Use this code for a pancreatic-to-bowel anastomosis. Code 48510 concerns drainage of a pancreatic pseudocyst.
On this page
CMS RVU26D · Effective 2026-10-01
48548 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1554.12
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 48548: Pancreas-to-jejunum anastomosis
Report this service when a surgeon creates a surgical connection between pancreatic tissue or duct and bowel, commonly for pancreatic drainage or reconstruction.
A surgeon joins the pancreas or its duct to bowel, commonly the jejunum, to establish drainage or restore continuity. The operation may be performed for ductal drainage in chronic pancreatitis or as part of reconstruction after pancreatic surgery. It is generally performed in an operating room under a surgeon’s care, rather than as an office service. The operative report should make clear what pancreatic structure was joined, the bowel segment used, and the reason for the anastomosis.
Report the code for the pancreatic-to-bowel connection itself, not for a cyst-to-bowel drainage procedure. Documentation should distinguish the target duct or pancreatic tissue from a pancreatic cyst or pseudocyst and describe the reconstruction performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that 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 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48548
- 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 RVU27.39 · 59%
- Practice expense (office) RVU11.90 · 26%
- Malpractice RVU7.33 · 16%
47
Medicare services in 2024 · #5392 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.
48548 compared with similar codes
Office rates for Austin, from the same CMS release.
Code 48520 concerns a cyst-to-bowel procedure. This code is for joining pancreatic tissue or duct to bowel.
Code 48545 concerns repair of the pancreas. This code describes creating a connection between the pancreas or its duct and bowel.
The same code, a different location
How does Austin compare?
48548 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 · 48548
Office
Unavailable
Facility
$1513.13
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 48548
Office
Unavailable
Facility
$1585.13
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 48548
Office
Unavailable
Facility
$1704.97
No comparable office rate is available.
Miami
Florida · 48548
Office
Unavailable
Facility
$1947.79
No comparable office rate is available.
Chicago
Illinois · 48548
Office
Unavailable
Facility
$1882.59
No comparable office rate is available.
Manhattan
New York · 48548
Office
Unavailable
Facility
$1823.56
No comparable office rate is available.
Alaska*
Alaska · 48548
Office
Unavailable
Facility
$1930.48
No comparable office rate is available.
Alabama
Alabama · 48548
Office
Unavailable
Facility
$1401.21
No comparable office rate is available.
Arkansas
Arkansas · 48548
Office
Unavailable
Facility
$1382.36
No comparable office rate is available.
Arizona
Arizona · 48548
Office
Unavailable
Facility
$1509.57
No comparable office rate is available.
Bakersfield
California · 48548
Office
Unavailable
Facility
$1516.96
No comparable office rate is available.
Chico
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
El Centro
California · 48548
Office
Unavailable
Facility
$1498.48
No comparable office rate is available.
Fresno
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Hanford-Corcoran
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Madera
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Merced
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Modesto
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Napa
California · 48548
Office
Unavailable
Facility
$1620.73
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 48548
Office
Unavailable
Facility
$1562.81
No comparable office rate is available.
Redding
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Rest Of California
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 48548
Office
Unavailable
Facility
$1575.78
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 48548
Office
Unavailable
Facility
$1541.27
No comparable office rate is available.
Salinas
California · 48548
Office
Unavailable
Facility
$1535.11
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 48548
Office
Unavailable
Facility
$1550.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 48548
Office
Unavailable
Facility
$1674.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 48548
Office
Unavailable
Facility
$1666.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 48548
Office
Unavailable
Facility
$1719.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 48548
Office
Unavailable
Facility
$1685.83
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 48548
Office
Unavailable
Facility
$1514.35
No comparable office rate is available.
Santa Cruz-Watsonville
California · 48548
Office
Unavailable
Facility
$1548.22
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 48548
Office
Unavailable
Facility
$1535.15
No comparable office rate is available.
Santa Rosa-Petaluma
California · 48548
Office
Unavailable
Facility
$1561.62
No comparable office rate is available.
Stockton
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Vallejo
California · 48548
Office
Unavailable
Facility
$1608.73
No comparable office rate is available.
Visalia
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Yuba City
California · 48548
Office
Unavailable
Facility
$1497.26
No comparable office rate is available.
Colorado
Colorado · 48548
Office
Unavailable
Facility
$1539.95
No comparable office rate is available.
