37181 Splice spleen/kidney veins
Also known as: spleen-kidney bypass, splenic-renal anastomosis
Splenic and renal artery vein anastomosis (bypass) to create collateral venous circulation, typically performed for portal hypertension or renal vein thrombosis.
Clinical Context
Used in advanced portal hypertension when standard portosystemic shunts are not feasible. Creates alternate venous drainage from spleen and kidney.
RVU Breakdown
| Work RVU | 39.00 |
| Practice Expense RVU | 14.55 |
| Malpractice RVU | 10.45 |
| Total RVU | 64.00 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.