No office rate
Choose 38572 when para-aortic node sampling accompanies bilateral total pelvic lymphadenectomy. 38571 describes the pelvic dissection without that added para-aortic sampling.
On this page
CMS RVU26D · Effective 2026-10-01
38572 Laparoscopic lymphadenectomy Medicare reimbursement rates in Minnesota
Report 38572 for laparoscopic bilateral total pelvic lymphadenectomy with para-aortic lymph node sampling, commonly performed for gynecologic cancer staging. Compare 38572 office and facility rates across CMS payment localities in Minnesota.
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 38572 in Minnesota?
Minnesota 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
$763.39
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Lymphatic surgery
About 38572: Laparoscopic pelvic lymphadenectomy with para-aortic sampling
Report 38572 for laparoscopic bilateral total pelvic lymphadenectomy with para-aortic lymph node sampling, commonly performed for gynecologic cancer staging.
A surgeon uses a laparoscope to remove pelvic lymph nodes on both sides and sample para-aortic nodes. The procedure is commonly performed by a gynecologic oncologist during laparoscopic staging or treatment of gynecologic malignancy, such as endometrial or cervical cancer. The operative report should make clear the pelvic dissection and para-aortic sampling performed; a limited node biopsy alone is a different service.
Report this code when the documented laparoscopic work includes both bilateral total pelvic lymphadenectomy and para-aortic sampling. The code is priced as bilateral, so modifier 50 does not increase payment. Related postoperative visits during the 10-day global period are included. When related endoscopies are performed together, endoscopy family pricing applies. CMS permits payment for an assistant at surgery and co-surgeons; team surgery is not permitted.
CMS billing rules for 38572
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.21 · 62%
- Practice expense (office) RVU6.59 · 27%
- Malpractice RVU2.92 · 12%
1.4K
Medicare services in 2024 · #2732 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.
38572 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
38570 describes laparoscopic retroperitoneal node sampling or biopsy. It does not represent the combined bilateral total pelvic lymphadenectomy and para-aortic sampling of 38572.
No office rate
38562 is an open pelvic lymph node removal service. 38572 is for the specified laparoscopic pelvic dissection with para-aortic sampling.
Compare 38572 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$763.39
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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 38572 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
4,755
- Code
- 38572
- Physician work
- 15.21
- Practice expense
- 6.59
- Malpractice
- 2.92
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.21 | × 1.000 | 15.2100 |
| Practice expense | 6.59 | × 1.029 | 6.7811 |
| Malpractice | 2.92 | × 0.296 | 0.8643 |
| Total RVUs | 22.8554 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$763.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.21 | 1 |
| Practice expense | 6.59 | 1.029 |
| Malpractice | 2.92 | 0.296 |
(15.21 × 1 + 6.59 × 1.029 + 2.92 × 0.296) × $33.4009 = $763.39
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.
38572 billing questions
How does 38572 differ from 38571?
38572 includes para-aortic lymph node sampling in addition to bilateral total pelvic lymphadenectomy. Use 38571 when the documented procedure includes the bilateral pelvic dissection but not para-aortic sampling.
Can modifier 50 be added for the bilateral pelvic work?
No. CMS prices 38572 as bilateral, and modifier 50 does not increase payment.
Are related postoperative visits separately reportable?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this code. Team surgery is not permitted.
What should the operative report establish?
Document laparoscopic bilateral total pelvic lymphadenectomy and para-aortic node sampling. A report describing only node sampling or biopsy does not establish the full scope of 38572.
What happens when related endoscopies are performed in the same session?
Endoscopy family pricing applies when related endoscopies are performed together. Review the reported services and operative documentation in light of that pricing rule.
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.
4,75238564,,Removal abdomen lymph nodes,A,,11.10,6.26,NA,6.26,,2.47,19.83,19.83,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,75338570,,Laparoscopy lymph node biop,A,,8.28,4.38,NA,4.38,,1.73,14.39,14.39,0,010,0.10,0.80,0.10,3,0,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
4,75438571,,Laparoscopy lymphadenectomy,A,,11.70,4.49,NA,4.49,,1.67,17.86,17.86,0,010,0.10,0.80,0.10,3,2,2,2,0,9,49320,33.4009,09,0,99,0.00,0.00,0.00
4,75538572,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002