CPT code 48154: Pancreaticoduodenectomy, pylorus-preserving approach2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $2,613.92 for 48154 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 48154 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 48154 covers

This operation removes the proximal portion of the pancreas and the duodenum while preserving the pylorus, the stomach’s outlet. The surgeon reconnects the remaining pancreas to the intestine and restores the digestive tract after resection. A pancreatic surgeon typically performs it in a hospital for selected tumors of the pancreatic head or periampullary region. Unlike a conventional Whipple operation that removes part of the stomach, the pylorus-preserving approach retains the gastric outlet.

Report 48154 when the operative note supports the pylorus-preserving resection and pancreatic-to-intestinal reconstruction. The note should identify the structures removed, preservation of the pylorus, and the connections created. Medicare treats it as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50% under the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation. 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 48154

Across 109 of 109 payment localities, the facility rate for 48154 runs from $2,361.52 in Wisconsin to $3,363.40 in Miami, FL. Nevada pays $2,613.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

48154 rates by state

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

See 48154 in every payment locality

How the 48154 rate is calculated

Each of 48154’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 48154

48154 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 48154

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

How 48154 has changed in Nevada

Price 48154 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