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

Reports operative removal of injured or devitalized pancreatic tissue during surgical treatment of traumatic pancreatic injury.

CMS RVU26DEffective Oct 1, 2026One payment locality229 Medicare services in 2024

In Montana, Medicare pays $2,555.14 for 48105 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,555.14Hospital or facility

Check a contract rate as a % of Medicare · 48105 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 48105 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 48105 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 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.

How Montana compares for 48105

Across 109 of 109 payment localities, the facility rate for 48105 runs from $2,289.86 in Wisconsin to $3,241.09 in Alaska. Montana pays $2,555.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

48105 in Montana vs other payment areas
  1. Montana · this page$2,555.14
  2. Los Angeles, CA · California$2,615.29+$60.15
  3. Washington, DC area · District of Columbia$2,789.25+$234.11
  4. Miami, FL · Florida$3,112.23+$557.09
  5. Chicago, IL · Illinois$3,020.36+$465.22
  6. Manhattan, NY · New York$2,960.09+$404.95
  7. Alaska · Alaska$3,241.09+$685.95

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

Every other payment area

48105 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,329.45
ArkansasArkansas—$2,302.05
ArizonaArizona—$2,487.05
Bakersfield, CACalifornia—$2,508.34
Chico, CACalifornia—$2,479.75
El Centro, CACalifornia—$2,481.49
Fresno, CACalifornia—$2,479.75
Hanford, CACalifornia—$2,479.75

48105 rates by state

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

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.

View every state and territory as a table
48105 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 48105 in every payment locality

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

Office or facility?

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,735

Code
48105
Physician work
48.03
Practice expense
18.08
Malpractice
10.41

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 48105 in Montana
ComponentRVULocality factorAdjusted
Physician work48.03× 1.00048.0300
Practice expense18.08× 1.00018.0800
Malpractice10.41× 0.99810.3892
Total RVUs76.4992
Conversion factor× 33.4009

Facility rate, Montana$2555.14

Facility: (48.03 × 1 + 18.08 × 1 + 10.41 × 0.998) × $33.4009 = $2555.14

Open 48105 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

How 48105 has changed in Montana

48105 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$2,555.14RVU26D
2026-07-01Not available in this setting$2,555.14RVU26C
2026-04-01Not available in this setting$2,555.14RVU26B
2026-01-01Not available in this setting$2,555.14RVU26A
2025-10-01Not available in this setting$2,733.95RVU25D
2025-07-01Not available in this setting$2,733.95RVU25C
2025-04-01Not available in this setting$2,733.95RVU25B
2025-01-01Not available in this setting$2,733.95RVU25A
2024-10-01Not available in this setting$2,792.26RVU24D
2024-07-01Not available in this setting$2,792.26RVU24C
2024-04-01Not available in this setting$2,792.26RVU24B
2024-03-09Not available in this setting$2,792.26RVU24AR
2024-01-01Not available in this setting$2,746.69RVU24A
2023-10-01Not available in this setting$2,840.20RVU23D
2023-07-01Not available in this setting$2,840.20RVU23C
2023-04-01Not available in this setting$2,840.20RVU23B
2023-01-01Not available in this setting$2,840.20RVU23A
2022-10-01Not available in this setting$2,914.60RVU22D
2022-07-01Not available in this setting$2,914.60RVU22C
2022-04-01Not available in this setting$2,914.60RVU22B
2022-01-01Not available in this setting$2,914.60RVU22A
2021-10-01Not available in this setting$2,918.67RVU21D
2021-07-01Not available in this setting$2,918.67RVU21C
2021-04-01Not available in this setting$2,918.67RVU21B
2021-01-01Not available in this setting$2,918.67RVU21A
2020-10-01Not available in this setting$3,107.08RVU20D
2020-07-01Not available in this setting$3,107.08RVU20C
2020-04-01Not available in this setting$3,107.08RVU20B
2020-01-01Not available in this setting$3,107.08RVU20A
2019-10-01Not available in this setting$3,220.07RVU19D
2019-07-01Not available in this setting$3,220.07RVU19C
2019-04-01Not available in this setting$3,220.07RVU19B
2019-01-01Not available in this setting$3,220.07RVU19A
2018-10-01Not available in this setting$3,218.25RVU18D
2018-07-01Not available in this setting$3,218.25RVU18C
2018-04-01Not available in this setting$3,218.25RVU18B
2018-01-01Not available in this setting$3,218.25RVU18AR1
2017-10-01Not available in this setting$3,138.74RVU17D
2017-07-01Not available in this setting$3,138.74RVU17C
2017-04-01Not available in this setting$3,138.74RVU17B
2017-01-01Not available in this setting$3,138.74RVU17A
2016-10-01Not available in this setting$3,055.99RVU16D
2016-07-01Not available in this setting$3,055.99RVU16C
2016-04-01Not available in this setting$3,055.99RVU16B
2016-01-01Not available in this setting$3,055.99RVU16A
2015-10-01Not available in this setting$3,056.01RVU15D
2015-07-01Not available in this setting$3,056.01RVU15C
2015-04-01Not available in this setting$3,040.81RVU15B
2015-01-01Not available in this setting$3,040.81RVU15A
2014-10-01Not available in this setting$2,963.45RVU14D
2014-07-01Not available in this setting$2,963.45RVU14C
2014-04-01Not available in this setting$2,963.45RVU14B
2014-01-01Not available in this setting$2,963.45RVU14A
2013-10-01Not available in this setting$2,893.35RVU13D
2013-07-01Not available in this setting$2,893.35RVU13C
2013-04-01Not available in this setting$2,893.35RVU13B
2013-01-01Not available in this setting$2,893.35RVU13AR

Price 48105 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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

Show the CMS file lines behind this rate
RVUs for 48105PPRRVU2026_Oct_nonQPP.csv, line 5,735 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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