CPT code 48145: Pancreatectomy, distal resection with jejunal anastomosis2026 Medicare rate & RVUs in Modesto, CA

Reports distal subtotal removal of the pancreas with reconstruction of the remaining pancreatic tissue to the jejunum, with or without splenectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality32 Medicare services in 2024

In Modesto, CA, Medicare pays $1,465.27 for 48145 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,465.27Hospital or facility

Check a contract rate as a % of Medicare · 48145 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 48145 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Modesto, CA
  2. What 48145 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 48145 covers

This service covers distal subtotal resection of the pancreas, generally involving the body and tail, followed by an anastomosis between the remaining pancreas and the jejunum. The spleen may also be removed. Surgeons perform this operation in a hospital operating room for selected pancreatic disease requiring distal resection and drainage of the pancreatic remnant into the small bowel.

Report 48145 when the operative report supports both the distal subtotal resection and pancreaticojejunostomy; document the resection performed, the reconstruction, and whether the spleen was removed. The service has a 90-day global period, including the day-before preoperative visit and 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. An assistant at surgery 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 Modesto, CA compares for 48145

Across 109 of 109 payment localities, the facility rate for 48145 runs from $1,341.57 in Wisconsin to $1,903.81 in Miami, FL. Modesto, CA pays $1,465.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

48145 in Modesto, CA vs other payment areas
  1. Modesto, CA · this page$1,465.27
  2. Bakersfield, CA · California$1,484.46+$19.19
  3. Chico, CA · California$1,465.27
  4. El Centro, CA · California$1,466.46+$1.19
  5. Fresno, CA · California$1,465.27
  6. Hanford, CA · California$1,465.27
  7. Los Angeles, CA · California$1,551.35+$86.08

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

Every other payment area

48145 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$1,465.27
Merced, CACalifornia—$1,465.27
Napa, CACalifornia—$1,586.75
Oxnard, CACalifornia—$1,529.58
Redding, CACalifornia—$1,465.27
Rest of CaliforniaCalifornia—$1,465.27
Riverside, CACalifornia—$1,541.76
Sacramento, CACalifornia—$1,508.51

48145 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
48145 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 48145 in every payment locality

How the 48145 rate is calculated

Each of 48145’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 · 48145

RVUs × geographic indexes × conversion factor

Office or facility?

Work26.71

26.71 RVUs× 1.000 GPCI

Practice expense11.75

11.75 RVUs× 1.000 GPCI

Malpractice7.14

7.14 RVUs× 1.000 GPCI

Adjusted RVUs

45.6000

Conversion factor

$33.4009

Medicare rate

$1,523.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Modesto, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,738

Code
48145
Physician work
26.71
Practice expense
11.75
Malpractice
7.14

GPCI2026.csv

16

Locality
Modesto, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 48145 in Modesto, CA
ComponentRVULocality factorAdjusted
Physician work26.71× 1.01727.1641
Practice expense11.75× 1.09612.8780
Malpractice7.14× 0.5363.8270
Total RVUs43.8691
Conversion factor× 33.4009

Facility rate, Modesto, CA$1465.27

Facility: (26.71 × 1.017 + 11.75 × 1.096 + 7.14 × 0.536) × $33.4009 = $1465.27

Open 48145 in the RVU calculator

Payment rules and modifiers for 48145

48145 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 48145

Pancreatectomy, distal resection with jejunal anastomosis

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 · 48145

Pancreatectomy, distal resection with jejunal anastomosis

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

48145 without 51 · national facility

$1,523.08

Pancreatectomy, distal resection with jejunal anastomosis

48145-51 · Second procedure: 50%

$761.54

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 48145 has changed in Modesto, CA

48145 · 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$1,465.27RVU26D
2026-07-01Not available in this setting$1,465.27RVU26C
2026-04-01Not available in this setting$1,465.27RVU26B
2026-01-01Not available in this setting$1,465.27RVU26A
2025-10-01Not available in this setting$1,548.77RVU25D
2025-07-01Not available in this setting$1,548.77RVU25C
2025-04-01Not available in this setting$1,548.77RVU25B
2025-01-01Not available in this setting$1,548.77RVU25A
2024-10-01Not available in this setting$1,583.67RVU24D
2024-07-01Not available in this setting$1,583.67RVU24C
2024-04-01Not available in this setting$1,583.67RVU24B
2024-03-09Not available in this setting$1,583.67RVU24AR
2024-01-01Not available in this setting$1,557.82RVU24A
2023-10-01Not available in this setting$1,611.91RVU23D
2023-07-01Not available in this setting$1,611.91RVU23C
2023-04-01Not available in this setting$1,611.91RVU23B
2023-01-01Not available in this setting$1,611.91RVU23A
2022-10-01Not available in this setting$1,650.05RVU22D
2022-07-01Not available in this setting$1,650.05RVU22C
2022-04-01Not available in this setting$1,650.05RVU22B
2022-01-01Not available in this setting$1,650.05RVU22A
2021-10-01Not available in this setting$1,652.29RVU21D
2021-07-01Not available in this setting$1,652.29RVU21C
2021-04-01Not available in this setting$1,652.29RVU21B
2021-01-01Not available in this setting$1,652.29RVU21A
2020-10-01Not available in this setting$1,678.52RVU20D
2020-07-01Not available in this setting$1,678.52RVU20C
2020-04-01Not available in this setting$1,678.52RVU20B
2020-01-01Not available in this setting$1,678.52RVU20A
2019-10-01Not available in this setting$1,661.57RVU19D
2019-07-01Not available in this setting$1,661.57RVU19C
2019-04-01Not available in this setting$1,658.73RVU19B
2019-01-01Not available in this setting$1,658.73RVU19A
2018-10-01Not available in this setting$1,656.19RVU18D
2018-07-01Not available in this setting$1,656.19RVU18C
2018-04-01Not available in this setting$1,656.19RVU18B
2018-01-01Not available in this setting$1,656.19RVU18AR1
2017-10-01Not available in this setting$1,659.57RVU17D
2017-07-01Not available in this setting$1,659.57RVU17C
2017-04-01Not available in this setting$1,659.57RVU17B
2017-01-01Not available in this setting$1,659.57RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 48145 for an earlier date of service

Where the Modesto, CA rate applies

Modesto, CA is a Medicare payment area, not a city. Our Census mapping connects it to 33 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Modesto
  • Airport
  • Bret Harte
  • Bystrom
  • Ceres
  • Cowan
  • Crows Landing
  • Del Rio

Browse all communities in California

48145 billing questions

How is 48145 distinguished from 48140?

48145 includes a pancreaticojejunostomy after distal subtotal pancreatectomy. Use 48140 when the documented distal resection does not include that reconstruction.

Does 48145 include splenectomy?

The service allows for distal pancreatectomy with or without splenectomy. The operative report should state whether the spleen was removed.

What documentation supports reporting 48145?

Document the extent of pancreatic resection and the pancreaticojejunostomy connecting the pancreatic remnant to the jejunum. Record splenectomy separately in the operative details when performed.

How does the 90-day global period affect postoperative care?

The day-before preoperative visit and 90 days of related postoperative care are included in the global surgical service.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other same-session procedures paid?

For multiple procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 48145PPRRVU2026_Oct_nonQPP.csv, line 5,738 (RVU26D)
Geographic factors for Modesto, CAGPCI2026.csv, line 16 (RVU26D)

Open CMS sourceHow we calculate rates

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