CPT code 39402: Mediastinoscopy, lymph node biopsy2026 Medicare rate & RVUs in Oxnard, CA
Report this service when a surgeon uses mediastinoscopy to obtain mediastinal lymph node tissue, commonly for lung cancer staging or diagnostic evaluation.
In Oxnard, CA, Medicare pays $377.29 for 39402 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 39402 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 39402 covers
A thoracic surgeon advances a mediastinoscope through an incision at the base of the neck to reach mediastinal lymph nodes and obtain tissue for pathology. A common use is sampling nodes to stage lung cancer; mediastinal lymphadenopathy or suspected lymphoma may also prompt tissue diagnosis. The service is typically performed in a hospital operating room under anesthesia.
Report the code when lymph node tissue is sampled through the mediastinoscopic approach; the biopsy is part of the service, rather than a separate biopsy charge for those nodes. The operative report should identify the approach and sampled nodal sites. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, 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 Oxnard, CA compares for 39402
Across 109 of 109 payment localities, the facility rate for 39402 runs from $333.61 in Wisconsin to $474.83 in Alaska. Oxnard, CA pays $377.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oxnard, CA · this page$377.29
- Bakersfield, CA · California$367.22−$10.07
- Chico, CA · California$362.45−$14.84
- El Centro, CA · California$362.75−$14.54
- Fresno, CA · California$362.45−$14.84
- Hanford, CA · California$362.45−$14.84
- Los Angeles, CA · California$382.85+$5.56
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $362.45 |
| Merced, CACalifornia | — | $362.45 |
| Modesto, CACalifornia | — | $362.45 |
| Napa, CACalifornia | — | $390.06 |
| Redding, CACalifornia | — | $362.45 |
| Rest of CaliforniaCalifornia | — | $362.45 |
| Riverside, CACalifornia | — | $381.33 |
| Sacramento, CACalifornia | — | $372.49 |
| Salinas, CACalifornia | — | $370.98 |
| San Diego, CACalifornia | — | $374.16 |
| Marin County, CACalifornia | — | $402.36 |
| San Francisco, CACalifornia | — | $400.36 |
| San Benito County, CACalifornia | — | $413.08 |
| Santa Clara County, CACalifornia | — | $404.91 |
| San Luis Obispo, CACalifornia | — | $366.02 |
| Santa Cruz, CACalifornia | — | $373.26 |
| Santa Maria, CACalifornia | — | $370.85 |
| Santa Rosa, CACalifornia | — | $376.46 |
| Stockton, CACalifornia | — | $362.45 |
| Vallejo, CACalifornia | — | $387.18 |
| Visalia, CACalifornia | — | $362.45 |
| Yuba City, CACalifornia | — | $362.45 |
| Washington, DC areaDistrict of Columbia | — | $411.90 |
| Miami, FLFlorida | — | $471.04 |
| Chicago, ILIllinois | — | $455.96 |
| Manhattan, NYNew York | — | $440.74 |
| AlaskaAlaska | — | $474.83 |
| AlabamaAlabama | — | $341.90 |
| ArkansasArkansas | — | $337.57 |
| ArizonaArizona | — | $366.73 |
| ColoradoColorado | — | $373.03 |
| ConnecticutConnecticut | — | $401.21 |
| DelawareDelaware | — | $372.01 |
| Fort Lauderdale, FLFlorida | — | $426.34 |
| Rest of FloridaFlorida | — | $403.69 |
| Atlanta, GAGeorgia | — | $391.61 |
| Rest of GeorgiaGeorgia | — | $380.10 |
| Hawaii, Guam, HIHawaii | — | $364.36 |
| IowaIowa | — | $335.28 |
| IdahoIdaho | — | $340.16 |
| East St. Louis, ILIllinois | — | $430.75 |
| Rest of IllinoisIllinois | — | $403.65 |
| Suburban Chicago, ILIllinois | — | $427.04 |
| IndianaIndiana | — | $341.50 |
| KansasKansas | — | $340.65 |
| KentuckyKentucky | — | $363.57 |
