CPT code 48140: Pancreas resection, distal, without pancreaticojejunostomy2026 Medicare rate & RVUs in Missouri
Reports distal subtotal removal of the pancreas, with or without spleen removal, when no pancreaticojejunostomy is created.
CMS doesn’t publish an office rate for 48140 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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On this page 9 sections
What 48140 covers
Code 48140 describes removal of a substantial portion of the pancreas’s body and tail without connecting the remaining pancreas to the jejunum. The spleen may be removed or preserved. Typical indications include a neoplasm or cystic lesion in the distal gland and selected cases of chronic pancreatitis. A general surgeon or surgical oncologist usually performs the operation in a hospital operating room.
Choose the code from the operative extent and reconstruction, not the diagnosis alone. The operative report should establish the portion of pancreas removed, whether the spleen was removed, and whether a pancreaticojejunostomy was created. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
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 48140 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 | $1,428.21 |
| Metropolitan St. Louis, MO | Unavailable | $1,438.59 |
| Rest of Missouri | Unavailable | $1,397.97 |
How the 48140 rate is calculated
Each of 48140’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 · 48140
RVUs × geographic indexes × conversion factor
Work25.66
25.66 RVUs× 1.000 GPCI
Practice expense11.51
11.51 RVUs× 1.000 GPCI
Malpractice6.44
6.44 RVUs× 1.000 GPCI
Adjusted RVUs
43.6100
Conversion factor
$33.4009
Medicare rate
$1,456.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 48140
48140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 48140
Pancreas resection, distal, without pancreaticojejunostomy
| 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 · 48140
Pancreas resection, distal, without pancreaticojejunostomy
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
48140 without 51 · national facility
$1,456.61
Pancreas resection, distal, without pancreaticojejunostomy
48140-51 · Second procedure: 50%
$728.31
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%).
48140 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 48145PancreatectomyDistal resection with jejunal anastomosis
- Both describe distal pancreatic resection, but 48145 includes a pancreaticojejunostomy; 48140 is selected when that reconstruction is not performed.
- 48120Pancreatic lesion excisionOpen local removal
- 48120 is for removal of a pancreatic lesion. Use 48140 when the operation removes a distal subtotal portion of the gland rather than a limited lesion.
- 48150Whipple procedureProximal resection with duodenectomy
- 48150 describes a proximal pancreatic resection involving the head and duodenum. Code 48140 is for resection of the distal gland, principally the body and tail.
48140 billing questions
How is this code distinguished from 48145?
Use 48140 when the distal resection does not include a pancreaticojejunostomy. Code 48145 is the related option when that connection is created.
Does removing the spleen change the code?
No. This code covers the distal pancreatic resection whether the spleen is removed or preserved.
Can modifier 50 be used if both sides are involved?
No. Modifier 50 is inappropriate for this code; the CMS bilateral adjustment is not used for this procedure.
What documentation supports reporting 48140?
The operative report should identify the pancreatic portion removed and state whether the surgeon created a pancreaticojejunostomy. It should also make clear whether the spleen was removed or preserved.
How are assistant or co-surgeon claims handled?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team-surgery payment 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
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