CPT code 48105: Pancreatic trauma surgery, resection or debridement2026 Medicare rate & RVUs

Medicare pays $2,555.84 for 48105 nationally in a facility.

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

What 48105 covers

This code is for operative removal of damaged or devitalized pancreatic tissue during treatment of pancreatic trauma, such as injury from blunt force or a penetrating wound. A trauma or general surgeon typically performs the procedure in a hospital operating room as part of the patient's acute injury care. The operative report should establish the traumatic cause and describe the pancreatic injury and tissue removed.

Choose this code for trauma-directed resection or debridement, rather than diagnostic sampling or excision of a nontraumatic focal lesion. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery 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.

Where 48105 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

48105 rates by state

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

How the 48105 rate is calculated

Each of 48105’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 48105

48105 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

48105 compared with similar codes

How to choose

48120Pancreatic lesion excisionOpen local removal

48105 addresses pancreatic tissue removed or debrided because of trauma. 48120 describes excision of a pancreatic lesion, such as a nontraumatic focal abnormality.

48100Pancreatic biopsyOpen approach

48100 is open diagnostic sampling of the pancreas. 48105 is therapeutic removal or debridement of tissue injured by trauma.

48140Pancreas resectionDistal, without pancreaticojejunostomy

48140 is for a distal subtotal pancreatectomy without pancreaticojejunostomy; use 48105 when the operative service is trauma-directed resection or debridement.

48145PancreatectomyDistal resection with jejunal anastomosis

48145 describes distal subtotal pancreatectomy with pancreaticojejunostomy. The traumatic indication and service documented for 48105 differ from that defined operation.

Codes related to 48105

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

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