| New Orleans, LALouisiana | — | $380.87 |
| Rest of LouisianaLouisiana | — | $365.77 |
| Metropolitan Boston, MAMassachusetts | — | $397.05 |
| Rest of MassachusettsMassachusetts | — | $374.00 |
| Baltimore area, MDMaryland | — | $401.52 |
| Rest of MarylandMaryland | — | $376.30 |
| Rest of MaineMaine | — | $348.92 |
| Southern Maine, MEMaine | — | $355.33 |
| Detroit, MIMichigan | — | $415.19 |
| Rest of MichiganMichigan | — | $378.14 |
| MinnesotaMinnesota | — | $338.78 |
| Metropolitan Kansas City, MOMissouri | — | $371.36 |
| Metropolitan St. Louis, MOMissouri | — | $373.91 |
| Rest of MissouriMissouri | — | $364.80 |
| MississippiMississippi | — | $350.91 |
| MontanaMontana | — | $377.65 |
| North CarolinaNorth Carolina | — | $350.99 |
| North DakotaNorth Dakota | — | $342.85 |
| NebraskaNebraska | — | $334.82 |
| New HampshireNew Hampshire | — | $373.81 |
| Northern New JerseyNew Jersey | — | $409.89 |
| Rest of New JerseyNew Jersey | — | $400.53 |
| New MexicoNew Mexico | — | $382.70 |
| NevadaNevada | — | $368.03 |
| NYC suburbs and Long Island, NYNew York | — | $458.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $408.60 |
| Queens, NYNew York | — | $433.94 |
| Rest of New YorkNew York | — | $356.16 |
| OhioOhio | — | $371.03 |
| OklahomaOklahoma | — | $355.79 |
| Portland, OROregon | — | $375.69 |
| Rest of OregonOregon | — | $359.97 |
| Metropolitan Philadelphia, PAPennsylvania | — | $396.76 |
| Rest of PennsylvaniaPennsylvania | — | $367.74 |
| Puerto RicoPuerto Rico | — | $377.79 |
| Rhode IslandRhode Island | — | $378.64 |
| South CarolinaSouth Carolina | — | $362.65 |
| South DakotaSouth Dakota | — | $338.73 |
| TennesseeTennessee | — | $343.01 |
| Austin, TXTexas | — | $376.34 |
| Beaumont, TXTexas | — | $366.14 |
| Brazoria, TXTexas | — | $365.97 |
| Dallas, TXTexas | — | $371.21 |
| Fort Worth, TXTexas | — | $371.15 |
| Galveston, TXTexas | — | $368.96 |
| Houston, TXTexas | — | $401.18 |
| Rest of TexasTexas | — | $367.84 |
| UtahUtah | — | $366.80 |
| VirginiaVirginia | — | $359.07 |
| Virgin Islands, VIUnited States Virgin Islands | — | $377.79 |
| VermontVermont | — | $347.90 |
| Rest of WashingtonWashington | — | $371.17 |
| King County, WAWashington | — | $397.62 |
| WisconsinWisconsin | — | $333.61 |
| West VirginiaWest Virginia | — | $392.25 |
| WyomingWyoming | — | $362.48 |
39402 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 39402 rate is calculated
Each of 39402’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 · 39402
RVUs × geographic indexes × conversion factor
Work7.07
7.07 RVUs× 1.000 GPCI
Practice expense2.48
2.48 RVUs× 1.000 GPCI
Malpractice1.76
1.76 RVUs× 1.000 GPCI
Adjusted RVUs
11.3100
Conversion factor
$33.4009
Medicare rate
$377.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Oxnard, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,779
- Code
- 39402
- Physician work
- 7.07
- Practice expense
- 2.48
- Malpractice
- 1.76
GPCI2026.csv
18
- Locality
- Oxnard, CA
- Physician work
- 1.028
- Practice expense
- 1.182
- Malpractice
- 0.623
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.07 | × 1.028 | 7.2680 |
| Practice expense | 2.48 | × 1.182 | 2.9314 |
| Malpractice | 1.76 | × 0.623 | 1.0965 |
| Total RVUs | 11.2958 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oxnard, CA$377.29
Facility: (7.07 × 1.028 + 2.48 × 1.182 + 1.76 × 0.623) × $33.4009 = $377.29
Payment rules and modifiers for 39402
The CMS indicators that decide how 39402 is paid alongside other services.
