Billing code 39402: MediastinoscopyMedicare rate & RVUs in Redding
Report this service when a surgeon uses mediastinoscopy to obtain mediastinal lymph node tissue, commonly for lung cancer staging or diagnostic evaluation.
In Redding, Medicare pays $362.45 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 Redding 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*. Redding pays $362.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$362.45
- Bakersfield · California$367.22+$4.77
- Chico · California$362.45
- El Centro · California$362.75+$0.30
- Fresno · California$362.45
- Hanford-Corcoran · California$362.45
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$382.85+$20.40
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | — | $362.45 |
| MercedCalifornia | — | $362.45 |
| ModestoCalifornia | — | $362.45 |
| NapaCalifornia | — | $390.06 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $377.29 |
| Rest Of CaliforniaCalifornia | — | $362.45 |
| Riverside-San Bernardino-OntarioCalifornia | — | $381.33 |
| Sacramento-Roseville-FolsomCalifornia | — | $372.49 |
| SalinasCalifornia | — | $370.98 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $374.16 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $402.36 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $400.36 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $413.08 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $404.91 |
| San Luis Obispo-Paso RoblesCalifornia | — | $366.02 |
| Santa Cruz-WatsonvilleCalifornia | — | $373.26 |
| Santa Maria-Santa BarbaraCalifornia | — | $370.85 |
| Santa Rosa-PetalumaCalifornia | — | $376.46 |
| StocktonCalifornia | — | $362.45 |
| VallejoCalifornia | — | $387.18 |
| VisaliaCalifornia | — | $362.45 |
| Yuba CityCalifornia | — | $362.45 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $411.90 |
| MiamiFlorida | — | $471.04 |
| ChicagoIllinois | — | $455.96 |
| ManhattanNew York | — | $440.74 |
| Alaska*Alaska | — | $474.83 |
| AlabamaAlabama | — | $341.90 |
| ArkansasArkansas | — | $337.57 |
| ArizonaArizona | — | $366.73 |
| ColoradoColorado | — | $373.03 |
| ConnecticutConnecticut | — | $401.21 |
| DelawareDelaware | — | $372.01 |
| Fort LauderdaleFlorida | — | $426.34 |
| Rest Of FloridaFlorida | — | $403.69 |
| AtlantaGeorgia | — | $391.61 |
| Rest Of GeorgiaGeorgia | — | $380.10 |
| Hawaii, GuamHawaii | — | $364.36 |
| IowaIowa | — | $335.28 |
| IdahoIdaho | — | $340.16 |
| East St. LouisIllinois | — | $430.75 |
| Rest Of IllinoisIllinois | — | $403.65 |
| Suburban ChicagoIllinois | — | $427.04 |
| IndianaIndiana | — | $341.50 |
| KansasKansas | — | $340.65 |
| KentuckyKentucky | — | $363.57 |
| New OrleansLouisiana | — | $380.87 |
| Rest Of LouisianaLouisiana | — | $365.77 |
| Metropolitan BostonMassachusetts | — | $397.05 |
| Rest Of MassachusettsMassachusetts | — | $374.00 |
| Baltimore/Surr. CntysMaryland | — | $401.52 |
| Rest Of MarylandMaryland | — | $376.30 |
| Rest Of MaineMaine | — | $348.92 |
| Southern MaineMaine | — | $355.33 |
| DetroitMichigan | — | $415.19 |
| Rest Of MichiganMichigan | — | $378.14 |
| MinnesotaMinnesota | — | $338.78 |
| Metropolitan Kansas CityMissouri | — | $371.36 |
| Metropolitan St. LouisMissouri | — | $373.91 |
| Rest Of MissouriMissouri | — | $364.80 |
| MississippiMississippi | — | $350.91 |
| Montana**Montana | — | $377.65 |
| North CarolinaNorth Carolina | — | $350.99 |
| North Dakota**North Dakota | — | $342.85 |
| NebraskaNebraska | — | $334.82 |
| New HampshireNew Hampshire | — | $373.81 |
| Northern NjNew Jersey | — | $409.89 |
| Rest Of New JerseyNew Jersey | — | $400.53 |
| New MexicoNew Mexico | — | $382.70 |
| Nevada**Nevada | — | $368.03 |
| Nyc Suburbs/Long IslandNew York | — | $458.91 |
| Poughkpsie/N Nyc SuburbsNew York | — | $408.60 |
| QueensNew York | — | $433.94 |
| Rest Of New YorkNew York | — | $356.16 |
| OhioOhio | — | $371.03 |
| OklahomaOklahoma | — | $355.79 |
| PortlandOregon | — | $375.69 |
| Rest Of OregonOregon | — | $359.97 |
| Metropolitan PhiladelphiaPennsylvania | — | $396.76 |
| Rest Of PennsylvaniaPennsylvania | — | $367.74 |
| Puerto RicoPuerto Rico | — | $377.79 |
| Rhode IslandRhode Island | — | $378.64 |
| South CarolinaSouth Carolina | — | $362.65 |
| South Dakota**South Dakota | — | $338.73 |
| TennesseeTennessee | — | $343.01 |
| AustinTexas | — | $376.34 |
| BeaumontTexas | — | $366.14 |
| BrazoriaTexas | — | $365.97 |
| DallasTexas | — | $371.21 |
| Fort WorthTexas | — | $371.15 |
| GalvestonTexas | — | $368.96 |
| HoustonTexas | — | $401.18 |
| Rest Of TexasTexas | — | $367.84 |
| UtahUtah | — | $366.80 |
| VirginiaVirginia | — | $359.07 |
| Virgin IslandsUnited States Virgin Islands | — | $377.79 |
| VermontVermont | — | $347.90 |
| Rest Of WashingtonWashington | — | $371.17 |
| Seattle (King Cnty)Washington | — | $397.62 |
| WisconsinWisconsin | — | $333.61 |
| West VirginiaWest Virginia | — | $392.25 |
| Wyoming**Wyoming | — | $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 Redding 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
19
- Locality
- Redding
- 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, Redding$362.45
Facility: (7.07 × 1.017 + 2.48 × 1.096 + 1.76 × 0.536) × $33.4009 = $362.45
Payment rules and modifiers for 39402
The CMS indicators that decide how 39402 is paid alongside other services.
CMS payment indicators · 39402
Mediastinoscopy
| 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
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 Redding
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, RVU22C, 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 | $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 |
| 2024-10-01 | Not available in this setting | $382.30 | RVU24D |
| 2022-07-01 | Not available in this setting | $398.57 | RVU22C |
| 2021-04-01 | Not available in this setting | $400.83 | RVU21B |
| 2021-01-01 | Not available in this setting | $400.83 | RVU21A |
| 2020-10-01 | Not available in this setting | $409.82 | RVU20D |
| 2020-07-01 | Not available in this setting | $409.82 | RVU20C |
| 2020-04-01 | Not available in this setting | $409.82 | RVU20B |
| 2020-01-01 | Not available in this setting | $409.82 | RVU20A |
| 2019-10-01 | Not available in this setting | $408.36 | RVU19D |
| 2019-07-01 | Not available in this setting | $408.36 | RVU19C |
| 2019-04-01 | Not available in this setting | $408.36 | RVU19B |
| 2019-01-01 | Not available in this setting | $408.36 | RVU19A |
| 2018-10-01 | Not available in this setting | $408.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $408.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $408.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $408.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $413.07 | RVU17D |
| 2017-07-01 | Not available in this setting | $413.07 | RVU17C |
| 2017-04-01 | Not available in this setting | $413.07 | RVU17B |
| 2017-01-01 | Not available in this setting | $413.07 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | 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 Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
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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