CPT code 39401: Mediastinoscopy, mediastinal tissue biopsy2026 Medicare rate & RVUs in Delaware
Report mediastinoscopy with biopsy when a surgeon uses a mediastinoscope to sample a mediastinal mass or tissue rather than mediastinal lymph nodes.
In Delaware, Medicare pays $288.17 for 39401 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 39401 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 39401 covers
A thoracic surgeon typically performs this procedure in an operating room, advancing a mediastinoscope through an incision at the base of the neck to reach and biopsy a mediastinal mass or other mediastinal tissue. The approach provides access to tissue behind the sternum for diagnostic evaluation, including in patients being assessed for a mediastinal lesion. The biopsy is part of the reported service.
Choose this code for mediastinal tissue or mass biopsy; use the lymph-node biopsy code when the sampled targets are mediastinal lymph nodes. The operative report should identify the mediastinal target and document the scope-guided biopsy. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are 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 Delaware compares for 39401
Across 109 of 109 payment localities, the facility rate for 39401 runs from $259.08 in Wisconsin to $365.95 in Alaska. Delaware pays $288.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$288.17
- Los Angeles, CA · California$298.12+$9.95
- Washington, DC area · District of Columbia$319.86+$31.69
- Miami, FL · Florida$362.93+$74.76
- Chicago, IL · Illinois$351.28+$63.11
- Manhattan, NY · New York$341.34+$53.17
- Alaska · Alaska$365.95+$77.78
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $264.52 |
| ArkansasArkansas | — | $261.13 |
| ArizonaArizona | — | $284.03 |
| Bakersfield, CACalifornia | — | $285.58 |
| Chico, CACalifornia | — | $282.01 |
| El Centro, CACalifornia | — | $282.23 |
| Fresno, CACalifornia | — | $282.01 |
| Hanford, CACalifornia | — | $282.01 |
| Madera, CACalifornia | — | $282.01 |
| Merced, CACalifornia | — | $282.01 |
| Modesto, CACalifornia | — | $282.01 |
| Napa, CACalifornia | — | $304.78 |
| Oxnard, CACalifornia | — | $293.94 |
| Redding, CACalifornia | — | $282.01 |
| Rest of CaliforniaCalifornia | — | $282.01 |
| Riverside, CACalifornia | — | $296.16 |
| Sacramento, CACalifornia | — | $290.16 |
| Salinas, CACalifornia | — | $288.99 |
| San Diego, CACalifornia | — | $291.72 |
| Marin County, CACalifornia | — | $314.86 |
| San Francisco, CACalifornia | — | $313.36 |
| San Benito County, CACalifornia | — | $323.20 |
| Santa Clara County, CACalifornia | — | $317.07 |
| San Luis Obispo, CACalifornia | — | $285.08 |
| Santa Cruz, CACalifornia | — | $291.22 |
| Santa Maria, CACalifornia | — | $288.96 |
| Santa Rosa, CACalifornia | — | $293.74 |
| Stockton, CACalifornia | — | $282.01 |
| Vallejo, CACalifornia | — | $302.62 |
| Visalia, CACalifornia | — | $282.01 |
| Yuba City, CACalifornia | — | $282.01 |
| ColoradoColorado | — | $289.64 |
| ConnecticutConnecticut | — | $310.89 |
| Fort Lauderdale, FLFlorida | — | $329.15 |
| Rest of FloridaFlorida | — | $311.62 |
| Atlanta, GAGeorgia | — | $303.13 |
| Rest of GeorgiaGeorgia | — | $293.34 |
| Hawaii, Guam, HIHawaii | — | $283.82 |
| IowaIowa | — | $259.93 |
| IdahoIdaho | — | $263.64 |
| East St. Louis, ILIllinois | — | $331.58 |
| Rest of IllinoisIllinois | — | $311.20 |
| Suburban Chicago, ILIllinois | — | $329.80 |
