CPT code 48145: Pancreatectomy, distal resection with jejunal anastomosis2026 Medicare rate & RVUs in Virgin Islands, VI

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 Virgin Islands, VI, Medicare pays $1,523.82 for 48145 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,523.82Hospital 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 Virgin Islands, VI
  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 Virgin Islands, VI 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. Virgin Islands, VI pays $1,523.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

48145 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$1,523.82
  2. Los Angeles, CA · California$1,551.35+$27.53
  3. Washington, DC area · District of Columbia$1,668.06+$144.24
  4. Miami, FL · Florida$1,903.81+$379.99
  5. Chicago, IL · Illinois$1,840.12+$316.30
  6. Manhattan, NY · New York$1,783.51+$259.69
  7. Alaska · Alaska$1,887.58+$363.76

Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.

Every other payment area

48145 in every other Medicare payment locality
Payment localityOfficeFacility
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

48145 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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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 Virgin Islands, VI 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

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 48145 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work26.71× 1.00026.7100
Practice expense11.75× 1.01111.8792
Malpractice7.14× 0.9857.0329
Total RVUs45.6221
Conversion factor× 33.4009

Facility rate, Virgin Islands, VI$1523.82

Facility: (26.71 × 1 + 11.75 × 1.011 + 7.14 × 0.985) × $33.4009 = $1523.82

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 Virgin Islands, VI

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$1,523.82RVU26D
2026-07-01Not available in this setting$1,523.82RVU26C
2026-04-01Not available in this setting$1,523.82RVU26B
2026-01-01Not available in this setting$1,523.82RVU26A
2025-10-01Not available in this setting$1,590.42RVU25D
2025-07-01Not available in this setting$1,590.42RVU25C
2025-04-01Not available in this setting$1,590.42RVU25B
2025-01-01Not available in this setting$1,590.42RVU25A
2024-10-01Not available in this setting$1,628.57RVU24D
2024-07-01Not available in this setting$1,628.57RVU24C
2024-04-01Not available in this setting$1,628.57RVU24B
2024-03-09Not available in this setting$1,628.57RVU24AR
2024-01-01Not available in this setting$1,601.99RVU24A
2023-10-01Not available in this setting$1,651.86RVU23D
2023-07-01Not available in this setting$1,651.66RVU23C
2023-04-01Not available in this setting$1,651.66RVU23B
2023-01-01Not available in this setting$1,651.66RVU23A
2022-10-01Not available in this setting$1,688.76RVU22D
2022-07-01Not available in this setting$1,688.76RVU22C
2022-04-01Not available in this setting$1,688.76RVU22B
2022-01-01Not available in this setting$1,688.76RVU22A
2021-10-01Not available in this setting$1,688.85RVU21D
2021-07-01Not available in this setting$1,688.85RVU21C
2021-04-01Not available in this setting$1,688.85RVU21B
2021-01-01Not available in this setting$1,688.85RVU21A
2020-10-01Not available in this setting$1,722.17RVU20D
2020-07-01Not available in this setting$1,722.17RVU20C
2020-04-01Not available in this setting$1,722.17RVU20B
2020-01-01Not available in this setting$1,722.17RVU20A
2019-10-01Not available in this setting$1,712.12RVU19D
2019-07-01Not available in this setting$1,712.12RVU19C
2019-04-01Not available in this setting$1,707.13RVU19B
2019-01-01Not available in this setting$1,707.13RVU19A
2018-10-01Not available in this setting$1,705.58RVU18D
2018-07-01Not available in this setting$1,705.58RVU18C
2018-04-01Not available in this setting$1,705.58RVU18B
2018-01-01Not available in this setting$1,705.58RVU18AR1
2017-10-01Not available in this setting$1,689.09RVU17D
2017-07-01Not available in this setting$1,689.09RVU17C
2017-04-01Not available in this setting$1,689.09RVU17B
2017-01-01Not available in this setting$1,689.09RVU17A
2016-10-01Not available in this setting$1,669.32RVU16D
2016-07-01Not available in this setting$1,669.32RVU16C
2016-04-01Not available in this setting$1,669.32RVU16B
2016-01-01Not available in this setting$1,669.32RVU16A
2015-10-01Not available in this setting$1,680.21RVU15D
2015-07-01Not available in this setting$1,680.21RVU15C
2015-04-01Not available in this setting$1,671.85RVU15B
2015-01-01Not available in this setting$1,671.85RVU15A
2014-10-01Not available in this setting$1,666.14RVU14D
2014-07-01Not available in this setting$1,666.14RVU14C
2014-04-01Not available in this setting$1,666.14RVU14B
2014-01-01Not available in this setting$1,666.14RVU14A
2013-10-01Not available in this setting$1,641.89RVU13D
2013-07-01Not available in this setting$1,641.89RVU13C
2013-04-01Not available in this setting$1,641.89RVU13B
2013-01-01Not available in this setting$1,641.89RVU13AR

Price 48145 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in United States Virgin Islands

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 Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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