No office rate
38700 is limited to the suprahyoid nodal region; 38720 represents a complete cervical lymphadenectomy. Follow the dissection documented in the operative report.
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CMS RVU26D · Effective 2026-10-01
38700 Neck lymphadenectomy Medicare reimbursement rates in Idaho
Removal of lymph nodes in the suprahyoid neck, commonly performed during surgical management of cancers involving the oral cavity. Compare 38700 office and facility rates across CMS payment localities in Idaho.
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.
What does Medicare pay for 38700 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$657.85
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Surgical oncology
About 38700: Suprahyoid lymph node dissection
Removal of lymph nodes in the suprahyoid neck, commonly performed during surgical management of cancers involving the oral cavity.
A surgeon removes lymphatic tissue from the suprahyoid region, the area above the hyoid bone. The operation may be part of treatment for an oral cavity malignancy when regional nodal disease is being addressed. It is generally performed in an operating room by a head and neck surgeon or another surgeon managing the primary cancer. The operative report should identify the nodal region removed and the extent of dissection.
Report this code for the suprahyoid dissection, not a more extensive cervical lymphadenectomy. The 90-day global period includes the day-before preoperative visit and related 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. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 38700
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU12.49 · 59%
- Practice expense (office) RVU6.84 · 32%
- Malpractice RVU1.93 · 9%
665
Medicare services in 2024 · #3311 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.
38700 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
38724 describes a modified radical neck dissection, a different and more extensive cervical procedure than suprahyoid lymphadenectomy.
$76.23
38792 covers radiotracer injection to identify a sentinel node, not surgical removal of the suprahyoid lymphatic tissue.
Compare 38700 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$657.85
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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 38700 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
4,758
- Code
- 38700
- Physician work
- 12.49
- Practice expense
- 6.84
- Malpractice
- 1.93
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.49 | × 1.000 | 12.4900 |
| Practice expense | 6.84 | × 0.920 | 6.2928 |
| Malpractice | 1.93 | × 0.473 | 0.9129 |
| Total RVUs | 19.6957 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$657.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.49 | 1 |
| Practice expense | 6.84 | 0.92 |
| Malpractice | 1.93 | 0.473 |
(12.49 × 1 + 6.84 × 0.92 + 1.93 × 0.473) × $33.4009 = $657.85
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.
38700 billing questions
How does this differ from 38720?
38700 describes dissection of the suprahyoid nodal region. Use 38720 when the operative service is a complete cervical lymphadenectomy rather than the limited suprahyoid dissection.
How does this differ from 38724?
38724 represents a modified radical neck dissection. Choose based on the extent and type of dissection documented in the operative report, not simply the presence of neck nodes.
What documentation supports 38700?
The operative report should identify the suprahyoid region and describe the lymphatic tissue removed. Documentation should make the extent distinguishable from a complete or modified radical cervical dissection.
How is bilateral reporting handled?
The CMS facts specify modifier 50 for bilateral reporting, with payment at 150%. The record should support work on both sides.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team-surgery payment is 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.
4,75538572,,Laparoscopy lymphadenectomy,A,,15.21,6.59,NA,6.59,,2.92,24.72,24.72,0,010,0.10,0.80,0.10,3,2,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
4,75638573,,Laps pelvic lymphadec,A,,19.50,8.64,NA,8.64,,4.22,32.36,32.36,0,010,0.10,0.80,0.10,3,2,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
4,75738589,,Unlisted laps px lymphtc sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,75838700,,Removal of lymph nodes neck,A,,12.49,6.84,NA,6.84,,1.93,21.26,21.26,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,75938720,,Removal of lymph nodes neck,A,,21.40,10.57,NA,10.57,,3.81,35.78,35.78,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76038724,,Removal of lymph nodes neck,A,,23.35,10.76,NA,10.76,,3.69,37.80,37.80,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76138740,,Remove armpit lymph nodes,A,,10.43,7.06,NA,7.06,,2.68,20.17,20.17,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772