# CPT 38525: Biopsy or excision of lymph node(s), deep axillary

Medicare CPT 38525 pays $430.54 in a non-facility setting and $430.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $380.86 in Arkansas to $521.98 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/38525-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $430.54 |
| National facility | $430.54 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $521.98 | $521.98 |
| Florida | $482.00 | $482.00 |
| New York | $479.15 | $479.15 |
| District of Columbia | $477.71 | $477.71 |
| Illinois | $474.61 | $474.61 |
| New Jersey | $466.85 | $466.85 |
| Connecticut | $458.90 | $458.90 |
| Washington | $449.22 | $449.22 |
| Massachusetts | $448.76 | $448.76 |
| Maryland | $444.54 | $444.54 |
| California | $444.10 | $444.10 |
| Michigan | $442.25 | $442.25 |
| Rhode Island | $434.23 | $434.23 |
| Georgia | $433.72 | $433.72 |
| Pennsylvania | $432.71 | $432.71 |
| Colorado | $431.98 | $431.98 |
| West Virginia | $431.79 | $431.79 |
| Puerto Rico | $431.57 | $431.57 |
| Virgin Islands | $431.57 | $431.57 |
| Hawaii | $430.82 | $430.82 |
| New Hampshire | $430.68 | $430.68 |
| Montana | $430.43 | $430.43 |
| New Mexico | $427.46 | $427.46 |
| Oregon | $426.30 | $426.30 |
| Texas | $425.27 | $425.27 |
| Delaware | $424.15 | $424.15 |
| Nevada | $421.72 | $421.72 |
| Louisiana | $418.51 | $418.51 |
| Arizona | $417.61 | $417.61 |
| Wyoming | $416.56 | $416.56 |
| Ohio | $416.41 | $416.41 |
| Missouri | $415.92 | $415.92 |
| Utah | $415.01 | $415.01 |
| Virginia | $411.88 | $411.88 |
| South Carolina | $409.75 | $409.75 |
| Kentucky | $407.39 | $407.39 |
| Maine | $403.01 | $403.01 |
| Vermont | $402.30 | $402.30 |
| Oklahoma | $400.64 | $400.64 |
| North Carolina | $399.91 | $399.91 |
| North Dakota | $398.59 | $398.59 |
| Minnesota | $397.53 | $397.53 |
| South Dakota | $394.83 | $394.83 |
| Mississippi | $393.24 | $393.24 |
| Indiana | $390.68 | $390.68 |
| Tennessee | $390.41 | $390.41 |
| Idaho | $388.81 | $388.81 |
| Kansas | $387.80 | $387.80 |
| Wisconsin | $386.30 | $386.30 |
| Alabama | $386.28 | $386.28 |
| Nebraska | $384.20 | $384.20 |
| Iowa | $383.89 | $383.89 |
| Arkansas | $380.86 | $380.86 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 38525 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules