48150 represents a conventional Whipple-type resection that includes partial removal of the stomach. Choose 48154 when the operative note documents a pylorus-preserving pancreaticoduodenectomy with pancreatic reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
48154 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2677.68
Base rate per service
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.
Pancreatic surgery
About 48154: Pylorus-preserving pancreaticoduodenectomy with pancreatic reconstruction
Reports a pylorus-preserving Whipple-type operation that removes the pancreatic head and duodenum while reconnecting the remaining pancreas to the intestine.
This operation removes the proximal portion of the pancreas and the duodenum while preserving the pylorus, the stomach’s outlet. The surgeon reconnects the remaining pancreas to the intestine and restores the digestive tract after resection. A pancreatic surgeon typically performs it in a hospital for selected tumors of the pancreatic head or periampullary region. Unlike a conventional Whipple operation that removes part of the stomach, the pylorus-preserving approach retains the gastric outlet.
Report 48154 when the operative note supports the pylorus-preserving resection and pancreatic-to-intestinal reconstruction. The note should identify the structures removed, preservation of the pylorus, and the connections created. Medicare treats it as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50% under the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation. Team surgery is not permitted.
CMS billing rules for 48154
- 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 RVU47.66 · 59%
- Practice expense (office) RVU19.95 · 25%
- Malpractice RVU12.76 · 16%
34
Medicare services in 2024 · #5586 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.
48154 compared with similar codes
Office rates for Austin, from the same CMS release.
Both are proximal pancreatic resection variants. Use the operative report’s account of stomach removal or pylorus preservation and the reconstruction performed to distinguish them.
48155 involves removal of the entire pancreas. Code 48154 describes a proximal subtotal resection that leaves pancreatic tissue for reconstruction.
The same code, a different location
How does Austin compare?
48154 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 48154
Office
Unavailable
Facility
$2609.11
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 48154
Office
Unavailable
Facility
$2728.44
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 48154
Office
Unavailable
Facility
$2937.16
No comparable office rate is available.
Miami
Florida · 48154
Office
Unavailable
Facility
$3363.40
No comparable office rate is available.
Chicago
Illinois · 48154
Office
Unavailable
Facility
$3250.83
No comparable office rate is available.
Manhattan
New York · 48154
Office
Unavailable
Facility
$3144.01
No comparable office rate is available.
Alaska*
Alaska · 48154
Office
Unavailable
Facility
$3332.32
No comparable office rate is available.
Alabama
Alabama · 48154
Office
Unavailable
Facility
$2416.17
No comparable office rate is available.
Arkansas
Arkansas · 48154
Office
Unavailable
Facility
$2383.77
No comparable office rate is available.
Arizona
Arizona · 48154
Office
Unavailable
Facility
$2602.40
No comparable office rate is available.
Bakersfield
California · 48154
Office
Unavailable
Facility
$2612.00
No comparable office rate is available.
Chico
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
El Centro
California · 48154
Office
Unavailable
Facility
$2579.84
No comparable office rate is available.
Fresno
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Hanford-Corcoran
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Madera
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Merced
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Modesto
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Napa
California · 48154
Office
Unavailable
Facility
$2786.93
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 48154
Office
Unavailable
Facility
$2689.60
No comparable office rate is available.
Redding
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Rest Of California
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 48154
Office
Unavailable
Facility
$2714.40
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 48154
Office
Unavailable
Facility
$2652.60
No comparable office rate is available.
Salinas
California · 48154
Office
Unavailable
Facility
$2641.97
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 48154
Office
Unavailable
Facility
$2667.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 48154
Office
Unavailable
Facility
$2878.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 48154
Office
Unavailable
Facility
$2863.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 48154
Office
Unavailable
Facility
$2956.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 48154
Office
Unavailable
Facility
$2897.07
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 48154
Office
Unavailable
Facility
$2606.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 48154
Office
Unavailable
Facility
$2663.37
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 48154
Office
Unavailable
Facility
$2641.86
No comparable office rate is available.
Santa Rosa-Petaluma
California · 48154
Office
Unavailable
Facility
$2686.36
No comparable office rate is available.
Stockton
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Vallejo
California · 48154
Office
Unavailable
Facility
$2766.05
No comparable office rate is available.
Visalia
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Yuba City
California · 48154
Office
Unavailable
Facility
$2577.71
No comparable office rate is available.
Colorado
Colorado · 48154
Office
Unavailable
Facility
$2652.84
No comparable office rate is available.
