38100 Removal of spleen total
Also known as: Splenectomy, Total spleen removal
Surgical removal of the entire spleen (total splenectomy), typically performed for hematologic malignancy, trauma, or hemolytic anemia.
In Plain Language
Removing the spleen; Spleen surgery
Clinical Context
Performed for thrombotic thrombocytopenic purpura, hereditary spherocytosis, idiopathic thrombocytopenia, spleen rupture, or splenic lymphoma.
RVU Breakdown
| Work RVU | 19.06 |
| Total RVU | 19.06 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 19.06, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 38100?
CPT 38100 (Removal of spleen total) is a Surgery code. Surgical removal of the entire spleen (total splenectomy), typically performed for hematologic malignancy, trauma, or hemolytic anemia.
What is the wRVU value for CPT 38100?
The work RVU for CPT 38100 is 19.06. This code is primarily used by General Surgery, Hematology, Trauma Surgery. It has a 90-day global period.
When is CPT 38100 used?
Performed for thrombotic thrombocytopenic purpura, hereditary spherocytosis, idiopathic thrombocytopenia, spleen rupture, or splenic lymphoma.
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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.