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CPT code 48102: Pancreatic biopsy, percutaneous needle2026 Medicare rate & RVUs in San Francisco, CA

Reports percutaneous needle sampling of a pancreatic lesion for diagnosis, typically performed with imaging guidance by an interventional radiologist or surgeon.

CMS RVU26DEffective Oct 1, 2026One payment locality427 Medicare services in 2024

In San Francisco, CA, Medicare pays $630.35 for 48102 in the office and $222.97 when it’s performed in a hospital or facility.

$630.35Office (non-facility)
$222.97Hospital or facility
+27.9%vs the national office rate ($492.66)

Check a contract rate as a % of Medicare · 48102 nationwide

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

We’ll open 48102 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in San Francisco, CA
  2. What 48102 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 48102 covers

A clinician advances a needle through the skin to obtain pancreatic tissue for diagnostic evaluation, commonly when imaging identifies a suspicious mass. Interventional radiologists and surgeons typically perform the procedure in a hospital imaging or procedure suite, often using imaging to guide the needle. This code describes the percutaneous route; an open biopsy or an endoscopic ultrasound-guided tissue acquisition uses a different code pathway.

Select the code when the documented approach is percutaneous needle biopsy of the pancreas, and record the target, route, sampling performed, and clinical reason. The 10-day global period includes related postoperative visits during that period. When another procedure subject to the standard multiple-procedure reduction is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral adjustment does not apply, and modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are 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 San Francisco, CA compares for 48102

Across 109 of 109 payment localities, the office rate for 48102 runs from $439.14 in Arkansas to $644.80 in San Benito County, CA. San Francisco, CA pays $630.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

48102 in San Francisco, CA vs other payment areas
  1. San Francisco, CA · this page$630.35
  2. Bakersfield, CA · California$520.21−$110.14
  3. Chico, CA · California$518.71−$111.64
  4. El Centro, CA · California$518.79−$111.56
  5. Fresno, CA · California$518.71−$111.64
  6. Hanford, CA · California$518.71−$111.64
  7. Los Angeles, CA · California$552.60−$77.75

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

48102 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$518.71$202.05
Merced, CACalifornia$518.71$202.05
Modesto, CACalifornia$518.71$202.05
Napa, CACalifornia$597.06$216.27
Oxnard, CACalifornia$549.62$208.12
Redding, CACalifornia$518.71$202.05
Rest of CaliforniaCalifornia$518.71$202.05
Riverside, CACalifornia$524.05$207.40

48102 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$439.14

$582.82

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
48102 office rate range by state
State / territoryOffice rate rangeLocalities
AK$582.821
AL$445.151
AR$439.141
AZ$480.281
CA$518.71–$644.8029
CO$511.611
CT$524.061
DC$560.321
DE$487.901
FL$486.67–$530.943
GA$460.89–$501.582
GU$530.071
HI$530.071
IA$455.311
ID$458.171
IL$473.75–$516.554
IN$460.651
KS$453.511
KY$455.381
LA$454.79–$475.812
MA$508.92–$559.862
MD$496.73–$560.323
ME$460.61–$483.712
MI$466.65–$492.572
MN$490.521
MO$447.62–$477.183
MS$443.451
MT$492.631
NC$465.091
ND$482.941
NE$457.591
NH$503.871
NJ$530.12–$555.152
NM$469.121
NV$490.251
NY$471.64–$577.595
OH$464.671
OK$454.421
OR$486.51–$526.812
PA$465.25–$511.832
PR$495.971
RI$504.471
SC$465.641
SD$481.801
TN$455.661
TX$462.40–$509.868
UT$471.591
VA$482.36–$560.322
VI$495.971
VT$481.351
WA$507.88–$570.712
WI$467.761
WV$457.361
WY$488.411

See 48102 in every payment locality

How the 48102 rate is calculated

Each of 48102’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.

