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CPT code 48160: Pancreatectomy, with autologous transplant2026 Medicare rate & RVUs

Reports total or subtotal pancreatectomy with autologous transplantation of the pancreas or pancreatic islet cells, commonly for severe chronic pancreatitis.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 48160

Pancreatectomy, with autologous transplant

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 48160 →Billed by an NP, PA or therapist? →

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

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 48160 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 48160 covers

This operation removes all or part of the pancreas and includes autologous transplantation of the pancreas or pancreatic islet cells. It is commonly performed for severe chronic pancreatitis when pancreatectomy is planned and the care team seeks to preserve insulin-producing function. A surgeon performs the resection; when islet cells are transplanted, they may be isolated from the removed pancreas and infused into the patient, commonly through the portal circulation. The operative report distinguishes this combined procedure from pancreas removal without autologous transplantation.

Medicare assigns this CPT code status N, meaning the service is not covered. The code represents the combined pancreatectomy and autologous transplant procedure. Code 48155 describes total pancreatectomy without the autologous transplant component, while other pancreatectomy codes describe different extents or approaches.

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 48160 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

48160 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

48160 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
48160 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

How the 48160 rate is calculated

Each of 48160’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 · 48160

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 48160

48160 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 48160

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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48160 isn’t priced in this setting.

48160 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 48160

    Pancreatectomy, with autologous transplant0 wRVU

    Not priced

  • 48155

    Pancreatectomy, total gland removal28.71 wRVU

    Not priced

  • 48140

    Pancreas resection, distal, without pancreaticojejunostomy25.66 wRVU

    Not priced

  • 48150

    Whipple procedure, proximal resection with duodenectomy51.52 wRVU

    Not priced

How to choose

48155PancreatectomyTotal gland removal
48155 describes total pancreas removal without autologous transplantation. This code includes autologous transplantation of the pancreas or pancreatic islet cells.
48140Pancreas resectionDistal, without pancreaticojejunostomy
48140 describes distal partial pancreatectomy. This code describes total or subtotal pancreatectomy combined with autologous transplantation.
48150Whipple procedureProximal resection with duodenectomy
48150 describes pancreaticoduodenectomy, a different resection approach. This code describes pancreatectomy combined with autologous transplantation.

Codes related to 48160

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

Codes related to 48160
CodeHow it relatesNational office range
Used instead
48155Pancreatectomy, total gland removalTotal pancreatectomy without the autologous transplantation included in 48160.No office rate
48140Pancreas resection, distal, without pancreaticojejunostomyDistal partial pancreatectomy without this autologous transplant combination.No office rate
48150Whipple procedure, proximal resection with duodenectomyPancreaticoduodenectomy, a different resection approach, without this autologous transplant combination.No office rate

48160 billing questions

When should this code be chosen instead of 48155?

Use this code when total or subtotal pancreatectomy includes autologous transplantation of the pancreas or pancreatic islet cells. Code 48155 describes total pancreatectomy without that transplant component.

Does this code include the autologous transplant?

Yes. It represents pancreatectomy combined with autologous transplantation of the pancreas or pancreatic islet cells.

How is this code distinguished from other pancreatectomy codes?

The combination of total or subtotal pancreatectomy and autologous transplantation distinguishes it. Other pancreatectomy codes describe different extents or approaches.

How does Medicare treat this code?

Medicare assigns status N, meaning the service is not covered.

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

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