CMS payment indicators · 39402
Mediastinoscopy, lymph node 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
39402 without 51 · national facility
$377.76
Mediastinoscopy, lymph node biopsy
39402-51 · Second procedure: 50%
$188.88
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 39402 has changed in Oxnard, CA
39402 · 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 | $377.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $377.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $377.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $377.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $390.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $390.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $390.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $390.77 | RVU25A |
| 2024-10-01 | Not available in this setting | $399.16 | RVU24D |
| 2024-07-01 | Not available in this setting | $399.16 | RVU24C |
| 2024-04-01 | Not available in this setting | $399.16 | RVU24B |
| 2024-03-09 | Not available in this setting | $399.16 | RVU24AR |
| 2024-01-01 | Not available in this setting | $392.65 | RVU24A |
| 2023-10-01 | Not available in this setting | $406.93 | RVU23D |
| 2023-07-01 | Not available in this setting | $406.93 | RVU23C |
| 2023-04-01 | Not available in this setting | $406.93 | RVU23B |
| 2023-01-01 | Not available in this setting | $406.93 | RVU23A |
| 2022-10-01 | Not available in this setting | $417.48 | RVU22D |
| 2022-07-01 | Not available in this setting | $417.48 | RVU22C |
| 2022-04-01 | Not available in this setting | $417.48 | RVU22B |
| 2022-01-01 | Not available in this setting | $417.48 | RVU22A |
| 2021-10-01 | Not available in this setting | $419.67 | RVU21D |
| 2021-07-01 | Not available in this setting | $419.67 | RVU21C |
| 2021-04-01 | Not available in this setting | $419.67 | RVU21B |
| 2021-01-01 | Not available in this setting | $419.67 | RVU21A |
| 2020-10-01 | Not available in this setting | $428.32 | RVU20D |
| 2020-07-01 | Not available in this setting | $428.32 | RVU20C |
| 2020-04-01 | Not available in this setting | $428.32 | RVU20B |
| 2020-01-01 | Not available in this setting | $428.32 | RVU20A |
| 2019-10-01 | Not available in this setting | $426.43 | RVU19D |
| 2019-07-01 | Not available in this setting | $426.43 | RVU19C |
| 2019-04-01 | Not available in this setting | $426.43 | RVU19B |
| 2019-01-01 | Not available in this setting | $426.43 | RVU19A |
| 2018-10-01 | Not available in this setting | $426.99 | RVU18D |
| 2018-07-01 | Not available in this setting | $426.99 | RVU18C |
| 2018-04-01 | Not available in this setting | $426.99 | RVU18B |
| 2018-01-01 | Not available in this setting | $426.99 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $432.71 | RVU17D |
| 2017-07-01 | Not available in this setting | $432.71 | RVU17C |
| 2017-04-01 | Not available in this setting | $432.71 | RVU17B |
| 2017-01-01 | Not available in this setting | $432.71 | RVU17A |
| 2016-10-01 | Not available in this setting | $439.14 | RVU16D |
| 2016-07-01 | Not available in this setting | $439.14 | RVU16C |
| 2016-04-01 | Not available in this setting | $439.14 | RVU16B |
| 2016-01-01 | Not available in this setting | $439.14 | 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 Oxnard, CA rate applies
Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Oxnard
- Thousand Oaks
- Bell Canyon
- Camarillo
- Casa Conejo
- Channel Islands Beach
- El Rio
- Fillmore
39402 billing questions
How is this distinguished from 39401?
Use 39402 when mediastinoscopy is used to biopsy mediastinal lymph nodes. Code 39401 is associated with mediastinal biopsy rather than lymph node biopsy.
Can the sampled lymph node biopsy be billed separately?
No. The lymph node sampling is included in the mediastinoscopic service; do not report a separate biopsy charge for tissue obtained through this procedure.
What documentation supports reporting 39402?
The operative report should establish the mediastinoscopic approach and identify the mediastinal lymph node sites sampled.
Should modifier 50 be appended when nodes on both sides are sampled?
No. Modifier 50 is inappropriate for this code, even when the operative report describes sampling on both sides.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 39402. Co-surgeons and team surgery are not permitted.
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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