2025 CPT code 38129
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Hemic and Lymphatic Systems Surgery Feed
Unlisted laparoscopy procedure on the spleen.
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.
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.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: This information is not available in the provided text.RVUs vary by geographic location and payer.
- Global Days: This information is not available in the provided text and would depend on the specific procedure performed.
- Payment Status: Active
- Modifier TC rule: The applicability of a Technical Component (TC) modifier would depend on the specifics of the procedure and the involved parties.
- Fee Schedule: This information is not available in the provided text.Fee schedules vary by payer and location.
- Specialties:General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center