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CPT 38102: Splenectomy, Complete, Add-on with Extensive Abdominal Excision
CPT code 38102 is an add-on surgical code for complete splenectomy performed in conjunction with another extensive abdominal organ excision. It captures situations where removal of the spleen is performed as an adjunct to a primary, more extensive intra-abdominal procedure, commonly arising in the context of trauma or abdominal organ cancer. Nationally, accurate use of this code matters for clinical documentation, hospital surgical case mix reporting, and appropriate surgical billing for complex intra-abdominal operations.
Key payers discussed include Aetna, Blue Cross Blue Shield plans, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for CPT code 38102, typical sites of service, and the types of cases in which the add-on splenectomy is applied. The publication also outlines benchmark considerations, common coding practice patterns, and any recent policy updates that affect reporting and reimbursement for add-on abdominal procedures.
This analysis provides clinicians, coding professionals, and policy stakeholders with practical context: when CPT code 38102 is applicable, why it is distinct from standalone splenectomy codes, and which payers’ policies are most commonly relevant. Data not available in the input are noted where appropriate.
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Billing Code Overview
CPT code 38102 describes an add-on splenectomy performed concurrently with another extensive abdominal organ excision. The procedure represents a complete excision of the spleen carried out in the course of a separate, extensive intra-abdominal operative procedure. This service is most commonly performed for trauma or abdominal organ malignancy when removal of the spleen is required in addition to the primary abdominal operation.
Service type: Surgical — add-on abdominal organ excision (splenectomy)
Typical site of service: Inpatient operating room or other acute surgical setting where extensive abdominal surgeries are performed.