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

In Virginia, Medicare pays $577.59 for 38571 in a facility. There’s no office rate.

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.

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 Virginia 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. Virginia pays $577.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38571 rates by state

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

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.

Payment rules and modifiers for 38571

38571 has a 10-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 38571

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

How 38571 has changed in Virginia

Price 38571 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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