Connecticut
Connecticut · 48548
Office
Unavailable
Facility
$1657.47
No comparable office rate is available.
Delaware
Delaware · 48548
Office
Unavailable
Facility
$1532.23
No comparable office rate is available.
Fort Lauderdale
Florida · 48548
Office
Unavailable
Facility
$1760.14
No comparable office rate is available.
Rest Of Florida
Florida · 48548
Office
Unavailable
Facility
$1662.81
No comparable office rate is available.
Atlanta
Georgia · 48548
Office
Unavailable
Facility
$1615.46
No comparable office rate is available.
Rest Of Georgia
Georgia · 48548
Office
Unavailable
Facility
$1561.23
No comparable office rate is available.
Hawaii, Guam
Hawaii · 48548
Office
Unavailable
Facility
$1508.53
No comparable office rate is available.
Iowa
Iowa · 48548
Office
Unavailable
Facility
$1375.73
No comparable office rate is available.
Idaho
Idaho · 48548
Office
Unavailable
Facility
$1396.33
No comparable office rate is available.
East St. Louis
Illinois · 48548
Office
Unavailable
Facility
$1773.61
No comparable office rate is available.
Rest Of Illinois
Illinois · 48548
Office
Unavailable
Facility
$1660.41
No comparable office rate is available.
Suburban Chicago
Illinois · 48548
Office
Unavailable
Facility
$1763.29
No comparable office rate is available.
Indiana
Indiana · 48548
Office
Unavailable
Facility
$1402.29
No comparable office rate is available.
Kansas
Kansas · 48548
Office
Unavailable
Facility
$1397.56
No comparable office rate is available.
Kentucky
Kentucky · 48548
Office
Unavailable
Facility
$1492.22
No comparable office rate is available.
New Orleans
Louisiana · 48548
Office
Unavailable
Facility
$1567.00
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 48548
Office
Unavailable
Facility
$1501.16
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 48548
Office
Unavailable
Facility
$1644.84
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 48548
Office
Unavailable
Facility
$1543.15
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 48548
Office
Unavailable
Facility
$1658.83
No comparable office rate is available.
Rest Of Maryland
Maryland · 48548
Office
Unavailable
Facility
$1550.99
No comparable office rate is available.
Rest Of Maine
Maine · 48548
Office
Unavailable
Facility
$1432.81
No comparable office rate is available.
Southern Maine
Maine · 48548
Office
Unavailable
Facility
$1463.23
No comparable office rate is available.
Detroit
Michigan · 48548
Office
Unavailable
Facility
$1711.19
No comparable office rate is available.
Rest Of Michigan
Michigan · 48548
Office
Unavailable
Facility
$1554.15
No comparable office rate is available.
Minnesota
Minnesota · 48548
Office
Unavailable
Facility
$1396.32
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 48548
Office
Unavailable
Facility
$1527.27
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 48548
Office
Unavailable
Facility
$1538.56
No comparable office rate is available.
Rest Of Missouri
Missouri · 48548
Office
Unavailable
Facility
$1495.93
No comparable office rate is available.
Mississippi
Mississippi · 48548
Office
Unavailable
Facility
$1438.00
No comparable office rate is available.
Montana**
Montana · 48548
Office
Unavailable
Facility
$1556.66
No comparable office rate is available.
North Carolina
North Carolina · 48548
Office
Unavailable
Facility
$1442.14
No comparable office rate is available.
North Dakota**
North Dakota · 48548
Office
Unavailable
Facility
$1411.72
No comparable office rate is available.
Nebraska
Nebraska · 48548
Office
Unavailable
Facility
$1374.26
No comparable office rate is available.
New Hampshire
New Hampshire · 48548
Office
Unavailable
Facility
$1542.84
No comparable office rate is available.
Northern Nj
New Jersey · 48548
Office
Unavailable
Facility
$1695.03
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 48548
Office
Unavailable
Facility
$1654.06
No comparable office rate is available.
New Mexico
New Mexico · 48548
Office
Unavailable
Facility
$1573.37
No comparable office rate is available.
Nevada**
Nevada · 48548
Office
Unavailable
Facility
$1516.66
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 48548
Office
Unavailable
Facility
$1900.64
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 48548
Office
Unavailable
Facility
$1687.49
No comparable office rate is available.
