No office rate
Choose 38747 for regional abdominal nodal clearance. Use 38780 when the operation involves extensive retroperitoneal dissection across pelvic, aortic, and renal fields.
On this page
CMS RVU26D · Effective 2026-10-01
38780 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$960.64
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Lymphatic surgery
About 38780: Extensive retroperitoneal lymphadenectomy
Reports extensive transabdominal retroperitoneal node removal across pelvic, aortic, and renal fields for selected malignancies requiring broad nodal clearance.
Code 38780 represents an extensive transabdominal operation to remove lymphatic tissue across the retroperitoneum, reaching pelvic, aortic, and renal nodal fields rather than a limited regional basin. Urologists and surgical oncologists commonly perform it for selected cancers requiring broad retroperitoneal clearance, including testicular malignancy; the operative report should establish the extent and nodal territories treated.
Report 38780 when the surgeon performs that extensive dissection, not for isolated sampling or a more confined pelvic or abdominal nodal clearance. Document the indication, approach, and nodal boundaries, and distinguish the work from other procedures performed in the same session. Medicare treats it as major surgery: the day-before preoperative visit and related care through 90 days after surgery are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures receive the standard reduction. Modifier 50 is inappropriate. An assistant may be paid; co-surgeons require supporting documentation, while team surgery is not permitted.
CMS billing rules for 38780
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.26 · 59%
- Practice expense (office) RVU8.48 · 29%
- Malpractice RVU3.57 · 12%
465
Medicare services in 2024 · #3625 by national volume
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.
38780 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
38770 is directed to pelvic nodal groups. It does not describe the broader retroperitoneal dissection represented by 38780.
No office rate
38746 covers regional thoracic nodal dissection, such as mediastinal or periesophageal fields; 38780 is for extensive abdominal retroperitoneal fields.
The same code, a different location
How does Chico compare?
38780 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 38780
Office
Unavailable
Facility
$960.64
No comparable office rate is available.
Modesto
California · 38780
Office
Unavailable
Facility
$960.64
No comparable office rate is available.
Napa
California · 38780
Office
Unavailable
Facility
$1046.70
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 38780
Office
Unavailable
Facility
$1001.72
No comparable office rate is available.
Redding
California · 38780
Office
Unavailable
Facility
$960.64
No comparable office rate is available.
Rest Of California
California · 38780
Office
Unavailable
Facility
$960.64
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 38780
Office
Unavailable
Facility
$999.02
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 38780
Office
Unavailable
Facility
$990.57
No comparable office rate is available.
Salinas
California · 38780
Office
Unavailable
Facility
$986.56
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 38780
Office
Unavailable
Facility
$997.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 38780
Office
Unavailable
Facility
$1085.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 38780
Office
Unavailable
Facility
$1081.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 38780
Office
Unavailable
Facility
$1112.26
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 38780
Office
Unavailable
Facility
$1095.68
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 38780
Office
Unavailable
Facility
$972.82
No comparable office rate is available.
Santa Cruz-Watsonville
California · 38780
Office
Unavailable
Facility
$996.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 38780
Office
Unavailable
Facility
$986.81
No comparable office rate is available.
Santa Rosa-Petaluma
California · 38780
Office
Unavailable
Facility
$1005.53
No comparable office rate is available.
Stockton
California · 38780
Office
Unavailable
Facility
$960.64
No comparable office rate is available.
Vallejo
California · 38780
Office
Unavailable
Facility
$1040.86
No comparable office rate is available.
Visalia
California · 38780
Office
Unavailable
Facility
$960.64
No comparable office rate is available.
Yuba City
California · 38780
Office
Unavailable
Facility
$960.64
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 38780
Office
Unavailable
Facility
$1074.00
No comparable office rate is available.
Miami
Florida · 38780
Office
Unavailable
Facility
$1172.91
No comparable office rate is available.
Chicago
Illinois · 38780
Office
Unavailable
Facility
$1138.85
No comparable office rate is available.
Manhattan
New York · 38780
Office
Unavailable
Facility
$1131.64
No comparable office rate is available.
Alaska*
Alaska · 38780
Office
Unavailable
Facility
$1232.10
No comparable office rate is available.
Alabama
Alabama · 38780
Office
Unavailable
Facility
$891.82
No comparable office rate is available.
Arkansas
Arkansas · 38780
Office
Unavailable
Facility
$881.21
No comparable office rate is available.
Arizona
Arizona · 38780
Office
Unavailable
Facility
$953.03
No comparable office rate is available.
Colorado
Colorado · 38780
Office
Unavailable
Facility
$977.91
No comparable office rate is available.
Connecticut
Connecticut · 38780
Office
Unavailable
Facility
$1037.36
No comparable office rate is available.
Delaware
Delaware · 38780
Office
Unavailable
Facility
$966.42
No comparable office rate is available.
Fort Lauderdale
Florida · 38780
Office
Unavailable
Facility
$1079.01
No comparable office rate is available.
