No office rate
38100 describes total splenectomy performed as the primary, stand-alone operation. Use 38102 when total spleen removal accompanies another primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
38102 Splenectomy Medicare reimbursement rates in Idaho
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. Compare 38102 office and facility rates across CMS payment localities in Idaho.
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.
What does Medicare pay for 38102 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$212.86
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
General surgery
About 38102: Total splenectomy during another operation
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.
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.
CMS billing rules for 38102
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.67 · 66%
- Practice expense (office) RVU1.27 · 18%
- Malpractice RVU1.13 · 16%
474
Medicare services in 2024 · #3612 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.
38102 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
38101 is for partial splenectomy, with splenic tissue left in place. 38102 represents complete removal performed with another operation.
No office rate
38120 identifies laparoscopic splenectomy. For 38102, the defining distinction is that total splenectomy accompanies another procedure.
Compare 38102 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$212.86
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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 38102 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
4,705
- Code
- 38102
- Physician work
- 4.67
- Practice expense
- 1.27
- Malpractice
- 1.13
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.67 | × 1.000 | 4.6700 |
| Practice expense | 1.27 | × 0.920 | 1.1684 |
| Malpractice | 1.13 | × 0.473 | 0.5345 |
| Total RVUs | 6.3729 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$212.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.67 | 1 |
| Practice expense | 1.27 | 0.92 |
| Malpractice | 1.13 | 0.473 |
(4.67 × 1 + 1.27 × 0.92 + 1.13 × 0.473) × $33.4009 = $212.86
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.
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 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.
4,70237799,,Unlisted px vascular surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772