CPT code 38765: Groin lymphadenectomy, with pelvic node dissection2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $1,198.89 for 38765 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 38765 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 38765 covers

This operation removes lymph nodes in the groin and pelvis as a combined regional dissection. Surgical oncologists, gynecologic oncologists, or urologists may perform it in an operating room for cancers that spread to these nodal areas, including vulvar or penile cancer and melanoma. The code distinguishes this combined operation from groin-only or pelvic-only node removal.

Report the service when the operative documentation supports both inguinofemoral and pelvic lymph node dissection; document the sites treated and the extent of the operation. The pelvic dissection is included in this combined service, so do not separately report pelvic lymphadenectomy for the same work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Nevada compares for 38765

Across 109 of 109 payment localities, the facility rate for 38765 runs from $1,097.79 in Arkansas to $1,532.56 in Alaska. Nevada pays $1,198.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38765 rates by state

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

See 38765 in every payment locality

How the 38765 rate is calculated

Each of 38765’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 38765

38765 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 38765

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

How 38765 has changed in Nevada

Price 38765 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