| IndianaIndiana | — | $264.71 |
| KansasKansas | — | $263.86 |
| KentuckyKentucky | — | $280.91 |
| New Orleans, LALouisiana | — | $294.37 |
| Rest of LouisianaLouisiana | — | $282.52 |
| Metropolitan Boston, MAMassachusetts | — | $308.87 |
| Rest of MassachusettsMassachusetts | — | $290.26 |
| Baltimore area, MDMaryland | — | $311.09 |
| Rest of MarylandMaryland | — | $291.60 |
| Rest of MaineMaine | — | $270.21 |
| Southern Maine, MEMaine | — | $275.68 |
| Detroit, MIMichigan | — | $320.34 |
| Rest of MichiganMichigan | — | $292.06 |
| MinnesotaMinnesota | — | $263.63 |
| Metropolitan Kansas City, MOMissouri | — | $287.22 |
| Metropolitan St. Louis, MOMissouri | — | $289.25 |
| Rest of MissouriMissouri | — | $281.58 |
| MississippiMississippi | — | $271.15 |
| MontanaMontana | — | $292.50 |
| North CarolinaNorth Carolina | — | $271.89 |
| North DakotaNorth Dakota | — | $266.40 |
| NebraskaNebraska | — | $259.66 |
| New HampshireNew Hampshire | — | $290.01 |
| Northern New JerseyNew Jersey | — | $318.18 |
| Rest of New JerseyNew Jersey | — | $310.53 |
| New MexicoNew Mexico | — | $295.52 |
| NevadaNevada | — | $285.30 |
| NYC suburbs and Long Island, NYNew York | — | $355.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $316.61 |
| Queens, NYNew York | — | $336.42 |
| Rest of New YorkNew York | — | $275.92 |
| OhioOhio | — | $286.73 |
| OklahomaOklahoma | — | $275.11 |
| Portland, OROregon | — | $292.07 |
| Rest of OregonOregon | — | $279.21 |
| Metropolitan Philadelphia, PAPennsylvania | — | $307.22 |
| Rest of PennsylvaniaPennsylvania | — | $284.31 |
| Puerto RicoPuerto Rico | — | $292.72 |
| Rhode IslandRhode Island | — | $293.55 |
| South CarolinaSouth Carolina | — | $280.55 |
| South DakotaSouth Dakota | — | $263.32 |
| TennesseeTennessee | — | $265.67 |
| Austin, TXTexas | — | $292.07 |
| Beaumont, TXTexas | — | $283.03 |
| Brazoria, TXTexas | — | $283.67 |
| Dallas, TXTexas | — | $287.64 |
| Fort Worth, TXTexas | — | $287.50 |
| Galveston, TXTexas | — | $285.92 |
| Houston, TXTexas | — | $310.09 |
| Rest of TexasTexas | — | $284.67 |
| UtahUtah | — | $283.81 |
| VirginiaVirginia | — | $278.41 |
| Virgin Islands, VIUnited States Virgin Islands | — | $292.72 |
| VermontVermont | — | $270.10 |
| Rest of WashingtonWashington | — | $288.14 |
| King County, WAWashington | — | $309.60 |
| WisconsinWisconsin | — | $259.08 |
| West VirginiaWest Virginia | — | $302.23 |
| WyomingWyoming | — | $281.13 |
39401 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 39401 rate is calculated
Each of 39401’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 · 39401
RVUs × geographic indexes × conversion factor
Work5.30
5.30 RVUs× 1.000 GPCI
Practice expense2.14
2.14 RVUs× 1.000 GPCI
Malpractice1.32
1.32 RVUs× 1.000 GPCI
Adjusted RVUs
8.7600
Conversion factor
$33.4009
Medicare rate
$292.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,778
- Code
- 39401
- Physician work
- 5.30
- Practice expense
- 2.14
- Malpractice
- 1.32
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.30 | × 1.005 | 5.3265 |
| Practice expense | 2.14 | × 0.988 | 2.1143 |
| Malpractice | 1.32 | × 0.899 | 1.1867 |
| Total RVUs | 8.6275 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$288.17
Facility: (5.3 × 1.005 + 2.14 × 0.988 + 1.32 × 0.899) × $33.4009 = $288.17
Payment rules and modifiers for 39401
The CMS indicators that decide how 39401 is paid alongside other services.
