CPT code 48140: Pancreas resection, distal, without pancreaticojejunostomy2026 Medicare rate & RVUs in Utah
Reports distal subtotal removal of the pancreas, with or without spleen removal, when no pancreaticojejunostomy is created.
In Utah, Medicare pays $1,411.61 for 48140 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 48140 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How Utah compares for 48140
Across 109 of 109 payment localities, the facility rate for 48140 runs from $1,291.62 in Wisconsin to $1,813.55 in Alaska. Utah pays $1,411.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$1,411.61
- Los Angeles, CA · California$1,489.83+$78.22
- Washington, DC area · District of Columbia$1,595.63+$184.02
- Miami, FL · Florida$1,801.27+$389.66
- Chicago, IL · Illinois$1,743.09+$331.48
- Manhattan, NY · New York$1,699.80+$288.19
- Alaska · Alaska$1,813.55+$401.94
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,315.20 |
| ArkansasArkansas | — | $1,298.08 |
| ArizonaArizona | — | $1,413.72 |
| Bakersfield, CACalifornia | — | $1,425.70 |
| Chico, CACalifornia | — | $1,408.28 |
| El Centro, CACalifornia | — | $1,409.36 |
| Fresno, CACalifornia | — | $1,408.28 |
| Hanford, CACalifornia | — | $1,408.28 |
| Madera, CACalifornia | — | $1,408.28 |
| Merced, CACalifornia | — | $1,408.28 |
| Modesto, CACalifornia | — | $1,408.28 |
| Napa, CACalifornia | — | $1,527.03 |
| Oxnard, CACalifornia | — | $1,469.49 |
| Redding, CACalifornia | — | $1,408.28 |
| Rest of CaliforniaCalifornia | — | $1,408.28 |
| Riverside, CACalifornia | — | $1,477.33 |
| Sacramento, CACalifornia | — | $1,450.32 |
| Salinas, CACalifornia | — | $1,444.50 |
| San Diego, CACalifornia | — | $1,459.16 |
| Marin County, CACalifornia | — | $1,579.29 |
| San Francisco, CACalifornia | — | $1,571.97 |
| San Benito County, CACalifornia | — | $1,621.01 |
| Santa Clara County, CACalifornia | — | $1,591.11 |
| San Luis Obispo, CACalifornia | — | $1,424.81 |
| Santa Cruz, CACalifornia | — | $1,457.46 |
| Santa Maria, CACalifornia | — | $1,444.62 |
| Santa Rosa, CACalifornia | — | $1,470.17 |
| Stockton, CACalifornia | — | $1,408.28 |
| Vallejo, CACalifornia | — | $1,516.49 |
| Visalia, CACalifornia | — | $1,408.28 |
| Yuba City, CACalifornia | — | $1,408.28 |
| ColoradoColorado | — | $1,444.40 |
| ConnecticutConnecticut | — | $1,548.53 |
| DelawareDelaware | — | $1,434.56 |
| Fort Lauderdale, FLFlorida | — | $1,635.41 |
| Rest of FloridaFlorida | — | $1,547.89 |
| Atlanta, GAGeorgia | — | $1,508.57 |
| Rest of GeorgiaGeorgia | — | $1,456.39 |
| Hawaii, Guam, HIHawaii | — | $1,418.72 |
| IowaIowa | — | $1,294.23 |
| IdahoIdaho | — | $1,312.50 |
| East St. Louis, ILIllinois | — | $1,643.97 |
| Rest of IllinoisIllinois | — | $1,544.27 |
| Suburban Chicago, ILIllinois | — | $1,639.05 |
| IndianaIndiana | — | $1,317.99 |
| KansasKansas | — | $1,313.02 |
| KentuckyKentucky | — | $1,395.66 |
| New Orleans, LALouisiana | — | $1,463.18 |
| Rest of LouisianaLouisiana | — | $1,403.37 |
| Metropolitan Boston, MAMassachusetts | — | $1,542.67 |
| Rest of MassachusettsMassachusetts | — | $1,447.04 |
| Baltimore area, MDMaryland | — | $1,549.37 |
| Rest of MarylandMaryland | — | $1,452.16 |
| Rest of MaineMaine | — | $1,344.55 |
| Southern Maine, MEMaine | — | $1,373.78 |
| Detroit, MIMichigan | — | $1,590.72 |
| Rest of MichiganMichigan | — | $1,450.91 |
| MinnesotaMinnesota | — | $1,316.33 |
| Metropolitan Kansas City, MOMissouri | — | $1,428.21 |
| Metropolitan St. Louis, MOMissouri | — | $1,438.59 |
| Rest of MissouriMissouri | — | $1,397.97 |
| MississippiMississippi | — | $1,347.03 |
| MontanaMontana | — | $1,456.18 |
| North CarolinaNorth Carolina | — | $1,353.20 |
| North DakotaNorth Dakota | — | $1,328.84 |
| NebraskaNebraska | — | $1,293.22 |
| New HampshireNew Hampshire | — | $1,445.49 |
| Northern New JerseyNew Jersey | — | $1,586.75 |
| Rest of New JerseyNew Jersey | — | $1,547.13 |
| New MexicoNew Mexico | — | $1,467.94 |
| NevadaNevada | — | $1,421.08 |
| NYC suburbs and Long Island, NYNew York | — | $1,768.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,576.87 |
| Queens, NYNew York | — | $1,676.51 |
| Rest of New YorkNew York | — | $1,373.51 |
| OhioOhio | — | $1,424.89 |
| OklahomaOklahoma | — | $1,367.51 |
| Portland, OROregon | — | $1,457.93 |
| Rest of OregonOregon | — | $1,391.19 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,529.32 |
| Rest of PennsylvaniaPennsylvania | — | $1,413.26 |
| Puerto RicoPuerto Rico | — | $1,457.62 |
| Rhode IslandRhode Island | — | $1,462.35 |
| South CarolinaSouth Carolina | — | $1,395.13 |
| South DakotaSouth Dakota | — | $1,313.79 |
| TennesseeTennessee | — | $1,322.04 |
| Austin, TXTexas | — | $1,456.10 |
| Beaumont, TXTexas | — | $1,406.74 |