Queens
New York · 48548
Office
Unavailable
Facility
$1796.25
No comparable office rate is available.
Rest Of New York
New York · 48548
Office
Unavailable
Facility
$1464.56
No comparable office rate is available.
Ohio
Ohio · 48548
Office
Unavailable
Facility
$1524.53
No comparable office rate is available.
Oklahoma
Oklahoma · 48548
Office
Unavailable
Facility
$1460.02
No comparable office rate is available.
Portland
Oregon · 48548
Office
Unavailable
Facility
$1553.23
No comparable office rate is available.
Rest Of Oregon
Oregon · 48548
Office
Unavailable
Facility
$1482.85
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 48548
Office
Unavailable
Facility
$1637.17
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 48548
Office
Unavailable
Facility
$1511.09
No comparable office rate is available.
Puerto Rico
Puerto Rico · 48548
Office
Unavailable
Facility
$1557.85
No comparable office rate is available.
Rhode Island
Rhode Island · 48548
Office
Unavailable
Facility
$1561.21
No comparable office rate is available.
South Carolina
South Carolina · 48548
Office
Unavailable
Facility
$1490.22
No comparable office rate is available.
South Dakota**
South Dakota · 48548
Office
Unavailable
Facility
$1394.58
No comparable office rate is available.
Tennessee
Tennessee · 48548
Office
Unavailable
Facility
$1407.62
No comparable office rate is available.
Utah
Utah · 48548
Office
Unavailable
Facility
$1508.33
No comparable office rate is available.
Virginia
Virginia · 48548
Office
Unavailable
Facility
$1478.41
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 48548
Office
Unavailable
Facility
$1557.85
No comparable office rate is available.
Vermont
Vermont · 48548
Office
Unavailable
Facility
$1432.23
No comparable office rate is available.
Rest Of Washington
Washington · 48548
Office
Unavailable
Facility
$1531.59
No comparable office rate is available.
Seattle (King Cnty)
Washington · 48548
Office
Unavailable
Facility
$1648.31
No comparable office rate is available.
Wisconsin
Wisconsin · 48548
Office
Unavailable
Facility
$1371.03
No comparable office rate is available.
West Virginia
West Virginia · 48548
Office
Unavailable
Facility
$1610.60
No comparable office rate is available.
Wyoming**
Wyoming · 48548
Office
Unavailable
Facility
$1493.49
No comparable office rate is available.
See how rates vary across the country
48548 · 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.
- 48548 in Austin
Multiple payment areas
- 48548 in Barton Creek
- 48548 in Bee Cave
- 48548 in Briarcliff
- 48548 in Cedar Park
Multiple payment areas
- 48548 in Creedmoor
Multiple payment areas
- 48548 in Elgin
Multiple payment areas
- 48548 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 48548 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1709.53
$1554.12 × 110% = $1709.53
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 48548 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,754
- Code
- 48548
- Physician work
- 27.39
- Practice expense
- 11.90
- Malpractice
- 7.33
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.39 | × 1.002 | 27.4448 |
| Practice expense | 11.90 | × 1.058 | 12.5902 |
| Malpractice | 7.33 | × 0.886 | 6.4944 |
| Total RVUs | 46.5294 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$1554.12
Open 48548 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.39 | 1.002 |
| Practice expense | 11.9 | 1.058 |
| Malpractice | 7.33 | 0.886 |
(27.39 × 1.002 + 11.9 × 1.058 + 7.33 × 0.886) × $33.4009 = $1554.12
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
48548 · 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 | $1554.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $1554.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $1554.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $1554.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $1630.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $1630.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $1630.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $1630.22 | RVU25A |
48548 billing questions
How is this different from pancreatic cyst drainage?
This code describes joining pancreatic tissue or duct to bowel. When the operation instead creates an internal drainage route from a pancreatic cyst or pseudocyst, consider the cyst-specific drainage codes.
Does this code describe a pancreaticojejunostomy?
Yes. It is used for a surgical connection between the pancreas or pancreatic duct and bowel, commonly the jejunum.
What operative documentation supports reporting it?
Document the pancreatic structure joined, the bowel segment, the purpose of the connection, and the reconstructive steps performed. The note should distinguish a duct or pancreatic-tissue anastomosis from drainage of a cyst.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global service.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery billing for this code.
What happens when this is performed with another procedure?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple-procedure 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 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.
