No office rate
Choose 38115 for repair of the ruptured spleen; choose 38100 when the entire spleen is removed.
On this page
CMS RVU26D · Effective 2026-10-01
38115 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1155.19
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
General surgery
About 38115: Operative repair of ruptured spleen
Reports operative repair of a ruptured spleen, commonly after blunt abdominal trauma, when the surgeon repairs the injured organ rather than removing it.
CPT 38115 represents operative repair of a ruptured spleen, commonly after blunt abdominal trauma, when the surgeon repairs the injured organ instead of removing it. A trauma or general surgeon typically performs the procedure in an operating room during urgent hospital care. The service is directed at treating the splenic injury while retaining the spleen, rather than performing a partial or total splenectomy.
Report the code when the operative report supports repair of the ruptured spleen; documentation should distinguish repair from removal of all or part of the organ. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single-organ procedure.
CMS billing rules for 38115
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU21.33 · 59%
- Practice expense (office) RVU8.95 · 25%
- Malpractice RVU5.70 · 16%
76
Medicare services in 2024 · #5095 by national volume
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.
38115 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
38101 is for removal of part of the spleen. It does not describe repair of the ruptured organ.
No office rate
38120 describes laparoscopic splenectomy. The deciding distinction is removal by laparoscopy versus repair of the rupture under 38115.
The same code, a different location
How does El Centro compare?
38115 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 38115
Office
Unavailable
Facility
$1154.24
No comparable office rate is available.
Modesto
California · 38115
Office
Unavailable
Facility
$1154.24
No comparable office rate is available.
Napa
California · 38115
Office
Unavailable
Facility
$1248.04
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 38115
Office
Unavailable
Facility
$1204.34
No comparable office rate is available.
Redding
California · 38115
Office
Unavailable
Facility
$1154.24
No comparable office rate is available.
Rest Of California
California · 38115
Office
Unavailable
Facility
$1154.24
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 38115
Office
Unavailable
Facility
$1215.30
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 38115
Office
Unavailable
Facility
$1187.80
No comparable office rate is available.
Salinas
California · 38115
Office
Unavailable
Facility
$1183.04
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 38115
Office
Unavailable
Facility
$1194.53
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 38115
Office
Unavailable
Facility
$1289.01
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 38115
Office
Unavailable
Facility
$1282.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 38115
Office
Unavailable
Facility
$1323.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 38115
Office
Unavailable
Facility
$1297.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 38115
Office
Unavailable
Facility
$1167.09
No comparable office rate is available.
Santa Cruz-Watsonville
California · 38115
Office
Unavailable
Facility
$1192.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 38115
Office
Unavailable
Facility
$1183.00
No comparable office rate is available.
Santa Rosa-Petaluma
California · 38115
Office
Unavailable
Facility
$1202.96
No comparable office rate is available.
Stockton
California · 38115
Office
Unavailable
Facility
$1154.24
No comparable office rate is available.
Vallejo
California · 38115
Office
Unavailable
Facility
$1238.71
No comparable office rate is available.
Visalia
California · 38115
Office
Unavailable
Facility
$1154.24
No comparable office rate is available.
Yuba City
California · 38115
Office
Unavailable
Facility
$1154.24
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 38115
Office
Unavailable
Facility
$1314.96
No comparable office rate is available.
Miami
Florida · 38115
Office
Unavailable
Facility
$1505.12
No comparable office rate is available.
Chicago
Illinois · 38115
Office
Unavailable
Facility
$1454.79
No comparable office rate is available.
Manhattan
New York · 38115
Office
Unavailable
Facility
$1407.35
No comparable office rate is available.
Alaska*
Alaska · 38115
Office
Unavailable
Facility
$1491.93
No comparable office rate is available.
Alabama
Alabama · 38115
Office
Unavailable
Facility
$1081.77
No comparable office rate is available.
Arkansas
Arkansas · 38115
Office
Unavailable
Facility
$1067.28
No comparable office rate is available.
Arizona
Arizona · 38115
Office
Unavailable
Facility
$1165.08
No comparable office rate is available.
Colorado
Colorado · 38115
Office
Unavailable
Facility
$1187.75
No comparable office rate is available.
Connecticut
Connecticut · 38115
Office
Unavailable
Facility
$1279.01
No comparable office rate is available.
Delaware
Delaware · 38115
Office
Unavailable
Facility
$1182.51
No comparable office rate is available.
Fort Lauderdale
Florida · 38115
Office
Unavailable
Facility
$1359.48
No comparable office rate is available.
Rest Of Florida
Florida · 38115
Office
Unavailable
Facility
$1284.37
No comparable office rate is available.
Atlanta
Georgia · 38115
Office
Unavailable
Facility
$1246.95
No comparable office rate is available.
