CPT code 38572: Laparoscopic lymphadenectomy, pelvic dissection plus para-aortic sampling2026 Medicare rate & RVUs in Montana
Report 38572 for laparoscopic bilateral total pelvic lymphadenectomy with para-aortic lymph node sampling, commonly performed for gynecologic cancer staging.
In Montana, Medicare pays $825.48 for 38572 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 38572 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 38572 covers
A surgeon uses a laparoscope to remove pelvic lymph nodes on both sides and sample para-aortic nodes. The procedure is commonly performed by a gynecologic oncologist during laparoscopic staging or treatment of gynecologic malignancy, such as endometrial or cervical cancer. The operative report should make clear the pelvic dissection and para-aortic sampling performed; a limited node biopsy alone is a different service.
Report this code when the documented laparoscopic work includes both bilateral total pelvic lymphadenectomy and para-aortic sampling. The code is 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, endoscopy family pricing applies. CMS permits payment for an assistant at surgery and co-surgeons; 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 Montana compares for 38572
Across 109 of 109 payment localities, the facility rate for 38572 runs from $747.33 in Arkansas to $1,050.20 in Alaska. Montana pays $825.48. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$825.48
- Los Angeles, CA · California$854.01+$28.53
- Washington, DC area · District of Columbia$903.30+$77.82
- Miami, FL · Florida$983.82+$158.34
- Chicago, IL · Illinois$956.63+$131.15
- Manhattan, NY · New York$951.00+$125.52
- Alaska · Alaska$1,050.20+$224.72
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $755.83 |
| ArkansasArkansas | — | $747.33 |
| ArizonaArizona | — | $804.80 |
| Bakersfield, CACalifornia | — | $818.32 |
| Chico, CACalifornia | — | $810.18 |
| El Centro, CACalifornia | — | $810.67 |
| Fresno, CACalifornia | — | $810.18 |
| Hanford, CACalifornia | — | $810.18 |
| Madera, CACalifornia | — | $810.18 |
| Merced, CACalifornia | — | $810.18 |
| Modesto, CACalifornia | — | $810.18 |
| Napa, CACalifornia | — | $879.69 |
| Oxnard, CACalifornia | — | $843.19 |
| Redding, CACalifornia | — | $810.18 |
| Rest of CaliforniaCalifornia | — | $810.18 |
| Riverside, CACalifornia | — | $841.61 |
| Sacramento, CACalifornia | — | $834.58 |
| Salinas, CACalifornia | — | $831.16 |
| San Diego, CACalifornia | — | $839.38 |
| Marin County, CACalifornia | — | $911.41 |
| San Francisco, CACalifornia | — | $908.10 |
| San Benito County, CACalifornia | — | $933.59 |
| Santa Clara County, CACalifornia | — | $920.03 |
| San Luis Obispo, CACalifornia | — | $819.65 |
| Santa Cruz, CACalifornia | — | $838.41 |
| Santa Maria, CACalifornia | — | $831.18 |
| Santa Rosa, CACalifornia | — | $845.84 |
| Stockton, CACalifornia | — | $810.18 |
| Vallejo, CACalifornia | — | $874.91 |
| Visalia, CACalifornia | — | $810.18 |
| Yuba City, CACalifornia | — | $810.18 |
| ColoradoColorado | — | $824.49 |
| ConnecticutConnecticut | — | $873.26 |
| DelawareDelaware | — | $815.72 |
| Fort Lauderdale, FLFlorida | — | $907.34 |
| Rest of FloridaFlorida | — | $865.04 |
| Atlanta, GAGeorgia | — | $850.32 |
| Rest of GeorgiaGeorgia | — | $820.62 |
| Hawaii, Guam, HIHawaii | — | $814.77 |
| IowaIowa | — | $748.15 |
| IdahoIdaho | — | $756.66 |
| East St. Louis, ILIllinois | — | $906.96 |
| Rest of IllinoisIllinois | — | $861.43 |
| Suburban Chicago, ILIllinois | — | $910.46 |
| IndianaIndiana | — | $759.47 |
| KansasKansas | — | $756.16 |
| KentuckyKentucky | — | $792.95 |
| New Orleans, LALouisiana | — | $825.95 |
| Rest of LouisianaLouisiana | — | $796.26 |
