38520 Biopsy/removal lymph nodes
Also known as: Inguinofemoral lymph node dissection
Surgical removal of inguinal and femoral lymph nodes, typically performed for staging or therapeutic purposes.
In Plain Language
Removing groin lymph nodes
Clinical Context
Performed in staging of melanoma, squamous cell carcinoma of lower extremity or genitals, or therapeutic lymph node dissection.
RVU Breakdown
| Work RVU | 6.85 |
| Total RVU | 6.85 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 6.85, this code ranks in the 44th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 38520?
CPT 38520 (Biopsy/removal lymph nodes) is a Surgery code. Surgical removal of inguinal and femoral lymph nodes, typically performed for staging or therapeutic purposes.
What is the wRVU value for CPT 38520?
The work RVU for CPT 38520 is 6.85. This code is primarily used by Surgical Oncology, General Surgery, Urology. It has a 90-day global period.
When is CPT 38520 used?
Performed in staging of melanoma, squamous cell carcinoma of lower extremity or genitals, or therapeutic lymph node dissection.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.