CPT 38100 Splenectomy; total (separate procedure)
Last reviewed: May 17, 2026
RVU Values (CMS PFS RVU26C July 2026)
Common Modifiers
None typically required
Related ICD-10 Codes
S36.00XA, D73.5
Billing Tips
When billing CPT 38100, ensure your operative note clearly documents the procedure performed, clinical indication, and any complications or additional work that would support modifier usage. Always verify the code against the current AMA CPT Professional Edition before claim submission.
For multi-procedure cases, use our Case Builder to automatically calculate adjusted wRVUs with proper MPPR ranking.
Documentation and Coding Notes
AdSense readiness coding note: CPT 38100 should be treated as an educational starting point, not a final billing instruction. For splenectomy; total (separate procedure), the operative note or procedure note should clearly support the approach, anatomic site, laterality when relevant, clinical indication, and any separately reportable services.
Before submitting a claim or logging the case, compare CPT 38100 with adjacent codes in the same family, confirm current AMA CPT language, check CMS/NCCI edits, and verify payer-specific bundling rules. Modifier use should be tied to documentation rather than added only to bypass an edit.
Common audit checks for emergent general surgery cases include whether the documented work matches the code descriptor, whether add-on services are separately supported, whether a global period applies, and whether ICD-10 diagnosis pairing supports medical necessity.
Related CPT Codes in Emergent General Surgery
CPT 49013 — Preperitoneal packing for hemorrhage associated with pelvic CPT 38101 — Splenectomy; partial (separate procedure) CPT 47350 — Management of liver hemorrhage; simple repair of liver wound CPT 47360 — Management of liver hemorrhage; complex repair of liver woun CPT 47362 — Management of liver hemorrhage; re-exploration of hepatic wo CPT 39501 — Repair, laceration of diaphragm, any approachUse our free interactive decision tree with 500+ codes across 30 specialties
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