39402 Mediastinoscpy with lmph nod biopsy
Also known as: mediastinoscopy with lymph node biopsy, mediastinal lymph node sampling
Mediastinoscopy with biopsy of lymph nodes within the mediastinum. This minimally invasive endoscopic procedure allows visualization and lymph node tissue sampling.
In Plain Language
using a scope to look at chest lymph nodes and take samples
Clinical Context
Primary staging procedure for lung cancer to assess mediastinal lymph node involvement. Critical for determining operability and treatment planning in lung malignancies.
RVU Breakdown
| Work RVU | 7.07 |
| Total RVU | 7.07 |
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 7.07, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 39402?
CPT 39402 (Mediastinoscpy with lmph nod biopsy) is a Surgery code. Mediastinoscopy with biopsy of lymph nodes within the mediastinum. This minimally invasive endoscopic procedure allows visualization and lymph node tissue sampling.
What is the wRVU value for CPT 39402?
The work RVU for CPT 39402 is 7.07. This code is primarily used by Thoracic Surgery, Surgical Oncology, Pulmonology.
When is CPT 39402 used?
Primary staging procedure for lung cancer to assess mediastinal lymph node involvement. Critical for determining operability and treatment planning in lung malignancies.
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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.