38572
Active10-day globalLaparoscopy lymphadenectomy
2026 Medicare payment
Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number; add the add-on codes to price the whole procedure.
RVU breakdown (national)
Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF
| Row | Work RVU | PE RVU (office) | PE RVU (facility) | MP RVU | Total (office) |
|---|---|---|---|---|---|
| 38572 | 15.21 | 6.59 | 6.59 | 2.92 | 24.72 |
Payment policy for 38572
CMS's indicator fields, translated. These control which modifiers are payable and how.
Professional/technical (PC/TC)
pctc=0Physician service
Cannot be split into professional/technical components — modifiers 26 and TC don't apply.
Multiple procedures
mult_surg=3Endoscopy rule
Special multiple-endoscopy rules apply within the same endoscopy family, then standard ranking.
Bilateral (modifier 50)
bilt_surg=2Already bilateral
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
Assistant surgeon (80/81/82)
asst_surg=2Payable
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons (modifier 62)
co_surg=2Payable
Co-surgeons (mod 62) are paid 62.5% of the fee each (125% total, split).
Team surgery (modifier 66)
team_surg=0Not permitted
Team surgery (mod 66) may not be paid for this procedure.
Global surgery package
Payment covers the procedure plus related care for 10 days after. Of the total payment, 10% is attributed to pre-operative care, 80% to the procedure itself, and 10% to post-operative visits.
Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.