38765 Remove groin lymph nodes
Also known as: Bilateral inguinofemoral dissection, Extensive groin dissection
Comprehensive or bilateral inguinal and femoral lymph node dissection with extensive removal.
In Plain Language
Extensive groin lymph node removal
Clinical Context
More extensive groin lymph node removal for advanced malignancy or bilateral disease.
RVU Breakdown
| Work RVU | 21.36 |
| Total RVU | 21.36 |
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 21.36, 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 38765?
CPT 38765 (Remove groin lymph nodes) is a Surgery code. Comprehensive or bilateral inguinal and femoral lymph node dissection with extensive removal.
What is the wRVU value for CPT 38765?
The work RVU for CPT 38765 is 21.36. This code is primarily used by Surgical Oncology, Urology. It has a 90-day global period.
When is CPT 38765 used?
More extensive groin lymph node removal for advanced malignancy or bilateral 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.