Rest Of Florida
Florida · 38780
Office
Unavailable
Facility
$1026.50
No comparable office rate is available.
Atlanta
Georgia · 38780
Office
Unavailable
Facility
$1009.21
No comparable office rate is available.
Rest Of Georgia
Georgia · 38780
Office
Unavailable
Facility
$971.28
No comparable office rate is available.
Hawaii, Guam
Hawaii · 38780
Office
Unavailable
Facility
$967.58
No comparable office rate is available.
Iowa
Iowa · 38780
Office
Unavailable
Facility
$883.00
No comparable office rate is available.
Idaho
Idaho · 38780
Office
Unavailable
Facility
$893.48
No comparable office rate is available.
East St. Louis
Illinois · 38780
Office
Unavailable
Facility
$1077.23
No comparable office rate is available.
Rest Of Illinois
Illinois · 38780
Office
Unavailable
Facility
$1021.47
No comparable office rate is available.
Suburban Chicago
Illinois · 38780
Office
Unavailable
Facility
$1082.72
No comparable office rate is available.
Indiana
Indiana · 38780
Office
Unavailable
Facility
$897.01
No comparable office rate is available.
Kansas
Kansas · 38780
Office
Unavailable
Facility
$892.65
No comparable office rate is available.
Kentucky
Kentucky · 38780
Office
Unavailable
Facility
$937.41
No comparable office rate is available.
New Orleans
Louisiana · 38780
Office
Unavailable
Facility
$978.49
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 38780
Office
Unavailable
Facility
$941.40
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 38780
Office
Unavailable
Facility
$1044.45
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 38780
Office
Unavailable
Facility
$979.01
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 38780
Office
Unavailable
Facility
$1037.14
No comparable office rate is available.
Rest Of Maryland
Maryland · 38780
Office
Unavailable
Facility
$978.37
No comparable office rate is available.
Rest Of Maine
Maine · 38780
Office
Unavailable
Facility
$911.25
No comparable office rate is available.
Southern Maine
Maine · 38780
Office
Unavailable
Facility
$932.43
No comparable office rate is available.
Detroit
Michigan · 38780
Office
Unavailable
Facility
$1050.87
No comparable office rate is available.
Rest Of Michigan
Michigan · 38780
Office
Unavailable
Facility
$969.72
No comparable office rate is available.
Minnesota
Minnesota · 38780
Office
Unavailable
Facility
$903.25
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 38780
Office
Unavailable
Facility
$958.96
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 38780
Office
Unavailable
Facility
$965.62
No comparable office rate is available.
Rest Of Missouri
Missouri · 38780
Office
Unavailable
Facility
$936.79
No comparable office rate is available.
Mississippi
Mississippi · 38780
Office
Unavailable
Facility
$908.49
No comparable office rate is available.
Montana**
Montana · 38780
Office
Unavailable
Facility
$978.74
No comparable office rate is available.
North Carolina
North Carolina · 38780
Office
Unavailable
Facility
$916.96
No comparable office rate is available.
North Dakota**
North Dakota · 38780
Office
Unavailable
Facility
$908.15
No comparable office rate is available.
Nebraska
Nebraska · 38780
Office
Unavailable
Facility
$883.00
No comparable office rate is available.
New Hampshire
New Hampshire · 38780
Office
Unavailable
Facility
$975.69
No comparable office rate is available.
Northern Nj
New Jersey · 38780
Office
Unavailable
Facility
$1068.73
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 38780
Office
Unavailable
Facility
$1039.66
No comparable office rate is available.
New Mexico
New Mexico · 38780
Office
Unavailable
Facility
$979.44
No comparable office rate is available.
Nevada**
Nevada · 38780
Office
Unavailable
Facility
$959.35
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 38780
Office
Unavailable
Facility
$1171.60
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 38780
Office
Unavailable
Facility
$1056.87
No comparable office rate is available.
Queens
New York · 38780
Office
Unavailable
Facility
$1120.13
No comparable office rate is available.
Rest Of New York
New York · 38780
Office
Unavailable
Facility
$929.40
No comparable office rate is available.
Ohio
Ohio · 38780
Office
Unavailable
Facility
$955.29
No comparable office rate is available.
Oklahoma
Oklahoma · 38780
Office
Unavailable
Facility
$922.08
No comparable office rate is available.
Portland
Oregon · 38780
Office
Unavailable
Facility
$989.12
No comparable office rate is available.
Rest Of Oregon
Oregon · 38780
Office
Unavailable
Facility
$942.43
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 38780
Office
Unavailable
Facility
$1023.98
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 38780
Office
Unavailable
Facility
$949.20
No comparable office rate is available.
Puerto Rico
Puerto Rico · 38780
Office
Unavailable
Facility
$980.31
No comparable office rate is available.
Rhode Island
Rhode Island · 38780
Office
Unavailable
Facility
$986.40
No comparable office rate is available.
