No office rate
Both describe distal pancreatic resection, but 48145 includes a pancreaticojejunostomy; 48140 is selected when that reconstruction is not performed.
On this page
CMS RVU26D · Effective 2026-10-01
48140 Pancreas resection Medicare reimbursement rates
Reports distal subtotal removal of the pancreas, with or without spleen removal, when no pancreaticojejunostomy is created. Compare 48140 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 48140?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 48140 pays more and less
Pancreatic surgery
About 48140: Distal subtotal pancreatectomy without jejunal reconstruction
Reports distal subtotal removal of the pancreas, with or without spleen removal, when no pancreaticojejunostomy is created.
Code 48140 describes removal of a substantial portion of the pancreas’s body and tail without connecting the remaining pancreas to the jejunum. The spleen may be removed or preserved. Typical indications include a neoplasm or cystic lesion in the distal gland and selected cases of chronic pancreatitis. A general surgeon or surgical oncologist usually performs the operation in a hospital operating room.
Choose the code from the operative extent and reconstruction, not the diagnosis alone. The operative report should establish the portion of pancreas removed, whether the spleen was removed, and whether a pancreaticojejunostomy was created. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 48140
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU25.66 · 59%
- Practice expense (office) RVU11.51 · 26%
- Malpractice RVU6.44 · 15%
1.6K
Medicare services in 2024 · #2603 by national volume
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.
48140 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
48120 is for removal of a pancreatic lesion. Use 48140 when the operation removes a distal subtotal portion of the gland rather than a limited lesion.
No office rate
48150 describes a proximal pancreatic resection involving the head and duodenum. Code 48140 is for resection of the distal gland, principally the body and tail.
See how rates vary across the country
48140 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 48140 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1315.20 |
| Alaska* | Office Unavailable | Facility $1813.55 |
| Arizona | Office Unavailable | Facility $1413.72 |
| Arkansas | Office Unavailable | Facility $1298.08 |
| Atlanta | Office Unavailable | Facility $1508.57 |
| Austin | Office Unavailable | Facility $1456.10 |
| Bakersfield | Office Unavailable | Facility $1425.70 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1549.37 |
| Beaumont | Office Unavailable | Facility $1406.74 |
| Brazoria | Office Unavailable | Facility $1412.69 |
| Chicago | Office Unavailable | Facility $1743.09 |
| Chico | Office Unavailable | Facility $1408.28 |
| Colorado | Office Unavailable | Facility $1444.40 |
| Connecticut | Office Unavailable | Facility $1548.53 |
| Dallas | Office Unavailable | Facility $1432.24 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1595.63 |
| Delaware | Office Unavailable | Facility $1434.56 |
| Detroit | Office Unavailable | Facility $1590.72 |
| East St. Louis | Office Unavailable | Facility $1643.97 |
| El Centro | Office Unavailable | Facility $1409.36 |
| Fort Lauderdale | Office Unavailable | Facility $1635.41 |
| Fort Worth | Office Unavailable | Facility $1431.20 |
| Fresno | Office Unavailable | Facility $1408.28 |
| Galveston | Office Unavailable | Facility $1423.78 |
| Hanford-Corcoran | Office Unavailable | Facility $1408.28 |
| Hawaii, Guam | Office Unavailable | Facility $1418.72 |
| Houston | Office Unavailable | Facility $1541.66 |
| Idaho | Office Unavailable | Facility $1312.50 |
| Indiana | Office Unavailable | Facility $1317.99 |
| Iowa | Office Unavailable | Facility $1294.23 |
| Kansas | Office Unavailable | Facility $1313.02 |
| Kentucky | Office Unavailable | Facility $1395.66 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1489.83 |
| Madera | Office Unavailable | Facility $1408.28 |
| Manhattan | Office Unavailable | Facility $1699.80 |
| Merced | Office Unavailable | Facility $1408.28 |
| Metropolitan Boston | Office Unavailable | Facility $1542.67 |
| Metropolitan Kansas City | Office Unavailable | Facility $1428.21 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1529.32 |
| Metropolitan St. Louis | Office Unavailable | Facility $1438.59 |
| Miami | Office Unavailable | Facility $1801.27 |
| Minnesota | Office Unavailable | Facility $1316.33 |
| Mississippi | Office Unavailable | Facility $1347.03 |
| Modesto | Office Unavailable | Facility $1408.28 |
| Montana** | Office Unavailable | Facility $1456.18 |
| Napa | Office Unavailable | Facility $1527.03 |
| Nebraska | Office Unavailable | Facility $1293.22 |
| Nevada** | Office Unavailable | Facility $1421.08 |
| New Hampshire | Office Unavailable | Facility $1445.49 |
| New Mexico | Office Unavailable | Facility $1467.94 |
| New Orleans | Office Unavailable | Facility $1463.18 |
| North Carolina | Office Unavailable | Facility $1353.20 |
