No office rate
Choose 38765 when the operation includes pelvic lymph nodes in addition to the superficial inguinofemoral dissection; this code describes the superficial basin, including Cloquet's node.
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CMS RVU26D · Effective 2026-10-01
38760 Groin lymphadenectomy Medicare reimbursement rates in Oregon
Reports surgical removal of superficial inguinofemoral lymph nodes, including Cloquet's node, for treatment or staging of malignancy involving the groin. Compare 38760 office and facility rates across CMS payment localities in Oregon.
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 38760 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$750.56–$789.17
2 of 2 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.
Lymph node surgery
About 38760: Superficial inguinofemoral lymph node dissection
Reports surgical removal of superficial inguinofemoral lymph nodes, including Cloquet's node, for treatment or staging of malignancy involving the groin.
This code describes an operative dissection of superficial lymph nodes in the inguinofemoral basin, including Cloquet's node. It is commonly performed by a surgical, gynecologic, or urologic oncologist for groin staging or treatment in cancers such as vulvar, penile, or skin malignancies. The service is typically performed in an operating room and involves more than removal of a single targeted node for biopsy.
Select the code based on the documented operative extent: superficial inguinofemoral dissection including Cloquet's node, rather than a pelvic node dissection or a limited node biopsy. The operative report should identify the side, nodal basin, and extent of tissue removed. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral procedures reported with modifier 50, CMS pays 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 38760
- 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 RVU13.28 · 57%
- Practice expense (office) RVU7.16 · 31%
- Malpractice RVU2.93 · 13%
521
Medicare services in 2024 · #3525 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.
38760 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
38531 represents open biopsy or excision of inguinofemoral node(s). This code is for a broader superficial nodal basin dissection.
No office rate
38770 describes pelvic lymphadenectomy. This code describes superficial inguinofemoral dissection, so select according to the nodal basin documented in the operative report.
Compare 38760 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.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$789.17
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$750.56
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38760 billing questions
How is this different from 38765?
This code describes superficial inguinofemoral dissection including Cloquet's node. Use 38765 when the documented dissection also includes pelvic lymph nodes.
Can a targeted groin node biopsy be reported with this code?
A limited open biopsy or excision of inguinofemoral node(s) is represented by 38531. This code describes a broader superficial basin dissection, not removal of only a targeted node.
How should bilateral groin dissections be reported?
Report the bilateral procedure with modifier 50. CMS pays bilateral procedures at 150%.
Is pelvic lymphadenectomy included?
This code covers the superficial inguinofemoral basin, including Cloquet's node. If the operative report documents pelvic node dissection, distinguish that extent from this service and evaluate the applicable pelvic lymphadenectomy code.
What documentation supports code selection?
Document the side, inguinofemoral nodal basin, and extent of the dissection, including whether Cloquet's node was included. The operative report should distinguish a basin dissection from a limited node biopsy.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care. CMS may pay an assistant at surgery; co-surgeon payment requires supporting documentation.
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.
4,76238745,,Remove armpit lymph nodes,A,,13.52,8.22,NA,8.22,,3.41,25.15,25.15,0,090,0.11,0.73,0.16,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76338746,,Remove thoracic lymph nodes,A,,4.02,0.81,NA,0.81,,1.02,5.85,5.85,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,76438747,,Remove abdominal lymph nodes,A,,4.76,1.22,NA,1.22,,1.19,7.17,7.17,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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