How the rate is built · 48102

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.58

4.58 RVUs× 1.000 GPCI

Practice expense9.68

9.68 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

14.7500

Conversion factor

$33.4009

Medicare rate

$492.66

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact San Francisco, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,734

Code
48102
Physician work
4.58
Practice expense
9.68
Malpractice
0.49

GPCI2026.csv

24

Locality
San Francisco, CA
Physician work
1.095
Practice expense
1.410
Malpractice
0.425
Office calculation for 48102 in San Francisco, CA
ComponentRVULocality factorAdjusted
Physician work4.58× 1.0955.0151
Practice expense9.68× 1.41013.6488
Malpractice0.49× 0.4250.2082
Total RVUs18.8721
Conversion factor× 33.4009

Office rate, San Francisco, CA$630.35

Office: (4.58 × 1.095 + 9.68 × 1.41 + 0.49 × 0.425) × $33.4009 = $630.35

Facility: (4.58 × 1.095 + 1.03 × 1.41 + 0.49 × 0.425) × $33.4009 = $222.97

Open 48102 in the RVU calculator

Payment rules and modifiers for 48102

48102 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 48102

Pancreatic biopsy, percutaneous needle

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 48102

Pancreatic biopsy, percutaneous needle

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

48102 without 51 · national office

$492.66

Pancreatic biopsy, percutaneous needle

48102-51 · Second procedure: 50%

$246.33

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 48102

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

Codes related to 48102
CodeHow it relatesOffice range, San Francisco, CA
Used instead
48100Pancreatic biopsy, open approachPancreatic biopsy by open surgical approach rather than percutaneous needle.No office rate
43242EUS-guided biopsy, intramural or transmural samplingEndoscopic ultrasound-guided tissue acquisition from the pancreas uses the endoscopic approach.No office rate
48120Pancreatic lesion excision, open local removalRemoval of a pancreatic lesion rather than needle sampling for diagnosis.No office rate

How 48102 has changed in San Francisco, CA

48102 · Office / nonfacility

$630.35

Effective 2026-10-01

The base rate is $9.45 higher than on 2025-10-01, moving from $620.90 to $630.35 (1.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $620.90changed to$630.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.70 changed to 4.58
    • Practice expense RVU 9.77 changed to 9.68
    • Work GPCI 1.088 changed to 1.095
    • Practice expense GPCI 1.419 changed to 1.410
    • Malpractice GPCI 0.445 changed to 0.425

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $650.48changed to$620.90

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.02 changed to 9.77
    • Malpractice RVU 0.47 changed to 0.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $639.86changed to$650.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $661.28changed to$639.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.35 changed to 10.02
    • Malpractice RVU 0.46 changed to 0.47
    • Work GPCI 1.082 changed to 1.088
    • Practice expense GPCI 1.374 changed to 1.419
    • Malpractice GPCI 0.452 changed to 0.445

  5. January 1, 2023

    RVU23A

    $668.72changed to$661.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.59 changed to 10.35
    • Malpractice RVU 0.41 changed to 0.46
    • Work GPCI 1.077 changed to 1.082
    • Practice expense GPCI 1.329 changed to 1.374
    • Malpractice GPCI 0.458 changed to 0.452

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $686.95changed to$668.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.86 changed to 10.59
    • Malpractice RVU 0.42 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $681.82changed to$686.95

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.29 changed to 10.86
    • Malpractice RVU 0.41 changed to 0.42
    • Work GPCI 1.076 changed to 1.077
    • Practice expense GPCI 1.327 changed to 1.329
    • Malpractice GPCI 0.440 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $670.75changed to$681.82

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.10 changed to 10.29
    • Malpractice RVU 0.42 changed to 0.41
    • Work GPCI 1.075 changed to 1.076
    • Practice expense GPCI 1.325 changed to 1.327
    • Malpractice GPCI 0.421 changed to 0.440

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $667.00changed to$670.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.04 changed to 10.10
    • Malpractice RVU 0.41 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $677.73changed to$667.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.05 changed to 10.04
    • Malpractice RVU 0.42 changed to 0.41
    • Work GPCI 1.077 changed to 1.075
    • Practice expense GPCI 1.357 changed to 1.325
    • Malpractice GPCI 0.439 changed to 0.421

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $690.38changed to$677.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.10 changed to 10.05
    • Work GPCI 1.079 changed to 1.077
    • Practice expense GPCI 1.388 changed to 1.357
    • Malpractice GPCI 0.457 changed to 0.439

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $692.69changed to$690.38

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.08 changed to 10.10
    • Malpractice RVU 0.47 changed to 0.42

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $689.25changed to$692.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $678.23changed to$689.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.95 changed to 10.08
    • Malpractice RVU 0.42 changed to 0.47
    • Work GPCI 1.076 changed to 1.079
    • Practice expense GPCI 1.374 changed to 1.388
    • Malpractice GPCI 0.487 changed to 0.457

