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 Abdominal node dissection Medicare reimbursement rates in Minnesota
Reports extensive transabdominal retroperitoneal node removal across pelvic, aortic, and renal fields for selected malignancies requiring broad nodal clearance. Compare 38780 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 38780 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
$903.25
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 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 Minnesota, 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.
Compare 38780 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
$903.25
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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 38780 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
4,768
- Code
- 38780
- Physician work
- 17.26
- Practice expense
- 8.48
- Malpractice
- 3.57
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.26 | × 1.000 | 17.2600 |
| Practice expense | 8.48 | × 1.029 | 8.7259 |
| Malpractice | 3.57 | × 0.296 | 1.0567 |
| Total RVUs | 27.0426 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$903.25
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.26 | 1 |
| Practice expense | 8.48 | 1.029 |
| Malpractice | 3.57 | 0.296 |
(17.26 × 1 + 8.48 × 1.029 + 3.57 × 0.296) × $33.4009 = $903.25
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.
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
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