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.

48510

Pseudocyst drainage

Pancreatic pseudocyst

No office rate

Use this code for a pancreatic-to-bowel anastomosis. Code 48510 concerns drainage of a pancreatic pseudocyst.

48520

Cystogastrostomy

Pancreatic cyst to stomach

No office rate

Code 48520 concerns a cyst-to-bowel procedure. This code is for joining pancreatic tissue or duct to bowel.

48545

Pancreas repair

Direct suture repair

No office rate

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

  1. Austin · This locality

    Unavailable

  2. Beaumont

    Unavailable

    No comparable rate is available in this setting.

  3. Brazoria

    Unavailable

    No comparable rate is available in this setting.

  4. Dallas

    Unavailable

    No comparable rate is available in this setting.

  5. Fort Worth

    Unavailable

    No comparable rate is available in this setting.

  6. Galveston

    Unavailable

    No comparable rate is available in this setting.

  7. Houston

    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 / territoryRate 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

Explore 48548 on the national rate map →

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.

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.

Compare your contract offer →

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
Facility calculation for 48548 in Austin
ComponentRVULocality factorAdjusted
Physician work27.39× 1.00227.4448
Practice expense11.90× 1.05812.5902
Malpractice7.33× 0.8866.4944
Total RVUs46.5294
Conversion factor× 33.4009

Facility rate, Austin$1554.12

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 48548 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work27.391.002
Practice expense11.91.058
Malpractice7.330.886

(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.

Base rate by release · bars start at $0 · select a bar to compare

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01Not available in this setting$1554.12RVU26D
2026-07-01Not available in this setting$1554.12RVU26C
2026-04-01Not available in this setting$1554.12RVU26B
2026-01-01Not available in this setting$1554.12RVU26A
2025-10-01Not available in this setting$1630.22RVU25D
2025-07-01Not available in this setting$1630.22RVU25C
2025-04-01Not available in this setting$1630.22RVU25B
2025-01-01Not available in this setting$1630.22RVU25A

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.

RVUs for 48548PPRRVU2026_Oct_nonQPP.csv, line 5,754 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)