{"procedure":{"code_type":"CPT","code":"38381","lay_name":"Tying off the thoracic duct through the chest","blurb":"The main lymph duct is stitched or tied closed using an incision in the chest to stop a lymph fluid leak.","slug":"cpt-38381-tying-off-the-thoracic-duct-through-the-chest","description":"PR Ligatn Thor Duct,Thor Approach","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"67","label":"Other therapeutic procedures, hemic and lymphatic system","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:50:31.523775Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:26.750973Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":175,"n_usable":158,"n_not_usable":1,"n_labelled":14,"n_no_cash":2,"n_estimated":0,"n_states":33,"cash_p10":728.29,"cash_p20":1155.23,"cash_p25":1296.79,"cash_p50":1838.16,"cash_p75":2803.0,"cash_p80":3478.8,"cash_p90":5110.0,"cash_mean_trimmed":1919.54,"gross_p50":2395.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":3,"p20":null,"p50":null,"p80":null},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":1958.4,"p50":1958.4,"p80":1958.4},{"state":"ID","n":2,"p20":null,"p50":null,"p80":null},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":23,"p20":1155.23,"p50":2059.0,"p80":2059.0},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":13,"p20":3986.0,"p50":5110.0,"p80":5855.0},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":11,"p20":959.46,"p50":1992.59,"p80":2395.0},{"state":"OH","n":10,"p20":1441.52,"p50":3237.48,"p80":3478.8},{"state":"OK","n":10,"p20":1315.3,"p50":1315.3,"p80":1315.3},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":284.05,"p50":362.52,"p80":1838.16},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":139,"p20":1155.23,"p50":1838.16,"p80":3478.8},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":10,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":11,"p20":null,"p50":null,"p80":null},{"key":"government","n":16,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":130,"p20":1155.23,"p50":1958.4,"p80":3478.8}],"affiliation":[{"key":"affiliated","n":125,"p20":1155.23,"p50":1937.2,"p80":3478.8},{"key":"independent","n":33,"p20":1231.2,"p50":1699.2,"p80":3237.48}]},"histogram":[{"lo":362.52,"hi":482.4,"n":1},{"lo":482.4,"hi":641.93,"n":5},{"lo":641.93,"hi":854.2,"n":9},{"lo":854.2,"hi":1136.68,"n":8},{"lo":1136.68,"hi":1512.57,"n":38},{"lo":1512.57,"hi":2012.76,"n":31},{"lo":2012.76,"hi":2678.36,"n":18},{"lo":2678.36,"hi":3564.06,"n":14},{"lo":3564.06,"hi":4742.66,"n":6},{"lo":4742.66,"hi":6311.0,"n":14}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T11:47:11.200275Z","checked_through":"2026-09-23T18:19:36.920443Z","n_priced_setters":3956,"n_filed":110,"n_usable":101,"n_not_usable":0,"n_labelled":8,"n_no_cash":1,"n_estimated":0,"n_states":28,"cash_p10":631.75,"cash_p20":959.46,"cash_p25":1307.0,"cash_p50":1519.24,"cash_p75":1992.59,"cash_p80":2366.7,"cash_p90":3237.48,"cash_mean_trimmed":1635.72,"gross_p50":2365.0,"cash_to_gross_p50":0.7,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":1,"p20":null,"p50":null,"p80":null},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":1958.4,"p50":1958.4,"p80":1958.4},{"state":"ID","n":2,"p20":null,"p50":null,"p80":null},{"state":"IL","n":7,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":8,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":9,"p20":null,"p50":null,"p80":null},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":1315.3,"p50":1315.3,"p80":1315.3},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":14,"p20":271.7,"p50":333.45,"p80":1838.16},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":90,"p20":959.46,"p50":1519.24,"p80":2181.54},{"key":"childrens","n":3,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":7,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":10,"p20":null,"p50":null,"p80":null},{"key":"government","n":11,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":79,"p20":935.9,"p50":1474.36,"p80":1992.59}],"affiliation":[{"key":"affiliated","n":73,"p20":843.9,"p50":1474.36,"p80":1992.59},{"key":"independent","n":28,"p20":1231.2,"p50":1600.9,"p80":3237.48}]},"histogram":[{"lo":321.1,"hi":421.55,"n":3},{"lo":421.55,"hi":553.44,"n":0},{"lo":553.44,"hi":726.58,"n":4},{"lo":726.58,"hi":953.88,"n":8},{"lo":953.88,"hi":1252.3,"n":5},{"lo":1252.3,"hi":1644.07,"n":29},{"lo":1644.07,"hi":2158.42,"n":24},{"lo":2158.42,"hi":2833.67,"n":9},{"lo":2833.67,"hi":3720.16,"n":5},{"lo":3720.16,"hi":4884.0,"n":5}],"previous":null}},"related":[{"code_type":"CPT","code":"38505","lay_name":"Needle biopsy of a lymph node","slug":"cpt-38505-needle-biopsy-of-a-lymph-node"},{"code_type":"CPT","code":"36680","lay_name":"Needle placed into bone for fluids or medicine","slug":"cpt-36680-needle-placed-into-bone-for-fluids-or-medicine"},{"code_type":"CPT","code":"38500","lay_name":"Open biopsy or removal of a surface lymph node","slug":"cpt-38500-open-biopsy-or-removal-of-a-surface-lymph-node"},{"code_type":"CPT","code":"38525","lay_name":"Open biopsy or removal of deep armpit lymph nodes","slug":"cpt-38525-open-biopsy-or-removal-of-deep-armpit-lymph-nodes"},{"code_type":"CPT","code":"38510","lay_name":"Open biopsy or removal of deep neck lymph nodes","slug":"cpt-38510-open-biopsy-or-removal-of-deep-neck-lymph-nodes"},{"code_type":"CPT","code":"38531","lay_name":"Open biopsy or removal of groin lymph nodes","slug":"cpt-38531-open-biopsy-or-removal-of-groin-lymph-nodes"},{"code_type":"CPT","code":"38999","lay_name":"Unlisted procedure on the blood or lymph system","slug":"cpt-38999-unlisted-procedure-on-the-blood-or-lymph-system"},{"code_type":"CPT","code":"38900","lay_name":"Dye injection during surgery to find the sentinel lymph node","slug":"cpt-38900-dye-injection-during-surgery-to-find-the-sentinel-lymph-node"},{"code_type":"CPT","code":"38300","lay_name":"Drainage of an infected lymph node, simple","slug":"cpt-38300-drainage-of-an-infected-lymph-node-simple"},{"code_type":"CPT","code":"38570","lay_name":"Keyhole sampling of lymph nodes behind the abdomen","slug":"cpt-38570-keyhole-sampling-of-lymph-nodes-behind-the-abdomen"},{"code_type":"CPT","code":"38745","lay_name":"Complete removal of the armpit lymph nodes","slug":"cpt-38745-complete-removal-of-the-armpit-lymph-nodes"},{"code_type":"CPT","code":"38571","lay_name":"Keyhole removal of pelvic lymph nodes on both sides","slug":"cpt-38571-keyhole-removal-of-pelvic-lymph-nodes-on-both-sides"}]}