CPT code 48160: Pancreatectomy, with autologous transplant2026 Medicare rate & RVUs in Missouri
Reports total or subtotal pancreatectomy with autologous transplantation of the pancreas or pancreatic islet cells, commonly for severe chronic pancreatitis.
CMS doesn’t publish an office rate for 48160 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
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.
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
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