No office rate
Choose 39402 for mediastinoscopic sampling of lymph nodes. Code 39401 is associated with mediastinal biopsy that is not described as lymph node biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
39402 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$362.45
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.
Thoracic surgery
About 39402: Mediastinoscopic mediastinal lymph node biopsy
Report this service when a surgeon uses mediastinoscopy to obtain mediastinal lymph node tissue, commonly for lung cancer staging or diagnostic evaluation.
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.
CMS billing rules for 39402
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.07 · 63%
- Practice expense (office) RVU2.48 · 22%
- Malpractice RVU1.76 · 16%
1.3K
Medicare services in 2024 · #2771 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.
39402 compared with similar codes
Office rates for Merced, from the same CMS release.
39499
No office rateUnlisted px mediastinum
Use 39402 when the service is mediastinoscopic lymph node biopsy. The unlisted code is for a mediastinal procedure that lacks a specific listed code.
No office rate
Code 32606 describes diagnostic thoracoscopy with mediastinal tissue biopsy; 39402 describes lymph node sampling by mediastinoscopy.
The same code, a different location
How does Merced compare?
39402 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 39402
Office
Unavailable
Facility
$362.45
No comparable office rate is available.
Modesto
California · 39402
Office
Unavailable
Facility
$362.45
No comparable office rate is available.
Napa
California · 39402
Office
Unavailable
Facility
$390.06
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 39402
Office
Unavailable
Facility
$377.29
No comparable office rate is available.
Redding
California · 39402
Office
Unavailable
Facility
$362.45
No comparable office rate is available.
Rest Of California
California · 39402
Office
Unavailable
Facility
$362.45
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 39402
Office
Unavailable
Facility
$381.33
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 39402
Office
Unavailable
Facility
$372.49
No comparable office rate is available.
Salinas
California · 39402
Office
Unavailable
Facility
$370.98
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 39402
Office
Unavailable
Facility
$374.16
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 39402
Office
Unavailable
Facility
$402.36
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 39402
Office
Unavailable
Facility
$400.36
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 39402
Office
Unavailable
Facility
$413.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 39402
Office
Unavailable
Facility
$404.91
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 39402
Office
Unavailable
Facility
$366.02
No comparable office rate is available.
Santa Cruz-Watsonville
California · 39402
Office
Unavailable
Facility
$373.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 39402
Office
Unavailable
Facility
$370.85
No comparable office rate is available.
Santa Rosa-Petaluma
California · 39402
Office
Unavailable
Facility
$376.46
No comparable office rate is available.
Stockton
California · 39402
Office
Unavailable
Facility
$362.45
No comparable office rate is available.
Vallejo
California · 39402
Office
Unavailable
Facility
$387.18
No comparable office rate is available.
Visalia
California · 39402
Office
Unavailable
Facility
$362.45
No comparable office rate is available.
Yuba City
California · 39402
Office
Unavailable
Facility
$362.45
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 39402
Office
Unavailable
Facility
$411.90
No comparable office rate is available.
Miami
Florida · 39402
Office
Unavailable
Facility
$471.04
No comparable office rate is available.
Chicago
Illinois · 39402
Office
Unavailable
Facility
$455.96
No comparable office rate is available.
Manhattan
New York · 39402
Office
Unavailable
Facility
$440.74
No comparable office rate is available.
Alaska*
Alaska · 39402
Office
Unavailable
Facility
$474.83
No comparable office rate is available.
Alabama
Alabama · 39402
Office
Unavailable
Facility
$341.90
No comparable office rate is available.
Arkansas
Arkansas · 39402
Office
Unavailable
Facility
$337.57
No comparable office rate is available.
Arizona
Arizona · 39402
Office
Unavailable
Facility
$366.73
No comparable office rate is available.
Colorado
Colorado · 39402
Office
Unavailable
Facility
$373.03
No comparable office rate is available.
Connecticut
Connecticut · 39402
Office
Unavailable
Facility
$401.21
No comparable office rate is available.
Delaware
Delaware · 39402
Office
Unavailable
Facility
$372.01
No comparable office rate is available.
Fort Lauderdale
Florida · 39402
Office
Unavailable
Facility
$426.34
No comparable office rate is available.
Rest Of Florida
Florida · 39402
Office
Unavailable
Facility
$403.69
No comparable office rate is available.
