CPT code 48155: Pancreatectomy, total gland removal2026 Medicare rate & RVUs in Delaware
Reports surgical removal of the entire pancreas for disease requiring total gland resection, rather than a limited lesion excision or partial pancreatectomy.
In Delaware, Medicare pays $1,685.56 for 48155 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 48155 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 48155 covers
Code 48155 represents removal of the entire pancreas, rather than excision of a focal lesion or resection of only part of the gland. An HPB or general surgeon typically performs this major abdominal operation in a hospital for disease requiring removal of the whole pancreas, such as diffuse pancreatic neoplasia or otherwise extensive pancreatic disease. The operative report should establish that the resection was total.
Report the procedure based on the extent documented in the operative note; a partial resection or limited lesion excision belongs to a different procedure code. The 90-day global package includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted. Modifier 50 is inappropriate for this procedure.
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 Delaware compares for 48155
Across 109 of 109 payment localities, the facility rate for 48155 runs from $1,520.81 in Nebraska to $2,114.69 in Alaska. Delaware pays $1,685.56. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,685.56
- Los Angeles, CA · California$1,762.12+$76.56
- Washington, DC area · District of Columbia$1,881.37+$195.81
- Miami, FL · Florida$2,104.63+$419.07
- Chicago, IL · Illinois$2,036.04+$350.48
- Manhattan, NY · New York$1,997.98+$312.42
- Alaska · Alaska$2,114.69+$429.13
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,542.16 |
| ArkansasArkansas | — | $1,521.60 |
| ArizonaArizona | — | $1,660.62 |
| Bakersfield, CACalifornia | — | $1,683.34 |
| Chico, CACalifornia | — | $1,663.65 |
| El Centro, CACalifornia | — | $1,664.87 |
| Fresno, CACalifornia | — | $1,663.65 |
| Hanford, CACalifornia | — | $1,663.65 |
| Madera, CACalifornia | — | $1,663.65 |
| Merced, CACalifornia | — | $1,663.65 |
| Modesto, CACalifornia | — | $1,663.65 |
| Napa, CACalifornia | — | $1,813.95 |
| Oxnard, CACalifornia | — | $1,739.16 |
| Redding, CACalifornia | — | $1,663.65 |
| Rest of CaliforniaCalifornia | — | $1,663.65 |
| Riverside, CACalifornia | — | $1,741.80 |
| Sacramento, CACalifornia | — | $1,715.98 |
| Salinas, CACalifornia | — | $1,709.14 |
| San Diego, CACalifornia | — | $1,728.48 |
| Marin County, CACalifornia | — | $1,879.53 |
| San Francisco, CACalifornia | — | $1,871.26 |
| San Benito County, CACalifornia | — | $1,928.96 |
| Santa Clara County, CACalifornia | — | $1,895.11 |
| San Luis Obispo, CACalifornia | — | $1,685.54 |
| Santa Cruz, CACalifornia | — | $1,728.06 |
| Santa Maria, CACalifornia | — | $1,709.83 |
| Santa Rosa, CACalifornia | — | $1,743.31 |
| Stockton, CACalifornia | — | $1,663.65 |
| Vallejo, CACalifornia | — | $1,802.02 |
| Visalia, CACalifornia | — | $1,663.65 |
| Yuba City, CACalifornia | — | $1,663.65 |
| ColoradoColorado | — | $1,702.22 |
| ConnecticutConnecticut | — | $1,820.97 |
| Fort Lauderdale, FLFlorida | — | $1,914.82 |
| Rest of FloridaFlorida | — | $1,811.54 |
| Atlanta, GAGeorgia | — | $1,771.43 |
| Rest of GeorgiaGeorgia | — | $1,703.24 |
| Hawaii, Guam, HIHawaii | — | $1,678.69 |
| IowaIowa | — | $1,521.37 |
| IdahoIdaho | — | $1,542.42 |
| East St. Louis, ILIllinois | — | $1,917.64 |
| Rest of IllinoisIllinois | — | $1,804.26 |
| Suburban Chicago, ILIllinois | — | $1,919.89 |
| IndianaIndiana | — | $1,549.15 |
| KansasKansas | — | $1,541.82 |
| KentuckyKentucky | — | $1,634.26 |
| New Orleans, LALouisiana | — | $1,714.54 |
| Rest of LouisianaLouisiana | — | $1,642.70 |
| Metropolitan Boston, MAMassachusetts | — | $1,822.75 |
| Rest of MassachusettsMassachusetts | — | $1,704.35 |
| Baltimore area, MDMaryland | — | $1,821.67 |
| Rest of MarylandMaryland | — | $1,707.19 |
| Rest of MaineMaine | — | $1,578.70 |
| Southern Maine, MEMaine | — | $1,617.03 |
| Detroit, MIMichigan | — | $1,860.68 |
| Rest of MichiganMichigan | — | $1,698.59 |
| MinnesotaMinnesota | — | $1,554.81 |
| Metropolitan Kansas City, MOMissouri | — | $1,674.81 |
| Metropolitan St. Louis, MOMissouri | — | $1,687.52 |
| Rest of MissouriMissouri | — | $1,634.89 |
| MississippiMississippi | — | $1,577.16 |
| MontanaMontana | — | $1,710.98 |
| North CarolinaNorth Carolina | — | $1,589.46 |
| North DakotaNorth Dakota | — | $1,566.83 |
| NebraskaNebraska | — | $1,520.81 |
| New HampshireNew Hampshire | — | $1,701.90 |
| Northern New JerseyNew Jersey | — | $1,869.88 |
| Rest of New JerseyNew Jersey | — | $1,820.27 |
| New MexicoNew Mexico | — | $1,718.15 |
| NevadaNevada | — | $1,671.31 |
| NYC suburbs and Long Island, NYNew York | — | $2,077.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,854.11 |
| Queens, NYNew York | — | $1,973.10 |
| Rest of New YorkNew York | — | $1,613.69 |
| OhioOhio | — | $1,669.12 |
| OklahomaOklahoma | — | $1,602.70 |
| Portland, OROregon | — | $1,720.97 |
| Rest of OregonOregon | — | $1,637.11 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,796.59 |
| Rest of PennsylvaniaPennsylvania | — | $1,656.33 |
| Puerto RicoPuerto Rico | — | $1,713.41 |
| Rhode IslandRhode Island | — | $1,720.18 |
| South CarolinaSouth Carolina | — | $1,636.25 |
| South DakotaSouth Dakota | — | $1,549.78 |
| TennesseeTennessee | — | $1,552.40 |
| Austin, TXTexas | — | $1,715.15 |
| Beaumont, TXTexas | — | $1,648.36 |
| Brazoria, TXTexas | — | $1,660.98 |
| Dallas, TXTexas | — | $1,683.48 |
| Fort Worth, TXTexas | — | $1,681.56 |
| Galveston, TXTexas | — | $1,673.69 |
| Houston, TXTexas | — | $1,807.12 |
| Rest of TexasTexas | — | $1,661.88 |
| UtahUtah | — | $1,656.08 |
| VirginiaVirginia | — | $1,631.22 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,713.41 |