CMS payment indicators · 39401
Mediastinoscopy, mediastinal tissue biopsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
39401 without 51 · national facility
$292.59
Mediastinoscopy, mediastinal tissue biopsy
39401-51 · Second procedure: 50%
$146.30
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 39401 has changed in Delaware
39401 · 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
January 1, 2016
RVU16A
No ratechanged toNo rate
Held through RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $288.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $288.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $288.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $288.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $295.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $295.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $295.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $295.75 | RVU25A |
| 2024-10-01 | Not available in this setting | $302.06 | RVU24D |
| 2024-07-01 | Not available in this setting | $302.06 | RVU24C |
| 2024-04-01 | Not available in this setting | $302.06 | RVU24B |
| 2024-03-09 | Not available in this setting | $302.06 | RVU24AR |
| 2024-01-01 | Not available in this setting | $297.13 | RVU24A |
| 2023-10-01 | Not available in this setting | $306.17 | RVU23D |
| 2023-07-01 | Not available in this setting | $306.17 | RVU23C |
| 2023-04-01 | Not available in this setting | $306.17 | RVU23B |
| 2023-01-01 | Not available in this setting | $306.17 | RVU23A |
| 2022-10-01 | Not available in this setting | $312.63 | RVU22D |
| 2022-07-01 | Not available in this setting | $312.63 | RVU22C |
| 2022-04-01 | Not available in this setting | $312.63 | RVU22B |
| 2022-01-01 | Not available in this setting | $312.63 | RVU22A |
| 2021-10-01 | Not available in this setting | $313.22 | RVU21D |
| 2021-07-01 | Not available in this setting | $313.22 | RVU21C |
| 2021-04-01 | Not available in this setting | $313.22 | RVU21B |
| 2021-01-01 | Not available in this setting | $313.22 | RVU21A |
| 2020-10-01 | Not available in this setting | $326.19 | RVU20D |
| 2020-07-01 | Not available in this setting | $326.19 | RVU20C |
| 2020-04-01 | Not available in this setting | $326.19 | RVU20B |
| 2020-01-01 | Not available in this setting | $326.19 | RVU20A |
| 2019-10-01 | Not available in this setting | $331.31 | RVU19D |
| 2019-07-01 | Not available in this setting | $331.31 | RVU19C |
| 2019-04-01 | Not available in this setting | $331.31 | RVU19B |
| 2019-01-01 | Not available in this setting | $331.31 | RVU19A |
| 2018-10-01 | Not available in this setting | $332.45 | RVU18D |
| 2018-07-01 | Not available in this setting | $332.45 | RVU18C |
| 2018-04-01 | Not available in this setting | $332.45 | RVU18B |
| 2018-01-01 | Not available in this setting | $332.45 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $332.37 | RVU17D |
| 2017-07-01 | Not available in this setting | $332.37 | RVU17C |
| 2017-04-01 | Not available in this setting | $332.37 | RVU17B |
| 2017-01-01 | Not available in this setting | $332.37 | RVU17A |
| 2016-10-01 | Not available in this setting | $332.77 | RVU16D |
| 2016-07-01 | Not available in this setting | $332.77 | RVU16C |
| 2016-04-01 | Not available in this setting | $332.77 | RVU16B |
| 2016-01-01 | Not available in this setting | $332.77 | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
39401 billing questions
When should 39401 be chosen instead of 39402?
Use 39401 when the mediastinoscopy biopsy targets a mediastinal mass or other mediastinal tissue. Use 39402 when the sampled targets are mediastinal lymph nodes.
Is the biopsy separately reported from the mediastinoscopy?
No. The biopsy is included in the mediastinoscopy service described by this code.
What care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this procedure.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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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