| Metropolitan Boston, MAMassachusetts | — | $878.47 |
| Rest of MassachusettsMassachusetts | — | $825.67 |
| Baltimore area, MDMaryland | — | $872.98 |
| Rest of MarylandMaryland | — | $825.39 |
| Rest of MaineMaine | — | $771.19 |
| Southern Maine, MEMaine | — | $787.70 |
| Detroit, MIMichigan | — | $884.87 |
| Rest of MichiganMichigan | — | $819.10 |
| MinnesotaMinnesota | — | $763.39 |
| Metropolitan Kansas City, MOMissouri | — | $810.00 |
| Metropolitan St. Louis, MOMissouri | — | $815.30 |
| Rest of MissouriMissouri | — | $792.76 |
| MississippiMississippi | — | $769.62 |
| North CarolinaNorth Carolina | — | $775.71 |
| North DakotaNorth Dakota | — | $767.74 |
| NebraskaNebraska | — | $748.06 |
| New HampshireNew Hampshire | — | $822.50 |
| Northern New JerseyNew Jersey | — | $899.53 |
| Rest of New JerseyNew Jersey | — | $875.70 |
| New MexicoNew Mexico | — | $827.00 |
| NevadaNevada | — | $809.60 |
| NYC suburbs and Long Island, NYNew York | — | $983.37 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $889.92 |
| Queens, NYNew York | — | $941.35 |
| Rest of New YorkNew York | — | $785.70 |
| OhioOhio | — | $807.30 |
| OklahomaOklahoma | — | $780.37 |
| Portland, OROregon | — | $833.26 |
| Rest of OregonOregon | — | $795.82 |
| Metropolitan Philadelphia, PAPennsylvania | — | $862.66 |
| Rest of PennsylvaniaPennsylvania | — | $802.26 |
| Puerto RicoPuerto Rico | — | $826.63 |
| Rhode IslandRhode Island | — | $832.05 |
| South CarolinaSouth Carolina | — | $794.31 |
| South DakotaSouth Dakota | — | $760.91 |
| TennesseeTennessee | — | $760.48 |
| Austin, TXTexas | — | $828.33 |
| Beaumont, TXTexas | — | $798.94 |
| Brazoria, TXTexas | — | $806.30 |
| Dallas, TXTexas | — | $815.51 |
| Fort Worth, TXTexas | — | $814.58 |
| Galveston, TXTexas | — | $811.42 |
| Houston, TXTexas | — | $864.87 |
| Rest of TexasTexas | — | $804.98 |
| UtahUtah | — | $802.52 |
| VirginiaVirginia | — | $793.25 |
| Virgin Islands, VIUnited States Virgin Islands | — | $826.63 |
| VermontVermont | — | $775.29 |
| Rest of WashingtonWashington | — | $820.63 |
| King County, WAWashington | — | $883.19 |
| WisconsinWisconsin | — | $748.93 |
| West VirginiaWest Virginia | — | $838.87 |
| WyomingWyoming | — | $800.31 |
38572 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 38572 rate is calculated
Each of 38572’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 · 38572
RVUs × geographic indexes × conversion factor
Work15.21
15.21 RVUs× 1.000 GPCI
Practice expense6.59
6.59 RVUs× 1.000 GPCI
Malpractice2.92
2.92 RVUs× 1.000 GPCI
Adjusted RVUs
24.7200
Conversion factor
$33.4009
Medicare rate
$825.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,755
- Code
- 38572
- Physician work
- 15.21
- Practice expense
- 6.59
- Malpractice
- 2.92
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.21 | × 1.000 | 15.2100 |
| Practice expense | 6.59 | × 1.000 | 6.5900 |
| Malpractice | 2.92 | × 0.998 | 2.9142 |
| Total RVUs | 24.7142 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$825.48
Facility: (15.21 × 1 + 6.59 × 1 + 2.92 × 0.998) × $33.4009 = $825.48
Payment rules and modifiers for 38572
38572 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 38572
Laparoscopic lymphadenectomy, pelvic dissection plus para-aortic sampling
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 38572
Laparoscopic lymphadenectomy, pelvic dissection plus para-aortic sampling
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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
38572 without 51 · national facility
$825.67
Laparoscopic lymphadenectomy, pelvic dissection plus para-aortic sampling
38572-51 · Second procedure: 50%
$412.84
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%).