| Brazoria, TXTexas | — | $1,412.69 |
| Dallas, TXTexas | — | $1,432.24 |
| Fort Worth, TXTexas | — | $1,431.20 |
| Galveston, TXTexas | — | $1,423.78 |
| Houston, TXTexas | — | $1,541.66 |
| Rest of TexasTexas | — | $1,416.14 |
| VirginiaVirginia | — | $1,386.84 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,457.62 |
| VermontVermont | — | $1,346.51 |
| Rest of WashingtonWashington | — | $1,436.72 |
| King County, WAWashington | — | $1,547.37 |
| WisconsinWisconsin | — | $1,291.62 |
| West VirginiaWest Virginia | — | $1,498.96 |
| WyomingWyoming | — | $1,400.69 |
48140 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,737
- Code
- 48140
- Physician work
- 25.66
- Practice expense
- 11.51
- Malpractice
- 6.44
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.66 | × 1.000 | 25.6600 |
| Practice expense | 11.51 | × 0.940 | 10.8194 |
| Malpractice | 6.44 | × 0.898 | 5.7831 |
| Total RVUs | 42.2625 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1411.61
Facility: (25.66 × 1 + 11.51 × 0.94 + 6.44 × 0.898) × $33.4009 = $1411.61
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%).
How 48140 has changed in Utah
48140 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,411.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,411.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,411.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,411.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,481.18 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,481.18 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,481.18 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,481.18 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,517.12 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,517.12 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,517.12 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,517.12 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,492.35 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,519.79 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,519.79 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,519.79 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,519.79 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,528.19 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,528.19 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,528.19 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,528.19 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,529.83 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,529.83 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,529.83 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,529.83 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,604.58 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,604.58 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,604.58 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,604.58 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,641.26 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,641.26 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,641.26 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,641.26 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,633.10 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,633.10 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,633.10 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,633.10 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,628.85 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,628.85 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,628.85 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,628.85 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,625.52 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,625.52 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,625.52 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,625.52 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,627.03 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,627.03 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,618.94 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,618.94 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,582.21 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,582.21 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,582.21 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,582.21 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,545.37 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,545.37 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,545.37 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,545.37 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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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