Rest Of Georgia
Georgia · 38115
Office
Unavailable
Facility
$1206.03
No comparable office rate is available.
Hawaii, Guam
Hawaii · 38115
Office
Unavailable
Facility
$1162.57
No comparable office rate is available.
Iowa
Iowa · 38115
Office
Unavailable
Facility
$1061.55
No comparable office rate is available.
Idaho
Idaho · 38115
Office
Unavailable
Facility
$1077.52
No comparable office rate is available.
East St. Louis
Illinois · 38115
Office
Unavailable
Facility
$1370.90
No comparable office rate is available.
Rest Of Illinois
Illinois · 38115
Office
Unavailable
Facility
$1282.94
No comparable office rate is available.
Suburban Chicago
Illinois · 38115
Office
Unavailable
Facility
$1361.80
No comparable office rate is available.
Indiana
Indiana · 38115
Office
Unavailable
Facility
$1082.08
No comparable office rate is available.
Kansas
Kansas · 38115
Office
Unavailable
Facility
$1078.64
No comparable office rate is available.
Kentucky
Kentucky · 38115
Office
Unavailable
Facility
$1152.40
No comparable office rate is available.
New Orleans
Louisiana · 38115
Office
Unavailable
Facility
$1210.02
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 38115
Office
Unavailable
Facility
$1159.39
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 38115
Office
Unavailable
Facility
$1268.03
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 38115
Office
Unavailable
Facility
$1190.36
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 38115
Office
Unavailable
Facility
$1280.11
No comparable office rate is available.
Rest Of Maryland
Maryland · 38115
Office
Unavailable
Facility
$1196.86
No comparable office rate is available.
Rest Of Maine
Maine · 38115
Office
Unavailable
Facility
$1105.88
No comparable office rate is available.
Southern Maine
Maine · 38115
Office
Unavailable
Facility
$1128.82
No comparable office rate is available.
Detroit
Michigan · 38115
Office
Unavailable
Facility
$1321.91
No comparable office rate is available.
Rest Of Michigan
Michigan · 38115
Office
Unavailable
Facility
$1200.32
No comparable office rate is available.
Minnesota
Minnesota · 38115
Office
Unavailable
Facility
$1076.40
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 38115
Office
Unavailable
Facility
$1179.15
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 38115
Office
Unavailable
Facility
$1187.80
No comparable office rate is available.
Rest Of Missouri
Missouri · 38115
Office
Unavailable
Facility
$1155.56
No comparable office rate is available.
Mississippi
Mississippi · 38115
Office
Unavailable
Facility
$1110.52
No comparable office rate is available.
Montana**
Montana · 38115
Office
Unavailable
Facility
$1201.38
No comparable office rate is available.
North Carolina
North Carolina · 38115
Office
Unavailable
Facility
$1113.01
No comparable office rate is available.
North Dakota**
North Dakota · 38115
Office
Unavailable
Facility
$1088.68
No comparable office rate is available.
Nebraska
Nebraska · 38115
Office
Unavailable
Facility
$1060.33
No comparable office rate is available.
New Hampshire
New Hampshire · 38115
Office
Unavailable
Facility
$1190.22
No comparable office rate is available.
Northern Nj
New Jersey · 38115
Office
Unavailable
Facility
$1307.42
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 38115
Office
Unavailable
Facility
$1276.23
No comparable office rate is available.
New Mexico
New Mexico · 38115
Office
Unavailable
Facility
$1215.22
No comparable office rate is available.
Nevada**
Nevada · 38115
Office
Unavailable
Facility
$1170.27
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 38115
Office
Unavailable
Facility
$1467.02
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 38115
Office
Unavailable
Facility
$1302.20
No comparable office rate is available.
Queens
New York · 38115
Office
Unavailable
Facility
$1385.92
No comparable office rate is available.
Rest Of New York
New York · 38115
Office
Unavailable
Facility
$1130.27
No comparable office rate is available.
Ohio
Ohio · 38115
Office
Unavailable
Facility
$1177.28
No comparable office rate is available.
Oklahoma
Oklahoma · 38115
Office
Unavailable
Facility
$1127.32
No comparable office rate is available.
Portland
Oregon · 38115
Office
Unavailable
Facility
$1197.61
No comparable office rate is available.
Rest Of Oregon
Oregon · 38115
Office
Unavailable
Facility
$1144.02
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 38115
Office
Unavailable
Facility
$1263.59
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 38115
Office
Unavailable
Facility
$1166.78
No comparable office rate is available.
Puerto Rico
Puerto Rico · 38115
Office
Unavailable
Facility
$1202.20
No comparable office rate is available.