How 38572 has changed in Montana
38572 · 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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $825.48 | RVU26D |
| 2026-07-01 | Not available in this setting | $825.48 | RVU26C |
| 2026-04-01 | Not available in this setting | $825.48 | RVU26B |
| 2026-01-01 | Not available in this setting | $825.48 | RVU26A |
| 2025-10-01 | Not available in this setting | $871.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $871.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $871.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $871.31 | RVU25A |
| 2024-10-01 | Not available in this setting | $894.30 | RVU24D |
| 2024-07-01 | Not available in this setting | $894.30 | RVU24C |
| 2024-04-01 | Not available in this setting | $894.30 | RVU24B |
| 2024-03-09 | Not available in this setting | $894.30 | RVU24AR |
| 2024-01-01 | Not available in this setting | $879.70 | RVU24A |
| 2023-10-01 | Not available in this setting | $910.76 | RVU23D |
| 2023-07-01 | Not available in this setting | $910.76 | RVU23C |
| 2023-04-01 | Not available in this setting | $910.76 | RVU23B |
| 2023-01-01 | Not available in this setting | $910.76 | RVU23A |
| 2022-10-01 | Not available in this setting | $924.80 | RVU22D |
| 2022-07-01 | Not available in this setting | $924.80 | RVU22C |
| 2022-04-01 | Not available in this setting | $924.80 | RVU22B |
| 2022-01-01 | Not available in this setting | $924.80 | RVU22A |
| 2021-10-01 | Not available in this setting | $927.99 | RVU21D |
| 2021-07-01 | Not available in this setting | $927.99 | RVU21C |
| 2021-04-01 | Not available in this setting | $927.99 | RVU21B |
| 2021-01-01 | Not available in this setting | $927.99 | RVU21A |
| 2020-10-01 | Not available in this setting | $975.77 | RVU20D |
| 2020-07-01 | Not available in this setting | $975.77 | RVU20C |
| 2020-04-01 | Not available in this setting | $975.77 | RVU20B |
| 2020-01-01 | Not available in this setting | $975.77 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,025.69 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,025.69 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,025.69 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,025.69 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,026.14 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,026.14 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,026.14 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,026.14 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,023.90 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,023.90 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,023.90 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,023.90 | RVU17A |
| 2016-10-01 | Not available in this setting | $987.34 | RVU16D |
| 2016-07-01 | Not available in this setting | $987.34 | RVU16C |
| 2016-04-01 | Not available in this setting | $987.34 | RVU16B |
| 2016-01-01 | Not available in this setting | $987.34 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,049.59 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,049.59 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,044.37 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,044.37 | RVU15A |
| 2014-10-01 | Not available in this setting | $995.14 | RVU14D |
| 2014-07-01 | Not available in this setting | $995.14 | RVU14C |
| 2014-04-01 | Not available in this setting | $995.14 | RVU14B |
| 2014-01-01 | Not available in this setting | $995.14 | RVU14A |
| 2013-10-01 | Not available in this setting | $960.37 | RVU13D |
| 2013-07-01 | Not available in this setting | $960.37 | RVU13C |
| 2013-04-01 | Not available in this setting | $960.37 | RVU13B |
| 2013-01-01 | Not available in this setting | $960.37 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
38572 billing questions
How does 38572 differ from 38571?
38572 includes para-aortic lymph node sampling in addition to bilateral total pelvic lymphadenectomy. Use 38571 when the documented procedure includes the bilateral pelvic dissection but not para-aortic sampling.
Can modifier 50 be added for the bilateral pelvic work?
No. CMS prices 38572 as bilateral, and modifier 50 does not increase payment.
Are related postoperative visits separately reportable?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this code. Team surgery is not permitted.
What should the operative report establish?
Document laparoscopic bilateral total pelvic lymphadenectomy and para-aortic node sampling. A report describing only node sampling or biopsy does not establish the full scope of 38572.
What happens when related endoscopies are performed in the same session?
Endoscopy family pricing applies when related endoscopies are performed together. Review the reported services and operative documentation in light of that pricing rule.
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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