CPT code 38747: Abdominal lymphadenectomy, regional upper abdominal nodes2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $232.89 for 38747 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38747 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 38747 covers

This add-on describes regional lymph node removal in the abdomen, including nodes in the celiac, superior mesenteric, and para-aortic areas. A surgeon may perform it during an operation for an abdominal malignancy when nodal tissue is removed for treatment or staging. General surgeons and surgical oncologists commonly perform these dissections; other surgical specialists may do so when treating cancers within their fields.

Report 38747 only with a primary procedure. The operative report should identify the abdominal nodal basin removed and describe the dissection sufficiently to distinguish regional node removal from a more extensive retroperitoneal dissection. CMS pays the add-on within the primary procedure’s global period, so related postoperative care is governed by that primary procedure’s global period. A pelvic-only dissection or a dissection involving broader retroperitoneal and pelvic basins may point to a different code.

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 Nevada compares for 38747

Across 109 of 109 payment localities, the facility rate for 38747 runs from $210.27 in Wisconsin to $303.78 in Alaska. Nevada pays $232.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38747 rates by state

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

See 38747 in every payment locality

How the 38747 rate is calculated

Each of 38747’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 38747

The CMS indicators that decide how 38747 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 38747

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

How 38747 has changed in Nevada

Price 38747 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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