CPT code 48100: Pancreatic biopsy, open approach2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $782.76 for 48100 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 48100 nationwide

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

What 48100 covers

An open pancreatic biopsy obtains tissue from the pancreas after the surgeon exposes it through an operative incision. General surgeons and surgical oncologists may perform it in an operating room when tissue diagnosis is needed and a needle approach is unsuitable or an open operation provides access. The specimen is submitted for pathologic examination; this code describes the surgeon's biopsy work, not the microscopic interpretation.

Select 48100 for an open biopsy rather than a needle sample or an operation that removes or debrides pancreatic tissue. The operative report should identify the pancreatic target, open approach, biopsy purpose, and tissue obtained. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

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.

How Vermont compares for 48100

Across 109 of 109 payment localities, the facility rate for 48100 runs from $750.51 in Nebraska to $1,042.65 in Alaska. Vermont pays $782.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

48100 rates by state

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

See 48100 in every payment locality

How the 48100 rate is calculated

Each of 48100’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.

Payment rules and modifiers for 48100

48100 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 48100

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

How 48100 has changed in Vermont

Price 48100 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates