CPT code 38760: Groin lymphadenectomy, superficial, includes Cloquet's node2026 Medicare rate & RVUs in Washington, DC area

Reports surgical removal of superficial inguinofemoral lymph nodes, including Cloquet's node, for treatment or staging of malignancy involving the groin.

CMS RVU26DEffective Oct 1, 2026One payment locality521 Medicare services in 2024

In Washington, DC area, Medicare pays $858.16 for 38760 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$858.16Hospital or facility

Check a contract rate as a % of Medicare · 38760 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 38760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 38760 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 38760 covers

This code describes an operative dissection of superficial lymph nodes in the inguinofemoral basin, including Cloquet's node. It is commonly performed by a surgical, gynecologic, or urologic oncologist for groin staging or treatment in cancers such as vulvar, penile, or skin malignancies. The service is typically performed in an operating room and involves more than removal of a single targeted node for biopsy.

Select the code based on the documented operative extent: superficial inguinofemoral dissection including Cloquet's node, rather than a pelvic node dissection or a limited node biopsy. The operative report should identify the side, nodal basin, and extent of tissue removed. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral procedures reported with modifier 50, CMS pays 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; 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 38760

Across 109 of 109 payment localities, the facility rate for 38760 runs from $699.39 in Arkansas to $973.96 in Alaska. Washington, DC area pays $858.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

38760 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$858.16
  2. Los Angeles, CA · California$809.65−$48.51
  3. Miami, FL · Florida$940.02+$81.86
  4. Chicago, IL · Illinois$911.61+$53.45
  5. Manhattan, NY · New York$905.06+$46.90
  6. Alaska · Alaska$973.96+$115.80
  7. Alabama · Alabama$708.21−$149.95

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

38760 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$699.39
ArizonaArizona—$759.07
Bakersfield, CACalifornia—$773.70
Chico, CACalifornia—$765.67
El Centro, CACalifornia—$766.16
Fresno, CACalifornia—$765.67
Hanford, CACalifornia—$765.67
Madera, CACalifornia—$765.67

38760 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
38760 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 38760 in every payment locality

How the 38760 rate is calculated

Each of 38760’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 · 38760

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.28

13.28 RVUs× 1.000 GPCI

Practice expense7.16

7.16 RVUs× 1.000 GPCI

Malpractice2.93

2.93 RVUs× 1.000 GPCI

Adjusted RVUs

23.3700

Conversion factor

$33.4009

Medicare rate

$780.58

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,765

Code
38760
Physician work
13.28
Practice expense
7.16
Malpractice
2.93

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 38760 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work13.28× 1.05413.9971
Practice expense7.16× 1.1788.4345
Malpractice2.93× 1.1133.2611
Total RVUs25.6927
Conversion factor× 33.4009

Facility rate, Washington, DC area$858.16

Facility: (13.28 × 1.054 + 7.16 × 1.178 + 2.93 × 1.113) × $33.4009 = $858.16

Open 38760 in the RVU calculator

Payment rules and modifiers for 38760

38760 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 38760

Groin lymphadenectomy, superficial, includes Cloquet's node

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.73/0.16Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 38760

Groin lymphadenectomy, superficial, includes Cloquet's node

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

38760 without 50 · national facility

$780.58

Groin lymphadenectomy, superficial, includes Cloquet's node

38760-50 · Bilateral: 150%

$1,170.87

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 38760 has changed in Washington, DC area

