CPT code 38101 identifies an open partial splenectomy—an abdominal surgical procedure to excise part of the spleen for indications such as traumatic rupture, hemolytic anemia, or splenic malignancy. This code matters nationally because splenic surgery carries significant perioperative risk, resource utilization, and variable reimbursement and authorization practices across major payers. Appropriate coding affects claims adjudication, payment accuracy, and clinical documentation standards.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, common payer considerations, and the typical sites of service for CPT code 38101. The publication summarizes benchmark metrics where available, highlights relevant policy and coverage themes that influence preauthorization and payment, and provides guidance on documentation elements that commonly affect coding and claims processing. Where input data is missing, the report notes that specific details are not available in the input. This national-level summary is intended for billing managers, surgical coders, and policy analysts seeking a clear, clinical-and-billing focused profile of CPT code 38101.