CPT code 48153: Pancreaticoduodenectomy, proximal subtotal resection2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $2,789.08 for 48153 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 48153 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 48153 covers

This code represents a Whipple-type operation: the surgeon removes the proximal pancreas along with the duodenum and part of the stomach, creates a connection between the bile duct and intestine, and performs the pancreatic and gastrointestinal reconstruction specified by the code. It is generally performed by a pancreatic or hepatopancreatobiliary surgeon in a hospital operating room for conditions such as a resectable pancreatic-head or periampullary tumor. The operative report should establish the structures removed and the reconstruction performed.

Select this code by matching the documented procedure and reconstruction to the applicable pancreaticoduodenectomy code, rather than relying on the diagnosis alone. Report the completed operation once; do not separately report a component already included in the coded procedure. Medicare assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When other 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. 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 Nevada compares for 48153

Across 109 of 109 payment localities, the facility rate for 48153 runs from $2,525.14 in Wisconsin to $3,572.69 in Miami, FL. Nevada pays $2,789.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

48153 rates by state

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

See 48153 in every payment locality

How the 48153 rate is calculated

Each of 48153’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.

Payment rules and modifiers for 48153

48153 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 48153

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 48153 has changed in Nevada

Price 48153 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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

Open CMS sourceHow we calculate rates