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Billing code 48145: PancreatectomyMedicare rate & RVUs

Reports distal subtotal removal of the pancreas with reconstruction of the remaining pancreatic tissue to the jejunum, with or without splenectomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities32 Medicare services in 2024

Medicare pays $1,523.08 for 48145 nationally in a facility.

Medicare rate · 48145

Pancreatectomy

Swap in your local Medicare rate.

Work RVUs
26.71
Total RVUs
45.60
Global days
090

National rate · 2026

$1,523.08

Facility setting, before claim adjustments.

See every locality for 48145 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 48145 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 48145 covers

This service covers distal subtotal resection of the pancreas, generally involving the body and tail, followed by an anastomosis between the remaining pancreas and the jejunum. The spleen may also be removed. Surgeons perform this operation in a hospital operating room for selected pancreatic disease requiring distal resection and drainage of the pancreatic remnant into the small bowel.

Report 48145 when the operative report supports both the distal subtotal resection and pancreaticojejunostomy; document the resection performed, the reconstruction, and whether the spleen was removed. The service has a 90-day global period, including the day-before preoperative visit and 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. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 48145 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

48145 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,370.52
Alaska*Unavailable$1,887.58
ArizonaUnavailable$1,476.57
ArkansasUnavailable$1,352.08
AtlantaUnavailable$1,579.97
AustinUnavailable$1,520.44
BakersfieldUnavailable$1,484.46
Baltimore/Surr. CntysUnavailable$1,622.53
BeaumontUnavailable$1,470.83
BrazoriaUnavailable$1,474.22

48145 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
48145 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 48145 rate is calculated

Each of 48145’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 · 48145

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 26.71Practice expense 11.75Malpractice 7.14

45.6000 adjusted RVUs×$33.4009 conversion factor=$1,523.08

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 48145

48145 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 48145

Pancreatectomy

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 · 48145

Pancreatectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

48145 without 51 · national facility

$1,523.08

Pancreatectomy

48145-51 · Second procedure: 50%

$761.54

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

48145 compared with similar codes

Compare codes

48145 vs 48140 vs 48150 vs 48120 vs 48155: national Medicare rates

Swap in your local Medicare rate.

  • 48145
    Pancreatectomy · 26.71 wRVU
    —
  • 48140
    Pancreas resection · 25.66 wRVU
    —
  • 48150
    Whipple procedure · 51.52 wRVU
    —
  • 48120
    Pancreatic lesion excision · 17.95 wRVU
    —
  • 48155
    Pancreatectomy · 28.71 wRVU
    —

How to choose

48140Pancreas resection
Both describe distal subtotal pancreatectomy, with or without splenectomy. Choose 48145 when the operation also includes pancreaticojejunostomy; 48140 describes the operation without it.
48150Whipple procedure
48150 describes pancreaticoduodenectomy involving the pancreatic head and duodenum. 48145 is for distal subtotal resection with pancreaticojejunostomy.
48120Pancreatic lesion excision
48120 is for local excision of a pancreatic lesion. 48145 describes a distal subtotal resection with reconstruction of the remaining pancreas to the jejunum.
48155Pancreatectomy
48155 is total pancreatectomy. Use 48145 when the documented resection is distal and subtotal, with pancreaticojejunostomy.

Codes related to 48145

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

Codes related to 48145
CodeHow it relatesNational office range
Same family
48140Pancreas resectionDistal subtotal pancreatectomy without the pancreaticojejunostomy included in 48145.No office rate
Used instead
48150Whipple procedureA pancreaticoduodenectomy is considered for disease requiring resection in the pancreatic head and duodenum.No office rate
48120Pancreatic lesion excisionLocal pancreatic lesion removal is a different option when a distal subtotal resection is not performed.No office rate
48155PancreatectomyTotal pancreatectomy represents removal of the entire pancreas rather than distal subtotal resection.No office rate

48145 billing questions

How is 48145 distinguished from 48140?

48145 includes a pancreaticojejunostomy after distal subtotal pancreatectomy. Use 48140 when the documented distal resection does not include that reconstruction.

Does 48145 include splenectomy?

The service allows for distal pancreatectomy with or without splenectomy. The operative report should state whether the spleen was removed.

What documentation supports reporting 48145?

Document the extent of pancreatic resection and the pancreaticojejunostomy connecting the pancreatic remnant to the jejunum. Record splenectomy separately in the operative details when performed.

How does the 90-day global period affect postoperative care?

The day-before preoperative visit and 90 days of related postoperative care are included in the global surgical service.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other same-session procedures paid?

For multiple procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 48145PPRRVU2026_Oct_nonQPP.csv, line 5,738 (RVU26D)

Open CMS sourceHow we calculate rates

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