39401 Mediastinoscpy with medstnl biopsy
Also known as: mediastinoscopy, mediastinal scope
Mediastinoscopy with biopsy of mediastinal tissue or mass. This minimally invasive endoscopic procedure allows visualization and tissue sampling of mediastinal structures.
In Plain Language
using a scope to look at chest structures and take a small sample
Clinical Context
Used for staging lung cancer, evaluating mediastinal masses, or assessing lymph node involvement. Less invasive than thoracotomy, allows for sampling without large incision.
RVU Breakdown
| Work RVU | 5.30 |
| Total RVU | 5.30 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.30, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 39401?
CPT 39401 (Mediastinoscpy with medstnl biopsy) is a Surgery code. Mediastinoscopy with biopsy of mediastinal tissue or mass. This minimally invasive endoscopic procedure allows visualization and tissue sampling of mediastinal structures.
What is the wRVU value for CPT 39401?
The work RVU for CPT 39401 is 5.30. This code is primarily used by Thoracic Surgery, Surgical Oncology, Pulmonology.
When is CPT 39401 used?
Used for staging lung cancer, evaluating mediastinal masses, or assessing lymph node involvement. Less invasive than thoracotomy, allows for sampling without large incision.
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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.