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Billing code 38102: SplenectomyMedicare rate & RVUs

Report this add-on when the surgeon removes the entire spleen as part of another operation, rather than performing splenectomy as a stand-alone procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities474 Medicare services in 2024

Medicare pays $236.14 for 38102 nationally in a facility.

Medicare rate · 38102

Splenectomy

Work RVUs
4.67
Total RVUs
7.07
Global days
ZZZ

National rate · 2026

$236.14

Facility setting, before claim adjustments.

See every locality for 38102 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 38102 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 38102 covers

This code represents complete removal of the spleen performed in conjunction with another operation. It may be reported when the operative plan requires removal of the spleen during a related abdominal procedure, such as an en bloc resection for disease involving adjacent tissue. General surgeons and surgical oncologists typically perform the service in an operating room; the operative report should establish that the entire spleen was removed and identify the associated primary procedure.

Select this code when the splenectomy is performed with another procedure and is not already included in that procedure’s coding. Use the stand-alone total splenectomy code when the spleen is removed as the primary operation, and a partial splenectomy code when splenic tissue remains. CMS classifies 38102 as an add-on: it must be billed with a primary procedure and is paid within that procedure’s global period. Document the reason for removal, extent of resection, and the primary procedure performed.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 38102 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

38102 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$214.46
Alaska*Unavailable$299.95
ArizonaUnavailable$229.39
ArkansasUnavailable$211.86
AtlantaUnavailable$244.88
AustinUnavailable$234.61
BakersfieldUnavailable$228.42
Baltimore/Surr. CntysUnavailable$250.68
BeaumontUnavailable$229.65
BrazoriaUnavailable$228.71

38102 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
38102 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 38102 rate is calculated

Each of 38102’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 38102

RVUs × geographic indexes × conversion factor

Work4.67

4.67 RVUs× 1.000 GPCI

Practice expense1.27

1.27 RVUs× 1.000 GPCI

Malpractice1.13

1.13 RVUs× 1.000 GPCI

Adjusted RVUs

7.0700

Conversion factor

$33.4009

Medicare rate

$236.14

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 38102

The CMS indicators that decide how 38102 is paid alongside other services.

CMS payment indicators · 38102

Splenectomy

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

38102 without 80 · national facility

$236.14

Splenectomy

38102-80 · Assistant: 16%

$37.78

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

38102 compared with similar codes

Compare codes · National

4 codes, side by side

  • 38102

    Splenectomy4.67 wRVU

    Not priced

  • 38100

    Splenectomy19.06 wRVU

    Not priced

  • 38101

    Splenectomy19.06 wRVU

    Not priced

  • 38120

    Splenectomy16.64 wRVU

    Not priced

How to choose

38100Splenectomy
38100 describes total splenectomy performed as the primary, stand-alone operation. Use 38102 when total spleen removal accompanies another primary procedure.
38101Splenectomy
38101 is for partial splenectomy, with splenic tissue left in place. 38102 represents complete removal performed with another operation.
38120Splenectomy
38120 identifies laparoscopic splenectomy. For 38102, the defining distinction is that total splenectomy accompanies another procedure.

Codes related to 38102

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 38102
CodeHow it relatesNational office range
Used instead
38100SplenectomyTotal splenectomy when performed as the stand-alone operation.No office rate
38120SplenectomyLaparoscopic splenectomy; distinguishes the operative approach.No office rate
Same family
38101SplenectomyPartial rather than complete removal of the spleen.No office rate

38102 billing questions

Can 38102 be reported by itself?

No. It is an add-on code and must be billed with a primary procedure.

How does 38102 differ from 38100?

Use 38102 when total splenectomy is performed in conjunction with another operation. Use 38100 when total splenectomy is the stand-alone operation.

What documentation supports 38102?

The operative report should document complete spleen removal, why it was needed during the operation, and the primary procedure performed in the same operative session.

Can 38102 be used when only part of the spleen is removed?

No. When splenic tissue remains, the partial splenectomy code is the relevant code family member.

How does the laparoscopic splenectomy code differ?

38120 is for laparoscopic splenectomy. Select the code that matches the documented operative approach and whether splenectomy accompanied another procedure.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 38102PPRRVU2026_Oct_nonQPP.csv, line 4,705 (RVU26D)

Open CMS sourceHow we calculate rates

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