Rhode Island
Rhode Island · 38115
Office
Unavailable
Facility
$1204.60
No comparable office rate is available.
South Carolina
South Carolina · 38115
Office
Unavailable
Facility
$1150.49
No comparable office rate is available.
South Dakota**
South Dakota · 38115
Office
Unavailable
Facility
$1075.35
No comparable office rate is available.
Tennessee
Tennessee · 38115
Office
Unavailable
Facility
$1086.41
No comparable office rate is available.
Austin
Texas · 38115
Office
Unavailable
Facility
$1198.82
No comparable office rate is available.
Beaumont
Texas · 38115
Office
Unavailable
Facility
$1161.34
No comparable office rate is available.
Brazoria
Texas · 38115
Office
Unavailable
Facility
$1162.89
No comparable office rate is available.
Dallas
Texas · 38115
Office
Unavailable
Facility
$1179.95
No comparable office rate is available.
Fort Worth
Texas · 38115
Office
Unavailable
Facility
$1179.43
No comparable office rate is available.
Galveston
Texas · 38115
Office
Unavailable
Facility
$1172.63
No comparable office rate is available.
Houston
Texas · 38115
Office
Unavailable
Facility
$1276.96
No comparable office rate is available.
Rest Of Texas
Texas · 38115
Office
Unavailable
Facility
$1168.05
No comparable office rate is available.
Utah
Utah · 38115
Office
Unavailable
Facility
$1164.41
No comparable office rate is available.
Virginia
Virginia · 38115
Office
Unavailable
Facility
$1140.71
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 38115
Office
Unavailable
Facility
$1202.20
No comparable office rate is available.
Vermont
Vermont · 38115
Office
Unavailable
Facility
$1104.72
No comparable office rate is available.
Rest Of Washington
Washington · 38115
Office
Unavailable
Facility
$1181.37
No comparable office rate is available.
Seattle (King Cnty)
Washington · 38115
Office
Unavailable
Facility
$1270.40
No comparable office rate is available.
Wisconsin
Wisconsin · 38115
Office
Unavailable
Facility
$1057.46
No comparable office rate is available.
West Virginia
West Virginia · 38115
Office
Unavailable
Facility
$1244.66
No comparable office rate is available.
Wyoming**
Wyoming · 38115
Office
Unavailable
Facility
$1152.26
No comparable office rate is available.
See how rates vary across the country
38115 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 38115 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1270.71
$1155.19 × 110% = $1270.71
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 38115 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
4,706
- Code
- 38115
- Physician work
- 21.33
- Practice expense
- 8.95
- Malpractice
- 5.70
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.33 | × 1.017 | 21.6926 |
| Practice expense | 8.95 | × 1.096 | 9.8092 |
| Malpractice | 5.70 | × 0.541 | 3.0837 |
| Total RVUs | 34.5855 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1155.19
Open 38115 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.33 | 1.017 |
| Practice expense | 8.95 | 1.096 |
| Malpractice | 5.7 | 0.541 |
(21.33 × 1.017 + 8.95 × 1.096 + 5.7 × 0.541) × $33.4009 = $1155.19
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
38115 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1155.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $1155.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $1155.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $1155.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $1224.82 | RVU25D |
| 2025-07-01 | Not available in this setting | $1224.82 | RVU25C |
| 2025-04-01 | Not available in this setting | $1224.82 | RVU25B |
| 2025-01-01 | Not available in this setting | $1224.82 | RVU25A |
38115 billing questions
How does 38115 differ from splenectomy?
Use 38115 when the ruptured spleen is repaired. Use a splenectomy code when all or part of the spleen is removed.
What documentation supports 38115?
The operative report should identify the splenic rupture and document that the surgeon repaired the spleen. It should make clear whether any portion or all of the organ was removed instead.
Should modifier 50 be reported?
No. Medicare's bilateral adjustment does not apply to this single-spleen procedure, and modifier 50 is inappropriate.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are paid at 50% under the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,70338100,,Removal of spleen total,A,,19.06,8.29,NA,8.29,,4.80,32.15,32.15,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70438101,,Removal of spleen partial,A,,19.06,8.39,NA,8.39,,5.08,32.53,32.53,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70538102,,Removal of spleen total,A,,4.67,1.27,NA,1.27,,1.13,7.07,7.07,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70638115,,Repair of ruptured spleen,A,,21.33,8.95,NA,8.95,,5.70,35.98,35.98,0,090,0.11,0.73,0.16,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70738120,,Laparoscopy splenectomy,A,,16.64,9.02,NA,9.02,,4.24,29.90,29.90,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70838129,,Unlisted laps px spleen,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,70938200,,Injection for spleen x-ray,A,,2.57,0.46,NA,0.46,,0.24,3.27,3.27,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664