38720 Removal of lymph nodes neck
Also known as: Modified radical neck dissection, Comprehensive dissection
Comprehensive or modified radical neck dissection involving removal of lymph nodes and surrounding tissues.
In Plain Language
Extensive neck lymph node removal
Clinical Context
More extensive cervical lymphadenectomy for advanced head and neck cancer with significant nodal disease.
RVU Breakdown
| Work RVU | 21.40 |
| Total RVU | 21.40 |
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 21.40, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 38720?
CPT 38720 (Removal of lymph nodes neck) is a Surgery code. Comprehensive or modified radical neck dissection involving removal of lymph nodes and surrounding tissues.
What is the wRVU value for CPT 38720?
The work RVU for CPT 38720 is 21.40. This code is primarily used by Surgical Oncology, Otolaryngology. It has a 90-day global period.
When is CPT 38720 used?
More extensive cervical lymphadenectomy for advanced head and neck cancer with significant nodal disease.
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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.