CPT code 48155: Pancreatectomy, total gland removal2026 Medicare rate & RVUs in Virgin Islands, VI

Reports surgical removal of the entire pancreas for disease requiring total gland resection, rather than a limited lesion excision or partial pancreatectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality150 Medicare services in 2024

In Virgin Islands, VI, Medicare pays $1,713.41 for 48155 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,713.41Hospital or facility

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.

We’ll open 48155 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virgin Islands, VI
  2. What 48155 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Virgin Islands, VI 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. Virgin Islands, VI pays $1,713.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

48155 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$1,713.41
  2. Los Angeles, CA · California$1,762.12+$48.71
  3. Washington, DC area · District of Columbia$1,881.37+$167.96
  4. Miami, FL · Florida$2,104.63+$391.22
  5. Chicago, IL · Illinois$2,036.04+$322.63
  6. Manhattan, NY · New York$1,997.98+$284.57
  7. Alaska · Alaska$2,114.69+$401.28

Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.

Every other payment area

48155 in every other Medicare payment locality
Payment localityOfficeFacility
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

48155 rates by state

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

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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
48155 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 48155 in every payment locality

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

Office or facility?

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 Virgin Islands, VI 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

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 48155 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work28.71× 1.00028.7100
Practice expense15.24× 1.01115.4076
Malpractice7.29× 0.9857.1806
Total RVUs51.2983
Conversion factor× 33.4009

Facility rate, Virgin Islands, VI$1713.41

Facility: (28.71 × 1 + 15.24 × 1.011 + 7.29 × 0.985) × $33.4009 = $1713.41

Open 48155 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

How 48155 has changed in Virgin Islands, VI

48155 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,713.41RVU26D
2026-07-01Not available in this setting$1,713.41RVU26C
2026-04-01Not available in this setting$1,713.41RVU26B
2026-01-01Not available in this setting$1,713.41RVU26A
2025-10-01Not available in this setting$1,771.47RVU25D
2025-07-01Not available in this setting$1,771.47RVU25C
2025-04-01Not available in this setting$1,771.47RVU25B
2025-01-01Not available in this setting$1,771.47RVU25A
2024-10-01Not available in this setting$1,814.91RVU24D
2024-07-01Not available in this setting$1,814.91RVU24C
2024-04-01Not available in this setting$1,814.91RVU24B
2024-03-09Not available in this setting$1,814.91RVU24AR
2024-01-01Not available in this setting$1,785.29RVU24A
2023-10-01Not available in this setting$1,847.43RVU23D
2023-07-01Not available in this setting$1,846.51RVU23C
2023-04-01Not available in this setting$1,846.51RVU23B
2023-01-01Not available in this setting$1,846.51RVU23A
2022-10-01Not available in this setting$1,880.53RVU22D
2022-07-01Not available in this setting$1,880.53RVU22C
2022-04-01Not available in this setting$1,880.53RVU22B
2022-01-01Not available in this setting$1,880.53RVU22A
2021-10-01Not available in this setting$1,882.97RVU21D
2021-07-01Not available in this setting$1,882.97RVU21C
2021-04-01Not available in this setting$1,882.97RVU21B
2021-01-01Not available in this setting$1,882.97RVU21A
2020-10-01Not available in this setting$1,907.66RVU20D
2020-07-01Not available in this setting$1,907.66RVU20C
2020-04-01Not available in this setting$1,907.66RVU20B
2020-01-01Not available in this setting$1,907.66RVU20A
2019-10-01Not available in this setting$1,899.77RVU19D
2019-07-01Not available in this setting$1,899.77RVU19C
2019-04-01Not available in this setting$1,899.77RVU19B
2019-01-01Not available in this setting$1,899.77RVU19A
2018-10-01Not available in this setting$1,896.22RVU18D
2018-07-01Not available in this setting$1,896.22RVU18C
2018-04-01Not available in this setting$1,896.22RVU18B
2018-01-01Not available in this setting$1,896.22RVU18AR1
2017-10-01Not available in this setting$1,891.26RVU17D
2017-07-01Not available in this setting$1,891.26RVU17C
2017-04-01Not available in this setting$1,891.26RVU17B
2017-01-01Not available in this setting$1,891.26RVU17A
2016-10-01Not available in this setting$1,864.89RVU16D
2016-07-01Not available in this setting$1,864.89RVU16C
2016-04-01Not available in this setting$1,864.89RVU16B
2016-01-01Not available in this setting$1,864.89RVU16A
2015-10-01Not available in this setting$1,862.38RVU15D
2015-07-01Not available in this setting$1,862.38RVU15C
2015-04-01Not available in this setting$1,853.11RVU15B
2015-01-01Not available in this setting$1,853.11RVU15A
2014-10-01Not available in this setting$1,854.65RVU14D
2014-07-01Not available in this setting$1,854.65RVU14C
2014-04-01Not available in this setting$1,854.65RVU14B
2014-01-01Not available in this setting$1,854.65RVU14A
2013-10-01Not available in this setting$1,831.76RVU13D
2013-07-01Not available in this setting$1,831.76RVU13C
2013-04-01Not available in this setting$1,831.76RVU13B
2013-01-01Not available in this setting$1,831.76RVU13AR

Price 48155 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

  • Charlotte Amalie
  • Charlotte Amalie East
  • Charlotte Amalie West
  • Christiansted
  • Coral Bay
  • Cruz Bay
  • Frederiksted
  • Frederiksted Southeast

Browse all communities in United States Virgin Islands

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
RVUs for 48155PPRRVU2026_Oct_nonQPP.csv, line 5,745 (RVU26D)
Geographic factors for Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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