CPT code 48150: Whipple procedure, proximal resection with duodenectomy2026 Medicare rate & RVUs in Briar, Texas

CPT 48150: $2,792.62–$2,820.90 facility across 2 localities in Briar, TX in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

CMS doesn’t publish an office rate for 48150 in Briar, Texas.

—Office (non-facility)
$2,792.62–$2,820.90Hospital or facility

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 48150 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Briar, Texas
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 48150 pays more and less in Briar, Texas

Briar, Texas maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

48150 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Worth, TXUnavailable$2,820.90
Rest of TexasUnavailable$2,792.62

How payment areas work in Briar

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Rest Of State · Parker County, Wise County
  • Fort Worth · Tarrant County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 48150 rate is calculated

Each of 48150’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 · 48150

RVUs × geographic indexes × conversion factor

Office or facility?

Work51.52

51.52 RVUs× 1.000 GPCI

Practice expense21.52

21.52 RVUs× 1.000 GPCI

Malpractice12.92

12.92 RVUs× 1.000 GPCI

Adjusted RVUs

85.9600

Conversion factor

$33.4009

Medicare rate

$2,871.14

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

Payment rules and modifiers for 48150

48150 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 48150

Whipple procedure, proximal resection with duodenectomy

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 · 48150

Whipple procedure, proximal resection with duodenectomy

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

48150 without 51 · national facility

$2,871.14

Whipple procedure, proximal resection with duodenectomy

48150-51 · Second procedure: 50%

$1,435.57

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

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 48150PPRRVU2026_Oct_nonQPP.csv, line 5,741 (RVU26D)

Open CMS sourceHow we calculate rates

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