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $671.94changed to$678.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.65 changed to 9.95
    • Malpractice RVU 0.44 changed to 0.42
    • Work GPCI 1.072 changed to 1.076
    • Practice expense GPCI 1.360 changed to 1.374
    • Malpractice GPCI 0.516 changed to 0.487

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$671.94

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$630.35$222.97RVU26D
2026-07-01$630.35$222.97RVU26C
2026-04-01$630.35$222.97RVU26B
2026-01-01$630.35$222.97RVU26A
2025-10-01$620.90$254.16RVU25D
2025-07-01$620.90$254.16RVU25C
2025-04-01$620.90$254.16RVU25B
2025-01-01$620.90$254.16RVU25A
2024-10-01$650.48$259.37RVU24D
2024-07-01$650.48$259.37RVU24C
2024-04-01$650.48$259.37RVU24B
2024-03-09$650.48$259.37RVU24AR
2024-01-01$639.86$255.14RVU24A
2023-10-01$661.28$261.32RVU23D
2023-07-01$661.28$261.32RVU23C
2023-04-01$661.28$261.32RVU23B
2023-01-01$661.28$261.32RVU23A
2022-10-01$668.72$261.70RVU22D
2022-07-01$668.72$261.70RVU22C
2022-04-01$668.72$261.70RVU22B
2022-01-01$668.72$261.70RVU22A
2021-10-01$686.95$264.49RVU21D
2021-07-01$686.95$264.49RVU21C
2021-04-01$686.95$264.49RVU21B
2021-01-01$686.95$264.49RVU21A
2020-10-01$681.82$275.71RVU20D
2020-07-01$681.82$275.71RVU20C
2020-04-01$681.82$275.71RVU20B
2020-01-01$681.82$275.71RVU20A
2019-10-01$670.75$275.85RVU19D
2019-07-01$670.75$275.85RVU19C
2019-04-01$670.75$275.85RVU19B
2019-01-01$670.75$275.85RVU19A
2018-10-01$667.00$276.82RVU18D
2018-07-01$667.00$276.82RVU18C
2018-04-01$667.00$276.82RVU18B
2018-01-01$667.00$276.82RVU18AR1
2017-10-01$677.73$280.33RVU17D
2017-07-01$677.73$280.33RVU17C
2017-04-01$677.73$280.33RVU17B
2017-01-01$677.73$280.33RVU17A
2016-10-01$690.38$283.37RVU16D
2016-07-01$690.38$283.37RVU16C
2016-04-01$690.38$283.37RVU16B
2016-01-01$690.38$283.37RVU16A
2015-10-01$692.69$284.71RVU15D
2015-07-01$692.69$284.71RVU15C
2015-04-01$689.25$283.29RVU15B
2015-01-01$689.25$283.29RVU15A
2014-10-01$678.23$282.01RVU14D
2014-07-01$678.23$282.01RVU14C
2014-04-01$678.23$282.01RVU14B
2014-01-01$678.23$282.01RVU14A
2013-10-01$671.94$268.91RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 48102 for an earlier date of service

Where the San Francisco, CA rate applies

San Francisco, CA is a Medicare payment area, not a city. Our Census mapping connects it to 107 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Alameda
  • Berkeley
  • Oakland
  • San Francisco
  • San Mateo
  • Acalanes Ridge
  • Alamo
  • Albany

Browse all communities in California

48102 billing questions

How does this differ from an open pancreatic biopsy?

48102 is for a needle biopsy performed through the skin. Use 48100 when the biopsy is performed through an open surgical approach.

Is modifier 50 appropriate for biopsies on both sides of the pancreas?

No. CMS identifies bilateral adjustment as inapplicable for this code, and modifier 50 is inappropriate for the descriptor and anatomy.

Are related postoperative visits separately reported during the global period?

Related postoperative visits for 10 days are included in the 10-day global period.

What documentation supports reporting 48102?

Document that the pancreatic target was sampled with a needle through a percutaneous route, along with the target and diagnostic reason. The record should distinguish this approach from open or endoscopic ultrasound-guided sampling.

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

Show the CMS file lines behind this rate
RVUs for 48102PPRRVU2026_Oct_nonQPP.csv, line 5,734 (RVU26D)
Geographic factors for San Francisco, CAGPCI2026.csv, line 24 (RVU26D)

Open CMS sourceHow we calculate rates

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