38760 · 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$858.16RVU26D
2026-07-01Not available in this setting$858.16RVU26C
2026-04-01Not available in this setting$858.16RVU26B
2026-01-01Not available in this setting$858.16RVU26A
2025-10-01Not available in this setting$914.18RVU25D
2025-07-01Not available in this setting$914.18RVU25C
2025-04-01Not available in this setting$914.18RVU25B
2025-01-01Not available in this setting$914.18RVU25A
2024-10-01Not available in this setting$935.25RVU24D
2024-07-01Not available in this setting$935.25RVU24C
2024-04-01Not available in this setting$935.25RVU24B
2024-03-09Not available in this setting$935.25RVU24AR
2024-01-01Not available in this setting$919.98RVU24A
2023-10-01Not available in this setting$957.18RVU23D
2023-07-01Not available in this setting$957.18RVU23C
2023-04-01Not available in this setting$957.18RVU23B
2023-01-01Not available in this setting$957.18RVU23A
2022-10-01Not available in this setting$981.57RVU22D
2022-07-01Not available in this setting$981.57RVU22C
2022-04-01Not available in this setting$981.57RVU22B
2022-01-01Not available in this setting$981.57RVU22A
2021-10-01Not available in this setting$983.59RVU21D
2021-07-01Not available in this setting$983.59RVU21C
2021-04-01Not available in this setting$983.59RVU21B
2021-01-01Not available in this setting$983.59RVU21A
2020-10-01Not available in this setting$991.50RVU20D
2020-07-01Not available in this setting$991.50RVU20C
2020-04-01Not available in this setting$991.50RVU20B
2020-01-01Not available in this setting$991.50RVU20A
2019-10-01Not available in this setting$985.76RVU19D
2019-07-01Not available in this setting$985.76RVU19C
2019-04-01Not available in this setting$985.76RVU19B
2019-01-01Not available in this setting$985.76RVU19A
2018-10-01Not available in this setting$983.33RVU18D
2018-07-01Not available in this setting$983.33RVU18C
2018-04-01Not available in this setting$983.33RVU18B
2018-01-01Not available in this setting$983.33RVU18AR1
2017-10-01Not available in this setting$984.63RVU17D
2017-07-01Not available in this setting$984.63RVU17C
2017-04-01Not available in this setting$984.63RVU17B
2017-01-01Not available in this setting$984.63RVU17A
2016-10-01Not available in this setting$983.52RVU16D
2016-07-01Not available in this setting$983.52RVU16C
2016-04-01Not available in this setting$983.52RVU16B
2016-01-01Not available in this setting$983.52RVU16A
2015-10-01Not available in this setting$984.82RVU15D
2015-07-01Not available in this setting$984.82RVU15C
2015-04-01Not available in this setting$979.92RVU15B
2015-01-01Not available in this setting$979.92RVU15A
2014-10-01Not available in this setting$959.97RVU14D
2014-07-01Not available in this setting$959.97RVU14C
2014-04-01Not available in this setting$959.97RVU14B
2014-01-01Not available in this setting$959.97RVU14A
2013-10-01Not available in this setting$939.82RVU13D
2013-07-01Not available in this setting$939.82RVU13C
2013-04-01Not available in this setting$939.82RVU13B
2013-01-01Not available in this setting$939.82RVU13AR

Price 38760 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.

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38760 billing questions

How is this different from 38765?

This code describes superficial inguinofemoral dissection including Cloquet's node. Use 38765 when the documented dissection also includes pelvic lymph nodes.

Can a targeted groin node biopsy be reported with this code?

A limited open biopsy or excision of inguinofemoral node(s) is represented by 38531. This code describes a broader superficial basin dissection, not removal of only a targeted node.

How should bilateral groin dissections be reported?

Report the bilateral procedure with modifier 50. CMS pays bilateral procedures at 150%.

Is pelvic lymphadenectomy included?

This code covers the superficial inguinofemoral basin, including Cloquet's node. If the operative report documents pelvic node dissection, distinguish that extent from this service and evaluate the applicable pelvic lymphadenectomy code.

What documentation supports code selection?

Document the side, inguinofemoral nodal basin, and extent of the dissection, including whether Cloquet's node was included. The operative report should distinguish a basin dissection from a limited node biopsy.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and related postoperative care. CMS may pay an assistant at surgery; co-surgeon payment requires supporting documentation.

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 38760PPRRVU2026_Oct_nonQPP.csv, line 4,765 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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