No office rate
Both codes describe limited lymphadenectomy for staging, but 38562 is for pelvic nodes and 38564 is for retroperitoneal, para-aortic nodes.
On this page
CMS RVU26D · Effective 2026-10-01
38562 Pelvic lymphadenectomy Medicare reimbursement rates in Missouri
Reports limited removal of pelvic lymph nodes for staging during an open oncologic operation when the nodal work is separately reportable. Compare 38562 office and facility rates across CMS payment localities in Missouri.
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 38562 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$635.38–$658.58
3 of 3 localities have a supported rate.
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.
Where 38562 pays more and less in Missouri
Surgical oncology
About 38562: Limited pelvic lymph node staging removal
Reports limited removal of pelvic lymph nodes for staging during an open oncologic operation when the nodal work is separately reportable.
This code describes limited removal of pelvic lymph nodes for cancer staging, rather than a comprehensive pelvic node dissection. It is typically performed by a gynecologic or urologic surgeon during an open operation for a pelvic malignancy. The removed nodes are submitted for pathologic examination to assess regional spread. The operative note should identify the pelvic nodal tissue removed and its staging purpose.
Report the code when the limited staging procedure is separately reportable, not when nodal removal is integral to a more extensive procedure. The documentation should support the pelvic site and limited extent of the dissection. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 38562
- 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
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.78 · 54%
- Practice expense (office) RVU7.02 · 35%
- Malpractice RVU2.25 · 11%
296
Medicare services in 2024 · #3999 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.
38562 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
38570 describes laparoscopic retroperitoneal node sampling; 38562 describes limited pelvic staging node removal in an open operation.
No office rate
38571 is the laparoscopic code for bilateral total pelvic lymphadenectomy, not limited pelvic staging removal.
No office rate
38572 describes a laparoscopic pelvic dissection with added para-aortic node sampling, rather than limited pelvic-only staging removal.
Compare 38562 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$653.66
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$658.58
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$635.38
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38562 billing questions
How does this differ from a complete pelvic lymph node dissection?
This code represents limited node removal for staging. Use a code describing a more extensive dissection when the documented procedure involves that greater extent.
Can it be reported with the primary cancer operation?
Only when the limited staging lymphadenectomy is separately reportable rather than integral to the more extensive operation. The operative report should make the distinct nodal work clear.
Should modifier 50 be added when nodes are removed on both sides?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
How are assistant and co-surgeon claims handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery 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.
4,74838542,,Explore deep node(s) neck,A,,7.75,4.98,NA,4.98,,1.33,14.06,14.06,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,74938550,,Removal neck/armpit lesion,A,,6.93,6.72,NA,6.72,,1.85,15.50,15.50,0,090,0.11,0.73,0.16,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,75038555,,Removal neck/armpit lesion,A,,15.20,10.18,NA,10.18,,4.06,29.44,29.44,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,75138562,,Removal pelvic lymph nodes,A,,10.78,7.02,NA,7.02,,2.25,20.05,20.05,0,090,0.11,0.73,0.16,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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