CPT code 48152: Pancreatectomy, proximal subtotal resection2026 Medicare rate & RVUs in Texas
Reports proximal subtotal removal of the pancreas with duodenectomy and pancreaticojejunostomy, as performed for selected pancreatic head conditions.
CMS doesn’t publish an office rate for 48152 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 48152 covers
This code represents a major operation removing the proximal portion of the pancreas along with the duodenum and reconnecting the remaining pancreas to the jejunum. The operation is commonly performed by a surgeon in a hospital operating room for conditions involving the pancreatic head, including selected pancreatic or periampullary tumors. The operative report should identify the resection and reconstruction performed; the code’s scope includes the pancreaticojejunostomy and allows for cholecystectomy as part of the operation.
Select this code when the documented procedure matches this proximal subtotal resection and reconstruction, rather than a distal resection or removal of the entire pancreas. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate for this operation, 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.
Where 48152 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $2,666.44 |
| Beaumont, TX | Unavailable | $2,583.14 |
| Brazoria, TX | Unavailable | $2,586.44 |
| Dallas, TX | Unavailable | $2,624.44 |
| Fort Worth, TX | Unavailable | $2,623.31 |
| Galveston, TX | Unavailable | $2,608.13 |
| Houston, TX | Unavailable | $2,840.59 |
| Rest of Texas | Unavailable | $2,598.03 |
How the 48152 rate is calculated
Each of 48152’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 · 48152
RVUs × geographic indexes × conversion factor
Work47.43
47.43 RVUs× 1.000 GPCI
Practice expense19.90
19.90 RVUs× 1.000 GPCI
Malpractice12.70
12.70 RVUs× 1.000 GPCI
Adjusted RVUs
80.0300
Conversion factor
$33.4009
Medicare rate
$2,673.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 48152
48152 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 48152
Pancreatectomy, proximal subtotal resection
| 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 · 48152
Pancreatectomy, proximal subtotal resection
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
48152 without 51 · national facility
$2,673.07
Pancreatectomy, proximal subtotal resection
48152-51 · Second procedure: 50%
$1,336.54
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%).
48152 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 48140Pancreas resectionDistal, without pancreaticojejunostomy
- Use 48140 for a distal subtotal pancreatic resection. This code is for proximal resection with duodenectomy and pancreaticojejunostomy.
- 48150Whipple procedureProximal resection with duodenectomy
- Both are proximal pancreatic resection codes. Choose based on the specific operation and reconstruction documented rather than treating them as interchangeable.
- 48155PancreatectomyTotal gland removal
- 48155 describes removal of the pancreas; this code describes a proximal subtotal resection, leaving pancreatic tissue.
48152 billing questions
How is this distinguished from a distal pancreatectomy?
This code describes a proximal resection that includes duodenectomy and pancreaticojejunostomy. A distal pancreatectomy removes pancreatic tissue toward the body or tail instead.
Is the pancreaticojejunostomy separately reported?
The reconstruction is part of this coded operation. Cholecystectomy performed as part of the operation is also included in the code’s stated scope.
What documentation supports reporting this code?
The operative report should establish the proximal pancreatic resection, duodenectomy, and pancreaticojejunostomy. It should also describe the operative details needed to distinguish this procedure from other pancreatic resections.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this operation because the anatomy and procedure do not support bilateral reporting.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
Fee sheets
Put 48152 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet