CPT code 48105: Pancreatic trauma surgery, resection or debridement2026 Medicare rate & RVUs in Missouri
Reports operative removal of injured or devitalized pancreatic tissue during surgical treatment of traumatic pancreatic injury.
CMS doesn’t publish an office rate for 48105 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $2,511.00 |
| Metropolitan St. Louis, MO | Unavailable | $2,527.55 |
| Rest of Missouri | Unavailable | $2,463.46 |
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.
How the rate is built · 48105
RVUs × geographic indexes × conversion factor
Work48.03
48.03 RVUs× 1.000 GPCI
Practice expense18.08
18.08 RVUs× 1.000 GPCI
Malpractice10.41
10.41 RVUs× 1.000 GPCI
Adjusted RVUs
76.5200
Conversion factor
$33.4009
Medicare rate
$2,555.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 48105
48105 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 48105
Pancreatic trauma surgery, resection or debridement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 48105
Pancreatic trauma surgery, resection or debridement
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
48105 without 51 · national facility
$2,555.84
Pancreatic trauma surgery, resection or debridement
48105-51 · Second procedure: 50%
$1,277.92
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%).
48105 compared with similar codes
Compare codes · National
5 codes, side by side
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.
48105 billing questions
How is this different from pancreatic lesion excision?
This code is for tissue removal or debridement because of trauma. Code 48120 is for excision of a pancreatic lesion, such as a nontraumatic focal abnormality.
Is related postoperative care separately reported?
The 90-day global period includes related postoperative care and the day-before preoperative visit. The operative record should support that follow-up is related to this surgery.
Can modifier 50 be used for this procedure?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this pancreatic procedure.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
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