38724 Removal of lymph nodes neck
Also known as: Radical neck dissection
Radical neck dissection with removal of cervical lymph nodes and involved structures including sternocleidomastoid muscle and spinal accessory nerve.
In Plain Language
Complete neck lymph node and muscle removal
Clinical Context
Most extensive cervical lymphadenectomy for advanced malignancy with extensive nodal and soft tissue involvement.
RVU Breakdown
| Work RVU | 23.35 |
| Total RVU | 23.35 |
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 23.35, this code ranks in the 87th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 38724?
CPT 38724 (Removal of lymph nodes neck) is a Surgery code. Radical neck dissection with removal of cervical lymph nodes and involved structures including sternocleidomastoid muscle and spinal accessory nerve.
What is the wRVU value for CPT 38724?
The work RVU for CPT 38724 is 23.35. This code is primarily used by Surgical Oncology, Otolaryngology. It has a 90-day global period.
When is CPT 38724 used?
Most extensive cervical lymphadenectomy for advanced malignancy with extensive nodal and soft tissue involvement.
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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.