Connecticut
Connecticut · 48154
Office
Unavailable
Facility
$2857.08
No comparable office rate is available.
Delaware
Delaware · 48154
Office
Unavailable
Facility
$2641.35
No comparable office rate is available.
Fort Lauderdale
Florida · 48154
Office
Unavailable
Facility
$3037.46
No comparable office rate is available.
Rest Of Florida
Florida · 48154
Office
Unavailable
Facility
$2869.49
No comparable office rate is available.
Atlanta
Georgia · 48154
Office
Unavailable
Facility
$2785.53
No comparable office rate is available.
Rest Of Georgia
Georgia · 48154
Office
Unavailable
Facility
$2694.29
No comparable office rate is available.
Hawaii, Guam
Hawaii · 48154
Office
Unavailable
Facility
$2596.29
No comparable office rate is available.
Iowa
Iowa · 48154
Office
Unavailable
Facility
$2370.79
No comparable office rate is available.
Idaho
Idaho · 48154
Office
Unavailable
Facility
$2406.52
No comparable office rate is available.
East St. Louis
Illinois · 48154
Office
Unavailable
Facility
$3063.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 48154
Office
Unavailable
Facility
$2866.41
No comparable office rate is available.
Suburban Chicago
Illinois · 48154
Office
Unavailable
Facility
$3042.59
No comparable office rate is available.
Indiana
Indiana · 48154
Office
Unavailable
Facility
$2416.72
No comparable office rate is available.
Kansas
Kansas · 48154
Office
Unavailable
Facility
$2409.07
No comparable office rate is available.
Kentucky
Kentucky · 48154
Office
Unavailable
Facility
$2574.24
No comparable office rate is available.
New Orleans
Louisiana · 48154
Office
Unavailable
Facility
$2703.08
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 48154
Office
Unavailable
Facility
$2589.90
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 48154
Office
Unavailable
Facility
$2832.09
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 48154
Office
Unavailable
Facility
$2658.70
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 48154
Office
Unavailable
Facility
$2859.55
No comparable office rate is available.
Rest Of Maryland
Maryland · 48154
Office
Unavailable
Facility
$2673.40
No comparable office rate is available.
Rest Of Maine
Maine · 48154
Office
Unavailable
Facility
$2470.02
No comparable office rate is available.
Southern Maine
Maine · 48154
Office
Unavailable
Facility
$2521.17
No comparable office rate is available.
Detroit
Michigan · 48154
Office
Unavailable
Facility
$2953.48
No comparable office rate is available.
Rest Of Michigan
Michigan · 48154
Office
Unavailable
Facility
$2681.44
No comparable office rate is available.
Minnesota
Minnesota · 48154
Office
Unavailable
Facility
$2403.71
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 48154
Office
Unavailable
Facility
$2633.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 48154
Office
Unavailable
Facility
$2653.30
No comparable office rate is available.
Rest Of Missouri
Missouri · 48154
Office
Unavailable
Facility
$2581.39
No comparable office rate is available.
Mississippi
Mississippi · 48154
Office
Unavailable
Facility
$2480.57
No comparable office rate is available.
Montana**
Montana · 48154
Office
Unavailable
Facility
$2683.58
No comparable office rate is available.
North Carolina
North Carolina · 48154
Office
Unavailable
Facility
$2485.93
No comparable office rate is available.
North Dakota**
North Dakota · 48154
Office
Unavailable
Facility
$2431.27
No comparable office rate is available.
Nebraska
Nebraska · 48154
Office
Unavailable
Facility
$2368.03
No comparable office rate is available.
New Hampshire
New Hampshire · 48154
Office
Unavailable
Facility
$2658.48
No comparable office rate is available.
Northern Nj
New Jersey · 48154
Office
Unavailable
Facility
$2920.32
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 48154
Office
Unavailable
Facility
$2850.75
No comparable office rate is available.
New Mexico
New Mexico · 48154
Office
Unavailable
Facility
$2714.79
No comparable office rate is available.
Nevada**
Nevada · 48154
Office
Unavailable
Facility
$2613.92
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 48154
Office
Unavailable
Facility
$3277.50
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 48154
Office
Unavailable
Facility
$2908.87
No comparable office rate is available.
Queens
New York · 48154
Office
Unavailable
Facility
$3095.96
No comparable office rate is available.
Rest Of New York
New York · 48154
Office
Unavailable
Facility
$2524.53
No comparable office rate is available.