| VermontVermont | — | $1,586.09 |
| Rest of WashingtonWashington | — | $1,692.71 |
| King County, WAWashington | — | $1,830.40 |
| WisconsinWisconsin | — | $1,521.59 |
| West VirginiaWest Virginia | — | $1,749.72 |
| WyomingWyoming | — | $1,648.15 |
48155 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 48155 rate is calculated
Each of 48155’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 · 48155
RVUs × geographic indexes × conversion factor
Work28.71
28.71 RVUs× 1.000 GPCI
Practice expense15.24
15.24 RVUs× 1.000 GPCI
Malpractice7.29
7.29 RVUs× 1.000 GPCI
Adjusted RVUs
51.2400
Conversion factor
$33.4009
Medicare rate
$1,711.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,745
- Code
- 48155
- Physician work
- 28.71
- Practice expense
- 15.24
- Malpractice
- 7.29
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.71 | × 1.005 | 28.8535 |
| Practice expense | 15.24 | × 0.988 | 15.0571 |
| Malpractice | 7.29 | × 0.899 | 6.5537 |
| Total RVUs | 50.4644 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1685.56
Facility: (28.71 × 1.005 + 15.24 × 0.988 + 7.29 × 0.899) × $33.4009 = $1685.56
Payment rules and modifiers for 48155
48155 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 48155
Pancreatectomy, total gland removal
| 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 · 48155
Pancreatectomy, total gland removal
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
48155 without 51 · national facility
$1,711.46
Pancreatectomy, total gland removal
48155-51 · Second procedure: 50%
$855.73
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%).
How 48155 has changed in Delaware
48155 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,685.56 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,685.56 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,685.56 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,685.56 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,763.53 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,763.53 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,763.53 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,763.53 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,806.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,806.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,806.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,806.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,777.33 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,842.56 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,842.56 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,842.56 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,842.56 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,879.53 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,879.53 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,879.53 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,879.53 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,882.49 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,882.49 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,882.49 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,882.49 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,930.47 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,930.47 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,930.47 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,930.47 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,946.59 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,946.59 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,946.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,946.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,943.10 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,943.10 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,943.10 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,943.10 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,940.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,940.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,940.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,940.10 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,940.91 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,940.91 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,940.91 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,940.91 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,937.89 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,937.89 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,928.25 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,928.25 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,860.22 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,860.22 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,860.22 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,860.22 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,797.43 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,797.43 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,797.43 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,797.43 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
48155 billing questions
How does 48155 differ from a partial pancreatectomy code?
Use 48155 when the operative report documents removal of the entire pancreas. Codes for partial pancreatectomy describe removal of only a portion of the gland.
Can a focal pancreatic lesion excision be reported as 48155?
No. A limited lesion excision, such as removal of a localized pancreatic lesion, is distinct from removal of the entire gland.
What postoperative care is included in the global period?
The 90-day global package includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
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
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