Atlanta
Georgia · 39402
Office
Unavailable
Facility
$391.61
No comparable office rate is available.
Rest Of Georgia
Georgia · 39402
Office
Unavailable
Facility
$380.10
No comparable office rate is available.
Hawaii, Guam
Hawaii · 39402
Office
Unavailable
Facility
$364.36
No comparable office rate is available.
Iowa
Iowa · 39402
Office
Unavailable
Facility
$335.28
No comparable office rate is available.
Idaho
Idaho · 39402
Office
Unavailable
Facility
$340.16
No comparable office rate is available.
East St. Louis
Illinois · 39402
Office
Unavailable
Facility
$430.75
No comparable office rate is available.
Rest Of Illinois
Illinois · 39402
Office
Unavailable
Facility
$403.65
No comparable office rate is available.
Suburban Chicago
Illinois · 39402
Office
Unavailable
Facility
$427.04
No comparable office rate is available.
Indiana
Indiana · 39402
Office
Unavailable
Facility
$341.50
No comparable office rate is available.
Kansas
Kansas · 39402
Office
Unavailable
Facility
$340.65
No comparable office rate is available.
Kentucky
Kentucky · 39402
Office
Unavailable
Facility
$363.57
No comparable office rate is available.
New Orleans
Louisiana · 39402
Office
Unavailable
Facility
$380.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 39402
Office
Unavailable
Facility
$365.77
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 39402
Office
Unavailable
Facility
$397.05
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 39402
Office
Unavailable
Facility
$374.00
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 39402
Office
Unavailable
Facility
$401.52
No comparable office rate is available.
Rest Of Maryland
Maryland · 39402
Office
Unavailable
Facility
$376.30
No comparable office rate is available.
Rest Of Maine
Maine · 39402
Office
Unavailable
Facility
$348.92
No comparable office rate is available.
Southern Maine
Maine · 39402
Office
Unavailable
Facility
$355.33
No comparable office rate is available.
Detroit
Michigan · 39402
Office
Unavailable
Facility
$415.19
No comparable office rate is available.
Rest Of Michigan
Michigan · 39402
Office
Unavailable
Facility
$378.14
No comparable office rate is available.
Minnesota
Minnesota · 39402
Office
Unavailable
Facility
$338.78
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 39402
Office
Unavailable
Facility
$371.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 39402
Office
Unavailable
Facility
$373.91
No comparable office rate is available.
Rest Of Missouri
Missouri · 39402
Office
Unavailable
Facility
$364.80
No comparable office rate is available.
Mississippi
Mississippi · 39402
Office
Unavailable
Facility
$350.91
No comparable office rate is available.
Montana**
Montana · 39402
Office
Unavailable
Facility
$377.65
No comparable office rate is available.
North Carolina
North Carolina · 39402
Office
Unavailable
Facility
$350.99
No comparable office rate is available.
North Dakota**
North Dakota · 39402
Office
Unavailable
Facility
$342.85
No comparable office rate is available.
Nebraska
Nebraska · 39402
Office
Unavailable
Facility
$334.82
No comparable office rate is available.
New Hampshire
New Hampshire · 39402
Office
Unavailable
Facility
$373.81
No comparable office rate is available.
Northern Nj
New Jersey · 39402
Office
Unavailable
Facility
$409.89
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 39402
Office
Unavailable
Facility
$400.53
No comparable office rate is available.
New Mexico
New Mexico · 39402
Office
Unavailable
Facility
$382.70
No comparable office rate is available.
Nevada**
Nevada · 39402
Office
Unavailable
Facility
$368.03
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 39402
Office
Unavailable
Facility
$458.91
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 39402
Office
Unavailable
Facility
$408.60
No comparable office rate is available.
Queens
New York · 39402
Office
Unavailable
Facility
$433.94
No comparable office rate is available.
Rest Of New York
New York · 39402
Office
Unavailable
Facility
$356.16
No comparable office rate is available.
Ohio
Ohio · 39402
Office
Unavailable
Facility
$371.03
No comparable office rate is available.
Oklahoma
Oklahoma · 39402
Office
Unavailable
Facility
$355.79
No comparable office rate is available.
Portland
Oregon · 39402
Office
Unavailable
Facility
$375.69
No comparable office rate is available.
