkansasArkansas—$548.34
ArizonaArizona—$583.86
Bakersfield, CACalifornia—$596.55
Chico, CACalifornia—$591.70
El Centro, CACalifornia—$591.98
Fresno, CACalifornia—$591.70
Hanford, CACalifornia—$591.70

38571 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
38571 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 38571 in every payment locality

How the 38571 rate is calculated

Each of 38571’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 · 38571

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.70

11.70 RVUs× 1.000 GPCI

Practice expense4.49

4.49 RVUs× 1.000 GPCI

Malpractice1.67

1.67 RVUs× 1.000 GPCI

Adjusted RVUs

17.8600

Conversion factor

$33.4009

Medicare rate

$596.54

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,754

Code
38571
Physician work
11.70
Practice expense
4.49
Malpractice
1.67

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 38571 in Connecticut
ComponentRVULocality factorAdjusted
Physician work11.70× 1.02011.9340
Practice expense4.49× 1.0774.8357
Malpractice1.67× 1.2102.0207
Total RVUs18.7904
Conversion factor× 33.4009

Facility rate, Connecticut$627.62

Facility: (11.7 × 1.02 + 4.49 × 1.077 + 1.67 × 1.21) × $33.4009 = $627.62

Open 38571 in the RVU calculator

Payment rules and modifiers for 38571

38571 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 38571

Pelvic lymphadenectomy, laparoscopic, bilateral

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 38571

Pelvic lymphadenectomy, laparoscopic, bilateral

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

38571 without 51 · national facility

$596.54

Pelvic lymphadenectomy, laparoscopic, bilateral

38571-51 · Second procedure: 50%

$298.27

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 38571 has changed in Connecticut

38571 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$627.62RVU26D
2026-07-01Not available in this setting$627.62RVU26C
2026-04-01Not available in this setting$627.62RVU26B
2026-01-01Not available in this setting$627.62RVU26A
2025-10-01Not available in this setting$680.99RVU25D
2025-07-01Not available in this setting$680.99RVU25C
2025-04-01Not available in this setting$680.99RVU25B
2025-01-01Not available in this setting$680.99RVU25A
2024-10-01Not available in this setting$696.44RVU24D
2024-07-01Not available in this setting$696.44RVU24C
2024-04-01Not available in this setting$696.44RVU24B
2024-03-09Not available in this setting$696.44RVU24AR
2024-01-01Not available in this setting$685.08RVU24A
2023-10-01Not available in this setting$700.24RVU23D
2023-07-01Not available in this setting$700.24RVU23C
2023-04-01Not available in this setting$700.24RVU23B
2023-01-01Not available in this setting$700.24RVU23A
2022-10-01Not available in this setting$707.16RVU22D
2022-07-01Not available in this setting$707.16RVU22C
2022-04-01Not available in this setting$707.16RVU22B
2022-01-01Not available in this setting$707.16RVU22A
2021-10-01Not available in this setting$710.94RVU21D
2021-07-01Not available in this setting$710.94RVU21C
2021-04-01Not available in this setting$710.94RVU21B
2021-01-01Not available in this setting$710.94RVU21A
2020-10-01Not available in this setting$732.64RVU20D
2020-07-01Not available in this setting$732.64RVU20C
2020-04-01Not available in this setting$732.64RVU20B
2020-01-01Not available in this setting$732.64RVU20A
2019-10-01Not available in this setting$735.65RVU19D
2019-07-01Not available in this setting$735.65RVU19C
2019-04-01Not available in this setting$735.65RVU19B
2019-01-01Not available in this setting$735.65RVU19A
2018-10-01Not available in this setting$737.81RVU18D
2018-07-01Not available in this setting$737.81RVU18C
2018-04-01Not available in this setting$737.81RVU18B
2018-01-01Not available in this setting$737.81RVU18AR1
2017-10-01Not available in this setting$741.92RVU17D
2017-07-01Not available in this setting$741.92RVU17C
2017-04-01Not available in this setting$741.92RVU17B
2017-01-01Not available in this setting$741.92RVU17A
2016-10-01Not available in this setting$736.79RVU16D
2016-07-01Not available in this setting$736.79RVU16C
2016-04-01Not available in this setting$736.79RVU16B
2016-01-01Not available in this setting$736.79RVU16A
2015-10-01Not available in this setting$882.68RVU15D
2015-07-01Not available in this setting$882.68RVU15C
2015-04-01Not available in this setting$878.29RVU15B
2015-01-01Not available in this setting$878.29RVU15A
2014-10-01Not available in this setting$856.87RVU14D
2014-07-01Not available in this setting$856.87RVU14C
2014-04-01Not available in this setting$856.87RVU14B
2014-01-01Not available in this setting$856.87RVU14A
2013-10-01Not available in this setting$824.54RVU13D
2013-07-01Not available in this setting$824.54RVU13C
2013-04-01Not available in this setting$824.54RVU13B
2013-01-01Not available in this setting$824.54RVU13AR

Price 38571 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

38571 billing questions

How is this different from 38570?

38571 represents bilateral total pelvic lymphadenectomy. Code 38570 is for laparoscopic retroperitoneal lymph node sampling or biopsy, rather than a total bilateral pelvic dissection.

Should modifier 50 be appended?

No. The code is already priced as bilateral, and modifier 50 does not increase payment.

Does the code include postoperative visits?

Related postoperative visits during the 10-day global period are included.

How does 38572 differ?

38572 includes bilateral total pelvic lymphadenectomy with additional peri-aortic lymph node sampling. Use 38571 when the documented procedure is limited to the bilateral pelvic lymphadenectomy.

Can an assistant or co-surgeon be reported?

CMS permits assistant-at-surgery payment and co-surgeons for this code. Team surgery is not permitted.

What documentation supports reporting this code?

The operative report should identify the laparoscopic approach, bilateral pelvic dissection, and the nodal tissue removed. A limited node biopsy or sampling alone points to a different service.

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
RVUs for 38571PPRRVU2026_Oct_nonQPP.csv, line 4,754 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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