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2025 CPT code 38129

Unlisted laparoscopy procedure on the spleen.

* Adhere to CPT guidelines for reporting unlisted procedures.* Include detailed documentation for accurate reimbursement.

Modifiers may apply depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 62 for two surgeons, etc.).

Medical necessity must be clearly established through documentation supporting the need for the specific laparoscopic splenic procedure. The rationale for selecting unlisted code 38129 needs clear justification, demonstrating that no other available CPT code accurately reflects the performed services.

The surgeon performs the laparoscopic procedure on the spleen.

IMPORTANT:Use only when no other specific CPT code accurately describes the procedure performed.Consider submitting a cover letter with the claim explaining the necessity of using this unlisted code, including documentation like operative notes.

In simple words: This code is for a laparoscopic surgery on the spleen that doesn't have its own specific code.The doctor makes small cuts in the belly, inflates it with gas to see better, and uses instruments to work on the spleen.

This CPT code reports laparoscopic procedures on the spleen not otherwise specified by a specific code.The procedure involves making small incisions in the abdomen, inflating the abdomen with carbon dioxide for better visualization, inserting a laparoscope to examine the spleen, and using other incisions for instruments. Ports are used to maintain incisions, and these are removed upon completion. Incisions are usually closed with sutures or staples.

Example 1: A patient presents with splenic trauma requiring laparoscopic repair of a laceration not captured by other specific codes., A patient with a complex splenic cyst undergoes laparoscopic partial cystectomy, not otherwise specified., A patient with an unusual splenic mass requires laparoscopic exploration and biopsy to determine the nature of the lesion.

* Operative report detailing the procedure performed, including specific steps.* Pre-operative and post-operative diagnoses.* Justification for using unlisted code 38129.* Any imaging studies used (e.g., CT scan, MRI).* Pathology report if tissue was removed.

** Always ensure proper documentation to support the medical necessity and accurate description of the procedure when using unlisted codes.Failure to do so may result in claim denials.

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