38542 Explore deep node(s) neck
Also known as: Deep cervical node dissection, Neck node exploration
Surgical exploration and dissection of deep cervical lymph nodes in the neck with removal for staging or diagnostic purposes.
In Plain Language
Removing deep neck lymph nodes
Clinical Context
Performed for cervical and supraclavicular lymphadenopathy evaluation or lymph node staging in head and neck cancer.
RVU Breakdown
| Work RVU | 7.75 |
| Total RVU | 7.75 |
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 7.75, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 38542?
CPT 38542 (Explore deep node(s) neck) is a Surgery code. Surgical exploration and dissection of deep cervical lymph nodes in the neck with removal for staging or diagnostic purposes.
What is the wRVU value for CPT 38542?
The work RVU for CPT 38542 is 7.75. This code is primarily used by Surgical Oncology, Otolaryngology, General Surgery. It has a 90-day global period.
When is CPT 38542 used?
Performed for cervical and supraclavicular lymphadenopathy evaluation or lymph node staging in head and neck cancer.
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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.