$76.19
Use 38790 for contrast injection to visualize lymphatic channels. Use 38792 for injection used to identify a sentinel lymph node.
On this page
CMS RVU26D · Effective 2026-10-01
38790 Lymphangiography injection Medicare reimbursement rates in Nebraska
Reports contrast injection into lymphatic channels to prepare for lymphangiography, commonly through peripheral lymphatic access for evaluation of abnormal lymphatic drainage. Compare 38790 office and facility rates across CMS payment localities in Nebraska.
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 38790 in Nebraska?
Nebraska 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
$69.58
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 imaging
About 38790: Lymphangiography contrast injection
Reports contrast injection into lymphatic channels to prepare for lymphangiography, commonly through peripheral lymphatic access for evaluation of abnormal lymphatic drainage.
This service covers placing contrast into the lymphatic system so the channels can be visualized during lymphangiography. A common approach is access to lymphatic vessels in the foot; an interventional radiologist or surgeon may perform the injection as part of imaging for suspected lymphatic obstruction or abnormal drainage. The injection procedure is distinct from the radiologic imaging and interpretation service.
Report the procedure when the clinician documents lymphatic access and contrast injection, including the access site and laterality. Pair it with the appropriate lymphangiography imaging code when that imaging service is performed and reported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 38790
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.26 · 56%
- Practice expense (office) RVU0.81 · 36%
- Malpractice RVU0.20 · 9%
1.2K
Medicare services in 2024 · #2856 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.
38790 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This code describes lymphangiography injection through lymphatic access; 38794 concerns access to the thoracic duct for lymphangiography.
75801
No office rateLymph vessel x-ray arm/leg
This code represents the injection procedure. Code 75801 represents radiologic supervision and interpretation for extremity lymphangiography.
Compare 38790 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$69.58
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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 38790 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,769
- Code
- 38790
- Physician work
- 1.26
- Practice expense
- 0.81
- Malpractice
- 0.20
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.26 | × 1.000 | 1.2600 |
| Practice expense | 0.81 | × 0.923 | 0.7476 |
| Malpractice | 0.20 | × 0.378 | 0.0756 |
| Total RVUs | 2.0832 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$69.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.26 | 1 |
| Practice expense | 0.81 | 0.923 |
| Malpractice | 0.2 | 0.378 |
(1.26 × 1 + 0.81 × 0.923 + 0.2 × 0.378) × $33.4009 = $69.58
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.
38790 billing questions
How is this different from 38792?
This code represents contrast injection for lymphangiography. Code 38792 concerns injection for sentinel node identification, such as mapping a node for a biopsy or cancer operation.
Can lymphangiography imaging be reported separately?
The injection and the radiologic imaging service are distinct. When imaging is performed and reported, use the appropriate lymphangiography imaging code for the region examined.
When is modifier 50 appropriate?
CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%. Documentation should support injection on both sides.
What documentation supports the injection?
Record the clinical purpose, lymphatic access site and side, contrast injection, and the imaging performed. The documentation should distinguish lymphatic contrast injection from sentinel-node tracer or dye injection.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.
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.
4,76638765,,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
4,77238900,,Io map of sent lymph node,A,,2.44,1.31,,0.65,,0.59,4.34,3.68,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068