South Carolina
South Carolina · 38780
Office
Unavailable
Facility
$939.57
No comparable office rate is available.
South Dakota**
South Dakota · 38780
Office
Unavailable
Facility
$899.80
No comparable office rate is available.
Tennessee
Tennessee · 38780
Office
Unavailable
Facility
$898.00
No comparable office rate is available.
Austin
Texas · 38780
Office
Unavailable
Facility
$982.97
No comparable office rate is available.
Beaumont
Texas · 38780
Office
Unavailable
Facility
$945.02
No comparable office rate is available.
Brazoria
Texas · 38780
Office
Unavailable
Facility
$954.81
No comparable office rate is available.
Dallas
Texas · 38780
Office
Unavailable
Facility
$966.10
No comparable office rate is available.
Fort Worth
Texas · 38780
Office
Unavailable
Facility
$964.82
No comparable office rate is available.
Galveston
Texas · 38780
Office
Unavailable
Facility
$961.10
No comparable office rate is available.
Houston
Texas · 38780
Office
Unavailable
Facility
$1026.44
No comparable office rate is available.
Rest Of Texas
Texas · 38780
Office
Unavailable
Facility
$952.97
No comparable office rate is available.
Utah
Utah · 38780
Office
Unavailable
Facility
$949.82
No comparable office rate is available.
Virginia
Virginia · 38780
Office
Unavailable
Facility
$939.11
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 38780
Office
Unavailable
Facility
$980.31
No comparable office rate is available.
Vermont
Vermont · 38780
Office
Unavailable
Facility
$917.24
No comparable office rate is available.
Rest Of Washington
Washington · 38780
Office
Unavailable
Facility
$972.99
No comparable office rate is available.
Seattle (King Cnty)
Washington · 38780
Office
Unavailable
Facility
$1050.28
No comparable office rate is available.
Wisconsin
Wisconsin · 38780
Office
Unavailable
Facility
$884.57
No comparable office rate is available.
West Virginia
West Virginia · 38780
Office
Unavailable
Facility
$993.27
No comparable office rate is available.
Wyoming**
Wyoming · 38780
Office
Unavailable
Facility
$947.98
No comparable office rate is available.
See how rates vary across the country
38780 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 38780 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1056.70
$960.64 × 110% = $1056.70
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 38780 in Chico.
PPRRVU2026_Oct_nonQPP.csv
4,768
- Code
- 38780
- Physician work
- 17.26
- Practice expense
- 8.48
- Malpractice
- 3.57
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.26 | × 1.017 | 17.5534 |
| Practice expense | 8.48 | × 1.096 | 9.2941 |
| Malpractice | 3.57 | × 0.536 | 1.9135 |
| Total RVUs | 28.7610 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$960.64
Open 38780 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.26 | 1.017 |
| Practice expense | 8.48 | 1.096 |
| Malpractice | 3.57 | 0.536 |
(17.26 × 1.017 + 8.48 × 1.096 + 3.57 × 0.536) × $33.4009 = $960.64
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
38780 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $960.64 | RVU26D |
| 2026-07-01 | Not available in this setting | $960.64 | RVU26C |
| 2026-04-01 | Not available in this setting | $960.64 | RVU26B |
| 2026-01-01 | Not available in this setting | $960.64 | RVU26A |
| 2025-10-01 | Not available in this setting | $1021.86 | RVU25D |
| 2025-07-01 | Not available in this setting | $1021.86 | RVU25C |
| 2025-04-01 | Not available in this setting | $1021.86 | RVU25B |
| 2025-01-01 | Not available in this setting | $1021.86 | RVU25A |
38780 billing questions
How is 38780 distinguished from 38747?
Use 38780 for broad retroperitoneal clearance reaching pelvic, aortic, and renal nodal fields. Code 38747 describes regional abdominal node removal rather than this extensive dissection.
Can modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and related postoperative care for 90 days.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What documentation supports choosing 38780?
The operative report should identify the extensive retroperitoneal dissection and the nodal territories addressed, including whether pelvic, aortic, and renal fields were treated.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,76538760,,Remove groin lymph nodes,A,,13.28,7.16,NA,7.16,,2.93,23.37,23.37,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76638765,,Remove groin lymph nodes,A,,21.36,10.50,NA,10.50,,4.83,36.69,36.69,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76738770,,Remove pelvis lymph nodes,A,,13.71,6.11,NA,6.11,,2.31,22.13,22.13,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76838780,,Remove abdomen lymph nodes,A,,17.26,8.48,NA,8.48,,3.57,29.31,29.31,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76938790,,Inject for lymphatic x-ray,A,,1.26,0.81,NA,0.81,,0.20,2.27,2.27,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77038792,,Ra tracer id of sentinl node,A,,0.63,1.76,,0.12,,0.07,2.46,0.82,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77138794,,Access thoracic lymph duct,A,,4.50,2.71,NA,2.71,,0.53,7.74,7.74,0,090,0.11,0.73,0.16,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536