38381 Thoracic duct procedure
Also known as: Thoracic duct ligation extensive
Suture ligation of the thoracic duct with more extensive dissection and control of tributaries.
In Plain Language
Tying lymph vessel with extensive surgery
Clinical Context
Used for significant chyle leaks requiring identification and ligation of multiple thoracic duct branches.
RVU Breakdown
| Work RVU | 13.05 |
| Total RVU | 13.05 |
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 13.05, this code ranks in the 68th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 38381?
CPT 38381 (Thoracic duct procedure) is a Surgery code. Suture ligation of the thoracic duct with more extensive dissection and control of tributaries.
What is the wRVU value for CPT 38381?
The work RVU for CPT 38381 is 13.05. This code is primarily used by Thoracic Surgery, General Surgery. It has a 90-day global period.
When is CPT 38381 used?
Used for significant chyle leaks requiring identification and ligation of multiple thoracic duct branches.
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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.