Ohio
Ohio · 48154
Office
Unavailable
Facility
$2629.87
No comparable office rate is available.
Oklahoma
Oklahoma · 48154
Office
Unavailable
Facility
$2518.09
No comparable office rate is available.
Portland
Oregon · 48154
Office
Unavailable
Facility
$2674.76
No comparable office rate is available.
Rest Of Oregon
Oregon · 48154
Office
Unavailable
Facility
$2555.18
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 48154
Office
Unavailable
Facility
$2822.66
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 48154
Office
Unavailable
Facility
$2606.35
No comparable office rate is available.
Puerto Rico
Puerto Rico · 48154
Office
Unavailable
Facility
$2685.37
No comparable office rate is available.
Rhode Island
Rhode Island · 48154
Office
Unavailable
Facility
$2690.64
No comparable office rate is available.
South Carolina
South Carolina · 48154
Office
Unavailable
Facility
$2569.86
No comparable office rate is available.
South Dakota**
South Dakota · 48154
Office
Unavailable
Facility
$2401.44
No comparable office rate is available.
Tennessee
Tennessee · 48154
Office
Unavailable
Facility
$2426.46
No comparable office rate is available.
Utah
Utah · 48154
Office
Unavailable
Facility
$2600.98
No comparable office rate is available.
Virginia
Virginia · 48154
Office
Unavailable
Facility
$2547.80
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 48154
Office
Unavailable
Facility
$2685.37
No comparable office rate is available.
Vermont
Vermont · 48154
Office
Unavailable
Facility
$2467.23
No comparable office rate is available.
Rest Of Washington
Washington · 48154
Office
Unavailable
Facility
$2638.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 48154
Office
Unavailable
Facility
$2837.29
No comparable office rate is available.
Wisconsin
Wisconsin · 48154
Office
Unavailable
Facility
$2361.52
No comparable office rate is available.
West Virginia
West Virginia · 48154
Office
Unavailable
Facility
$2780.83
No comparable office rate is available.
Wyoming**
Wyoming · 48154
Office
Unavailable
Facility
$2573.62
No comparable office rate is available.
See how rates vary across the country
48154 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 48154 in Austin
Multiple payment areas
- 48154 in Barton Creek
- 48154 in Bee Cave
- 48154 in Briarcliff
- 48154 in Cedar Park
Multiple payment areas
- 48154 in Creedmoor
Multiple payment areas
- 48154 in Elgin
Multiple payment areas
- 48154 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 48154 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2945.45
$2677.68 × 110% = $2945.45
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 48154 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,744
- Code
- 48154
- Physician work
- 47.66
- Practice expense
- 19.95
- Malpractice
- 12.76
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 47.66 | × 1.002 | 47.7553 |
| Practice expense | 19.95 | × 1.058 | 21.1071 |
| Malpractice | 12.76 | × 0.886 | 11.3054 |
| Total RVUs | 80.1678 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$2677.68
Open 48154 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 47.66 | 1.002 |
| Practice expense | 19.95 | 1.058 |
| Malpractice | 12.76 | 0.886 |
(47.66 × 1.002 + 19.95 × 1.058 + 12.76 × 0.886) × $33.4009 = $2677.68
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
48154 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2677.68 | RVU26D |
| 2026-07-01 | Not available in this setting | $2677.68 | RVU26C |
| 2026-04-01 | Not available in this setting | $2677.68 | RVU26B |
| 2026-01-01 | Not available in this setting | $2677.68 | RVU26A |
| 2025-10-01 | Not available in this setting | $2815.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $2815.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $2815.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $2815.00 | RVU25A |
48154 billing questions
How is 48154 distinguished from a conventional Whipple procedure?
Look for preservation of the pylorus and no partial gastrectomy. The operative report should also document the pancreatic-to-intestinal connection.
Can the pancreatic reconstruction be billed separately?
The pancreatic-to-intestinal reconstruction is part of the operation represented by 48154; do not separately report that connection as another pancreaticoduodenectomy.
Is modifier 50 appropriate for this operation?
No. The pancreas is not treated as a paired organ for a bilateral adjustment under this code.
How are other procedures in the same operative session paid?
The standard multiple-procedure reduction pays the highest-valued procedure in full and other procedures at 50%.
Can an assistant or another surgeon be reported?
An assistant at surgery may be paid. Co-surgeons require documentation supporting their distinct roles; team surgery 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.
