# CPT 38900: Intraoperative sentinel lymph node identification

Medicare CPT 38900 pays $144.96 in a non-facility setting and $122.92 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $129.23 in Arkansas to $179.70 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/38900-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $144.96 |
| National facility | $122.92 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $179.70 | $156.23 |
| Florida | $163.76 | $141.64 |
| Illinois | $161.72 | $140.42 |
| New York | $160.97 | $136.37 |
| District of Columbia | $159.38 | $133.41 |
| New Jersey | $156.30 | $131.47 |
| Connecticut | $154.10 | $130.36 |
| Michigan | $150.32 | $129.62 |
| Massachusetts | $149.60 | $124.84 |
| Washington | $149.50 | $124.37 |
| Maryland | $149.41 | $126.42 |
| West Virginia | $147.72 | $128.56 |
| Georgia | $146.95 | $125.91 |
| California | $146.88 | $120.79 |
| Pennsylvania | $146.16 | $124.57 |
| Rhode Island | $145.82 | $123.05 |
| New Mexico | $145.29 | $125.07 |
| Puerto Rico | $145.15 | $122.86 |
| Virgin Islands | $145.15 | $122.86 |
| Montana | $144.92 | $122.88 |
| Colorado | $144.42 | $120.97 |
| New Hampshire | $144.29 | $121.34 |
| Texas | $143.33 | $121.63 |
| Delaware | $142.85 | $121.07 |
| Hawaii | $142.66 | $117.59 |
| Oregon | $142.51 | $119.28 |
| Louisiana | $142.08 | $121.95 |
| Nevada | $141.71 | $119.65 |
| Ohio | $141.31 | $121.18 |
| Missouri | $141.05 | $120.82 |
| Arizona | $140.77 | $119.40 |
| Utah | $140.32 | $119.60 |
| Wyoming | $139.84 | $117.79 |
| South Carolina | $138.68 | $118.31 |
| Kentucky | $138.43 | $118.83 |
| Virginia | $138.42 | $116.75 |
| Oklahoma | $135.88 | $116.20 |
| Maine | $135.65 | $114.59 |
| North Carolina | $134.91 | $114.35 |
| Vermont | $134.79 | $112.96 |
| Mississippi | $133.73 | $114.75 |
| North Dakota | $133.25 | $111.21 |
| Minnesota | $132.36 | $109.67 |
| South Dakota | $131.87 | $109.83 |
| Tennessee | $131.85 | $111.82 |
| Indiana | $131.64 | $111.20 |
| Idaho | $131.07 | $110.79 |
| Kansas | $130.98 | $111.06 |
| Alabama | $130.94 | $111.65 |
| Wisconsin | $129.49 | $108.37 |
| Iowa | $129.36 | $109.19 |
| Nebraska | $129.33 | $108.99 |
| Arkansas | $129.23 | $110.30 |

## 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 38900 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