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Billing code 48152: PancreatectomyMedicare rate & RVUs

Reports proximal subtotal removal of the pancreas with duodenectomy and pancreaticojejunostomy, as performed for selected pancreatic head conditions.

CMS RVU26DEffective Oct 1, 2026109 payment localities77 Medicare services in 2024

Medicare pays $2,673.07 for 48152 nationally in a facility.

Medicare rate · 48152

Pancreatectomy

Swap in your local Medicare rate.

Work RVUs
47.43
Total RVUs
80.03
Global days
090

National rate · 2026

$2,673.07

Facility setting, before claim adjustments.

See every locality for 48152 → · 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 48152 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 48152 covers

This code represents a major operation removing the proximal portion of the pancreas along with the duodenum and reconnecting the remaining pancreas to the jejunum. The operation is commonly performed by a surgeon in a hospital operating room for conditions involving the pancreatic head, including selected pancreatic or periampullary tumors. The operative report should identify the resection and reconstruction performed; the code’s scope includes the pancreaticojejunostomy and allows for cholecystectomy as part of the operation.

Select this code when the documented procedure matches this proximal subtotal resection and reconstruction, rather than a distal resection or removal of the entire pancreas. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate for this operation, 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 48152 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

48152 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,405.89
Alaska*Unavailable$3,317.92
ArizonaUnavailable$2,591.39
ArkansasUnavailable$2,373.62
AtlantaUnavailable$2,773.72
AustinUnavailable$2,666.44
BakersfieldUnavailable$2,601.12
Baltimore/Surr. CntysUnavailable$2,847.48
BeaumontUnavailable$2,583.14
BrazoriaUnavailable$2,586.44

48152 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
48152 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 48152 rate is calculated

Each of 48152’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 · 48152

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 47.43Practice expense 19.90Malpractice 12.70

80.0300 adjusted RVUs×$33.4009 conversion factor=$2,673.07

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

Payment rules and modifiers for 48152

48152 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 48152

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 · 48152

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

48152 without 51 · national facility

$2,673.07

Pancreatectomy

48152-51 · Second procedure: 50%

$1,336.54

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

48152 compared with similar codes

Compare codes

48152 vs 48140 vs 48150 vs 48155: national Medicare rates

Swap in your local Medicare rate.

  • 48152
    Pancreatectomy · 47.43 wRVU
    —
  • 48140
    Pancreas resection · 25.66 wRVU
    —
  • 48150
    Whipple procedure · 51.52 wRVU
    —
  • 48155
    Pancreatectomy · 28.71 wRVU
    —

How to choose

48140Pancreas resection
Use 48140 for a distal subtotal pancreatic resection. This code is for proximal resection with duodenectomy and pancreaticojejunostomy.
48150Whipple procedure
Both are proximal pancreatic resection codes. Choose based on the specific operation and reconstruction documented rather than treating them as interchangeable.
48155Pancreatectomy
48155 describes removal of the pancreas; this code describes a proximal subtotal resection, leaving pancreatic tissue.

Codes related to 48152

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

Codes related to 48152
CodeHow it relatesNational office range
Same family
48150Whipple procedureA nearby proximal pancreatectomy option; choose according to the specific operation documented.No office rate
48153PancreaticoduodenectomyA related proximal pancreatectomy code distinguished by the operative configuration.No office rate
48154PancreaticoduodenectomyAnother related proximal pancreatectomy option; compare the operative details before selecting.No office rate
Used instead
48155PancreatectomyRepresents removal of the pancreas rather than this proximal subtotal resection.No office rate
48140Pancreas resectionDescribes distal subtotal pancreatic resection rather than proximal resection with duodenectomy.No office rate
48145PancreatectomyA distal pancreatic resection option, not the proximal operation described here.No office rate

48152 billing questions

How is this distinguished from a distal pancreatectomy?

This code describes a proximal resection that includes duodenectomy and pancreaticojejunostomy. A distal pancreatectomy removes pancreatic tissue toward the body or tail instead.

Is the pancreaticojejunostomy separately reported?

The reconstruction is part of this coded operation. Cholecystectomy performed as part of the operation is also included in the code’s stated scope.

What documentation supports reporting this code?

The operative report should establish the proximal pancreatic resection, duodenectomy, and pancreaticojejunostomy. It should also describe the operative details needed to distinguish this procedure from other pancreatic resections.

Can modifier 50 be used?

No. Modifier 50 is inappropriate for this operation because the anatomy and procedure do not support bilateral reporting.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 48152PPRRVU2026_Oct_nonQPP.csv, line 5,742 (RVU26D)

Open CMS sourceHow we calculate rates

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