| North Dakota** | Office Unavailable | Facility $1328.84 |
| Northern Nj | Office Unavailable | Facility $1586.75 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1768.47 |
| Ohio | Office Unavailable | Facility $1424.89 |
| Oklahoma | Office Unavailable | Facility $1367.51 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1469.49 |
| Portland | Office Unavailable | Facility $1457.93 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1576.87 |
| Puerto Rico | Office Unavailable | Facility $1457.62 |
| Queens | Office Unavailable | Facility $1676.51 |
| Redding | Office Unavailable | Facility $1408.28 |
| Rest Of California | Office Unavailable | Facility $1408.28 |
| Rest Of Florida | Office Unavailable | Facility $1547.89 |
| Rest Of Georgia | Office Unavailable | Facility $1456.39 |
| Rest Of Illinois | Office Unavailable | Facility $1544.27 |
| Rest Of Louisiana | Office Unavailable | Facility $1403.37 |
| Rest Of Maine | Office Unavailable | Facility $1344.55 |
| Rest Of Maryland | Office Unavailable | Facility $1452.16 |
| Rest Of Massachusetts | Office Unavailable | Facility $1447.04 |
| Rest Of Michigan | Office Unavailable | Facility $1450.91 |
| Rest Of Missouri | Office Unavailable | Facility $1397.97 |
| Rest Of New Jersey | Office Unavailable | Facility $1547.13 |
| Rest Of New York | Office Unavailable | Facility $1373.51 |
| Rest Of Oregon | Office Unavailable | Facility $1391.19 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1413.26 |
| Rest Of Texas | Office Unavailable | Facility $1416.14 |
| Rest Of Washington | Office Unavailable | Facility $1436.72 |
| Rhode Island | Office Unavailable | Facility $1462.35 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1477.33 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1450.32 |
| Salinas | Office Unavailable | Facility $1444.50 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1459.16 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1579.29 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1571.97 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1621.01 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1591.11 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1424.81 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1457.46 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1444.62 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1470.17 |
| Seattle (King Cnty) | Office Unavailable | Facility $1547.37 |
| South Carolina | Office Unavailable | Facility $1395.13 |
| South Dakota** | Office Unavailable | Facility $1313.79 |
| Southern Maine | Office Unavailable | Facility $1373.78 |
| Stockton | Office Unavailable | Facility $1408.28 |
| Suburban Chicago | Office Unavailable | Facility $1639.05 |
| Tennessee | Office Unavailable | Facility $1322.04 |
| Utah | Office Unavailable | Facility $1411.61 |
| Vallejo | Office Unavailable | Facility $1516.49 |
| Vermont | Office Unavailable | Facility $1346.51 |
| Virgin Islands | Office Unavailable | Facility $1457.62 |
| Virginia | Office Unavailable | Facility $1386.84 |
| Visalia | Office Unavailable | Facility $1408.28 |
| West Virginia | Office Unavailable | Facility $1498.96 |
| Wisconsin | Office Unavailable | Facility $1291.62 |
| Wyoming** | Office Unavailable | Facility $1400.69 |
| Yuba City | Office Unavailable | Facility $1408.28 |
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48140 billing questions
How is this code distinguished from 48145?
Use 48140 when the distal resection does not include a pancreaticojejunostomy. Code 48145 is the related option when that connection is created.
Does removing the spleen change the code?
No. This code covers the distal pancreatic resection whether the spleen is removed or preserved.
Can modifier 50 be used if both sides are involved?
No. Modifier 50 is inappropriate for this code; the CMS bilateral adjustment is not used for this procedure.
What documentation supports reporting 48140?
The operative report should identify the pancreatic portion removed and state whether the surgeon created a pancreaticojejunostomy. It should also make clear whether the spleen was removed or preserved.
How are assistant or co-surgeon claims handled?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,73448102,,Needle biopsy pancreas,A,,4.58,9.68,,1.03,,0.49,14.75,6.10,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73548105,,Resect/debride pancreas,A,,48.03,18.08,NA,18.08,,10.41,76.52,76.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73648120,,Removal of pancreas lesion,A,,17.95,8.60,NA,8.60,,4.80,31.35,31.35,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73748140,,Partial removal of pancreas,A,,25.66,11.51,NA,11.51,,6.44,43.61,43.61,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73848145,,Partial removal of pancreas,A,,26.71,11.75,NA,11.75,,7.14,45.60,45.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73948146,,Pancreatectomy,A,,29.84,15.11,NA,15.11,,7.98,52.93,52.93,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74048148,,Removal of pancreatic duct,A,,19.88,10.09,NA,10.09,,5.30,35.27,35.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00