CPT code 48145: Pancreatectomy, distal resection with jejunal anastomosis2026 Medicare rate & RVUs in Southern Maine, ME
Reports distal subtotal removal of the pancreas with reconstruction of the remaining pancreatic tissue to the jejunum, with or without splenectomy.
In Southern Maine, ME, Medicare pays $1,431.55 for 48145 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Southern Maine, ME 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. Southern Maine, ME pays $1,431.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Southern Maine, ME · this page$1,431.55
- Rest of Maine · Maine$1,401.54−$30.01
- Los Angeles, CA · California$1,551.35+$119.80
- Washington, DC area · District of Columbia$1,668.06+$236.51
- Miami, FL · Florida$1,903.81+$472.26
- Chicago, IL · Illinois$1,840.12+$408.57
- Manhattan, NY · New York$1,783.51+$351.96
Other areas in Maine first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | — | $1,887.58 |
| AlabamaAlabama | — | $1,370.52 |
| ArkansasArkansas | — | $1,352.08 |
| ArizonaArizona | — | $1,476.57 |
| Bakersfield, CACalifornia | — | $1,484.46 |
| Chico, CACalifornia | — | $1,465.27 |
| El Centro, CACalifornia | — | $1,466.46 |
| Fresno, CACalifornia | — | $1,465.27 |
| Hanford, CACalifornia | — | $1,465.27 |
| Madera, CACalifornia | — | $1,465.27 |
| Merced, CACalifornia | — | $1,465.27 |
| Modesto, 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 |
| Salinas, CACalifornia | — | $1,502.48 |
| San Diego, CACalifornia | — | $1,517.54 |
| Marin County, CACalifornia | — | $1,639.72 |
| San Francisco, CACalifornia | — | $1,631.62 |
| San Benito County, CACalifornia | — | $1,684.03 |
| Santa Clara County, CACalifornia | — | $1,650.88 |
| San Luis Obispo, CACalifornia | — | $1,482.14 |
| Santa Cruz, CACalifornia | — | $1,515.54 |
| Santa Maria, CACalifornia | — | $1,502.55 |
| Santa Rosa, CACalifornia | — | $1,528.67 |
| Stockton, CACalifornia | — | $1,465.27 |
| Vallejo, CACalifornia | — | $1,575.07 |
| Visalia, CACalifornia | — | $1,465.27 |
| Yuba City, CACalifornia | — | $1,465.27 |
| ColoradoColorado | — | $1,506.68 |
| ConnecticutConnecticut | — | $1,621.22 |
| DelawareDelaware | — | $1,498.75 |
| Fort Lauderdale, FLFlorida | — | $1,720.88 |
| Rest of FloridaFlorida | — | $1,625.77 |
| Atlanta, GAGeorgia | — | $1,579.97 |
| Rest of GeorgiaGeorgia | — | $1,526.48 |
| Hawaii, Guam, HIHawaii | — | $1,476.45 |
| IowaIowa | — | $1,345.92 |
| IdahoIdaho | — | $1,366.00 |
| East St. Louis, ILIllinois | — | $1,733.51 |
| Rest of IllinoisIllinois | — | $1,623.20 |
| Suburban Chicago, ILIllinois | — | $1,724.03 |
| IndianaIndiana | — | $1,371.85 |
| KansasKansas | — | $1,367.12 |
| KentuckyKentucky | — | $1,459.25 |
| New Orleans, LALouisiana | — | $1,532.36 |
| Rest of LouisianaLouisiana | — | $1,467.93 |
| Metropolitan Boston, MAMassachusetts | — | $1,609.56 |
| Rest of MassachusettsMassachusetts | — | $1,509.74 |
| Baltimore area, MDMaryland | — | $1,622.53 |
| Rest of MarylandMaryland | — | $1,517.16 |
| Detroit, MIMichigan | — | $1,672.94 |
| Rest of MichiganMichigan | — | $1,519.70 |
| MinnesotaMinnesota | — | $1,366.57 |
| Metropolitan Kansas City, MOMissouri | — | $1,493.66 |
| Metropolitan St. Louis, MOMissouri | — | $1,504.72 |
| Rest of MissouriMissouri | — | $1,462.72 |
| MississippiMississippi | — | $1,406.29 |
| MontanaMontana | — | $1,522.60 |
| North CarolinaNorth Carolina | — | $1,410.69 |
| North DakotaNorth Dakota | — | $1,381.42 |
| NebraskaNebraska | — | $1,344.53 |
| New HampshireNew Hampshire | — | $1,509.36 |
| Northern New JerseyNew Jersey | — | $1,658.30 |
| Rest of New JerseyNew Jersey | — | $1,618.01 |
| New MexicoNew Mexico | — | $1,538.44 |
| NevadaNevada | — | $1,483.65 |
| NYC suburbs and Long Island, NYNew York | — | $1,858.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,650.59 |
| Queens, NYNew York | — | $1,757.01 |
| Rest of New YorkNew York | — | $1,432.63 |
| OhioOhio | — | $1,490.84 |
| OklahomaOklahoma | — | $1,427.91 |
| Portland, OROregon | — | $1,519.87 |
| Rest of OregonOregon | — | $1,450.68 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,601.26 |
| Rest of PennsylvaniaPennsylvania | — | $1,477.78 |
| Puerto RicoPuerto Rico | — | $1,523.82 |
| Rhode IslandRhode Island | — | $1,527.23 |
| South CarolinaSouth Carolina | — | $1,457.48 |
| South DakotaSouth Dakota | — | $1,364.73 |
| TennesseeTennessee | — | $1,376.95 |
| Austin, TXTexas | — | $1,520.44 |
| Beaumont, TXTexas | — | $1,470.83 |
| Brazoria, TXTexas | — | $1,474.22 |
| Dallas, TXTexas | — | $1,495.68 |
| Fort Worth, TXTexas | — | $1,494.85 |
| Galveston, TXTexas | — | $1,486.45 |
| Houston, TXTexas | — | $1,617.14 |
| Rest of TexasTexas | — | $1,479.93 |
| UtahUtah | — | $1,475.21 |
| VirginiaVirginia | — | $1,446.30 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,523.82 |
| VermontVermont | — | $1,401.35 |