Rest Of Oregon
Oregon · 39402
Office
Unavailable
Facility
$359.97
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 39402
Office
Unavailable
Facility
$396.76
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 39402
Office
Unavailable
Facility
$367.74
No comparable office rate is available.
Puerto Rico
Puerto Rico · 39402
Office
Unavailable
Facility
$377.79
No comparable office rate is available.
Rhode Island
Rhode Island · 39402
Office
Unavailable
Facility
$378.64
No comparable office rate is available.
South Carolina
South Carolina · 39402
Office
Unavailable
Facility
$362.65
No comparable office rate is available.
South Dakota**
South Dakota · 39402
Office
Unavailable
Facility
$338.73
No comparable office rate is available.
Tennessee
Tennessee · 39402
Office
Unavailable
Facility
$343.01
No comparable office rate is available.
Austin
Texas · 39402
Office
Unavailable
Facility
$376.34
No comparable office rate is available.
Beaumont
Texas · 39402
Office
Unavailable
Facility
$366.14
No comparable office rate is available.
Brazoria
Texas · 39402
Office
Unavailable
Facility
$365.97
No comparable office rate is available.
Dallas
Texas · 39402
Office
Unavailable
Facility
$371.21
No comparable office rate is available.
Fort Worth
Texas · 39402
Office
Unavailable
Facility
$371.15
No comparable office rate is available.
Galveston
Texas · 39402
Office
Unavailable
Facility
$368.96
No comparable office rate is available.
Houston
Texas · 39402
Office
Unavailable
Facility
$401.18
No comparable office rate is available.
Rest Of Texas
Texas · 39402
Office
Unavailable
Facility
$367.84
No comparable office rate is available.
Utah
Utah · 39402
Office
Unavailable
Facility
$366.80
No comparable office rate is available.
Virginia
Virginia · 39402
Office
Unavailable
Facility
$359.07
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 39402
Office
Unavailable
Facility
$377.79
No comparable office rate is available.
Vermont
Vermont · 39402
Office
Unavailable
Facility
$347.90
No comparable office rate is available.
Rest Of Washington
Washington · 39402
Office
Unavailable
Facility
$371.17
No comparable office rate is available.
Seattle (King Cnty)
Washington · 39402
Office
Unavailable
Facility
$397.62
No comparable office rate is available.
Wisconsin
Wisconsin · 39402
Office
Unavailable
Facility
$333.61
No comparable office rate is available.
West Virginia
West Virginia · 39402
Office
Unavailable
Facility
$392.25
No comparable office rate is available.
Wyoming**
Wyoming · 39402
Office
Unavailable
Facility
$362.48
No comparable office rate is available.
See how rates vary across the country
39402 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 39402 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$398.70
$362.45 × 110% = $398.70
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 39402 in Merced.
PPRRVU2026_Oct_nonQPP.csv
4,779
- Code
- 39402
- Physician work
- 7.07
- Practice expense
- 2.48
- Malpractice
- 1.76
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.07 | × 1.017 | 7.1902 |
| Practice expense | 2.48 | × 1.096 | 2.7181 |
| Malpractice | 1.76 | × 0.536 | 0.9434 |
| Total RVUs | 10.8516 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$362.45
Open 39402 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.07 | 1.017 |
| Practice expense | 2.48 | 1.096 |
| Malpractice | 1.76 | 0.536 |
(7.07 × 1.017 + 2.48 × 1.096 + 1.76 × 0.536) × $33.4009 = $362.45
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
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
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 | $362.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $362.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $362.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $362.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $374.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $374.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $374.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $374.15 | RVU25A |
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 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.
4,77639200,,Resect mediastinal cyst,A,,14.71,6.49,NA,6.49,,3.70,24.90,24.90,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77739220,,Resect mediastinal tumor,A,,19.06,8.47,NA,8.47,,4.44,31.97,31.97,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77839401,,Mediastinoscpy w/medstnl bx,A,,5.30,2.14,NA,2.14,,1.32,8.76,8.76,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,77939402,,Mediastinoscpy w/lmph nod bx,A,,7.07,2.48,NA,2.48,,1.76,11.31,11.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,78039499,,Unlisted px mediastinum,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,78139501,,Repair diaphragm laceration,A,,13.63,7.31,NA,7.31,,3.31,24.25,24.25,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,78239503,,Repair of diaphragm hernia,A,,106.19,27.29,NA,27.29,,26.77,160.25,160.25,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623