| Rest of WashingtonWashington | — | $1,498.48 |
| King County, WAWashington | — | $1,613.13 |
| WisconsinWisconsin | — | $1,341.57 |
| West VirginiaWest Virginia | — | $1,574.45 |
| WyomingWyoming | — | $1,461.08 |
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
| 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 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
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 Southern Maine, ME 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
58
- Locality
- Southern Maine, ME
- Physician work
- 1.000
- Practice expense
- 0.991
- Malpractice
- 0.631
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.71 | × 1.000 | 26.7100 |
| Practice expense | 11.75 | × 0.991 | 11.6442 |
| Malpractice | 7.14 | × 0.631 | 4.5053 |
| Total RVUs | 42.8596 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Southern Maine, ME$1431.55
Facility: (26.71 × 1 + 11.75 × 0.991 + 7.14 × 0.631) × $33.4009 = $1431.55
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
| 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 · 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.
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%).
How 48145 has changed in Southern Maine, ME
48145 · 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 | $1,431.55 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,431.55 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,431.55 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,431.55 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,519.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,519.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,519.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,519.21 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,554.37 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,554.37 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,554.37 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,554.37 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,529.00 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,573.57 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,573.57 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,573.57 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,573.57 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,603.49 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,603.49 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,603.49 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,603.49 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,605.40 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,605.40 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,605.40 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,605.40 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,640.74 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,640.74 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,640.74 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,640.74 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,635.32 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,635.32 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,631.94 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,631.94 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,629.78 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,629.78 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,629.78 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,629.78 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,612.29 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,612.29 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,612.29 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,612.29 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,608.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,608.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,608.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,608.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,619.35 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,619.35 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,611.29 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,611.29 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,603.17 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,603.17 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,603.17 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,603.17 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Southern Maine, ME rate applies
Southern Maine, ME is a Medicare payment area, not a city. Our Census mapping connects it to 42 cities and communities in Maine. Some span more than one payment area; confirm with the service ZIP.
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
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