No office rate
Use 48500 for excision of the cyst; 48510 describes drainage of a pancreatic pseudocyst.
On this page
CMS RVU26D · Effective 2026-10-01
48500 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1074.74
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 48500: Pancreatic cyst excision
Reports surgical removal of a pancreatic cyst, rather than drainage or creation of an internal drainage connection, when excision is the operation performed.
This service is the surgical excision of a cyst arising in the pancreas. A surgeon performs it in an operating room when the operative plan is to remove the cyst, rather than simply drain its contents or connect it to the stomach or intestine. The operative report should identify the cyst’s location and describe the tissue removed and the procedure performed.
Report 48500 when the operation is cyst excision; use a drainage or anastomosis code when that is the procedure performed. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for this pancreatic procedure. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48500
- 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 RVU17.71 · 54%
- Practice expense (office) RVU10.24 · 31%
- Malpractice RVU4.74 · 14%
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.
48500 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 48520 when the procedure connects a pancreatic cyst to the stomach for internal drainage, rather than excising the cyst.
No office rate
Use 48540 for internal drainage by connecting the pancreatic cyst to intestine; 48500 is for excision.
No office rate
48120 describes open excision of a pancreatic lesion, which may include a cyst. Select the code that matches the documented operation and applicable procedure description.
The same code, a different location
How does Delaware compare?
48500 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 48500
Office
Unavailable
Facility
$980.41
No comparable office rate is available.
Arkansas
Arkansas · 48500
Office
Unavailable
Facility
$966.86
No comparable office rate is available.
Arizona
Arizona · 48500
Office
Unavailable
Facility
$1058.47
No comparable office rate is available.
Bakersfield
California · 48500
Office
Unavailable
Facility
$1074.05
No comparable office rate is available.
Chico
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
El Centro
California · 48500
Office
Unavailable
Facility
$1062.10
No comparable office rate is available.
Fresno
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Hanford-Corcoran
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Madera
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Merced
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Modesto
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Napa
California · 48500
Office
Unavailable
Facility
$1160.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 48500
Office
Unavailable
Facility
$1111.00
No comparable office rate is available.
Redding
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Rest Of California
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 48500
Office
Unavailable
Facility
$1112.08
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 48500
Office
Unavailable
Facility
$1095.46
No comparable office rate is available.
Salinas
California · 48500
Office
Unavailable
Facility
$1091.13
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 48500
Office
Unavailable
Facility
$1104.15
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 48500
Office
Unavailable
Facility
$1202.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 48500
Office
Unavailable
Facility
$1197.27
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 48500
Office
Unavailable
Facility
$1234.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 48500
Office
Unavailable
Facility
$1212.65
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 48500
Office
Unavailable
Facility
$1076.01
No comparable office rate is available.
Santa Cruz-Watsonville
California · 48500
Office
Unavailable
Facility
$1104.37
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 48500
Office
Unavailable
Facility
$1091.75
No comparable office rate is available.
Santa Rosa-Petaluma
California · 48500
Office
Unavailable
Facility
$1114.14
No comparable office rate is available.
Stockton
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Vallejo
California · 48500
Office
Unavailable
Facility
$1152.25
No comparable office rate is available.
Visalia
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Yuba City
California · 48500
Office
Unavailable
Facility
$1061.31
No comparable office rate is available.
Colorado
Colorado · 48500
Office
Unavailable
Facility
$1086.19
No comparable office rate is available.
Connecticut
Connecticut · 48500
Office
Unavailable
Facility
$1163.29
No comparable office rate is available.
Fort Lauderdale
Florida · 48500
Office
Unavailable
Facility
$1224.24
No comparable office rate is available.
Rest Of Florida
Florida · 48500
Office
Unavailable
Facility
$1156.46
No comparable office rate is available.
Atlanta
Georgia · 48500
Office
Unavailable
Facility
$1130.94
No comparable office rate is available.
Rest Of Georgia
Georgia · 48500
Office
Unavailable
Facility
$1085.33
No comparable office rate is available.
Hawaii, Guam
Hawaii · 48500
Office
Unavailable
Facility
$1072.08
No comparable office rate is available.
Iowa
Iowa · 48500
Office
Unavailable
Facility
$967.34
No comparable office rate is available.
Idaho
Idaho · 48500
Office
Unavailable
Facility
$981.08
No comparable office rate is available.
East St. Louis
Illinois · 48500
Office
Unavailable
Facility
$1225.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 48500
Office
Unavailable
Facility
$1151.25
No comparable office rate is available.
Suburban Chicago
Illinois · 48500
Office
Unavailable
Facility
$1227.47
No comparable office rate is available.
Indiana
Indiana · 48500
Office
Unavailable
Facility
$985.53
No comparable office rate is available.
Kansas
Kansas · 48500
Office
Unavailable
Facility
$980.51
No comparable office rate is available.
Kentucky
Kentucky · 48500
Office
Unavailable
Facility
$1040.45
No comparable office rate is available.
New Orleans
Louisiana · 48500
Office
Unavailable
Facility
$1093.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 48500
Office
Unavailable
Facility
$1045.89
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 48500
Office
Unavailable
Facility
$1165.07
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 48500
Office
Unavailable
Facility
$1087.33
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 48500
Office
Unavailable
Facility
$1163.83
No comparable office rate is available.
Rest Of Maryland
Maryland · 48500
Office
Unavailable
Facility
$1088.91
No comparable office rate is available.
Rest Of Maine
Maine · 48500
Office
Unavailable
Facility
$1004.67
No comparable office rate is available.
Southern Maine
Maine · 48500
Office
Unavailable
Facility
$1030.38
No comparable office rate is available.
Detroit
Michigan · 48500
Office
Unavailable
Facility
$1188.51
No comparable office rate is available.
Rest Of Michigan
Michigan · 48500
Office
Unavailable
Facility
$1082.54
No comparable office rate is available.
Minnesota
Minnesota · 48500
Office
Unavailable
Facility
$990.34
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 48500
Office
Unavailable
Facility
$1067.37
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 48500
Office
Unavailable
Facility
$1075.77
No comparable office rate is available.
Rest Of Missouri
Missouri · 48500
Office
Unavailable
Facility
$1040.56
No comparable office rate is available.
Mississippi
Mississippi · 48500
Office
Unavailable
Facility
$1003.01
No comparable office rate is available.
Montana**
Montana · 48500
Office
Unavailable
Facility
$1091.56
No comparable office rate is available.
North Carolina
North Carolina · 48500
Office
Unavailable
Facility
$1011.81
No comparable office rate is available.
North Dakota**
North Dakota · 48500
Office
Unavailable
Facility
$997.83
No comparable office rate is available.
Nebraska
Nebraska · 48500
Office
Unavailable
Facility
$967.06
No comparable office rate is available.
New Hampshire
New Hampshire · 48500
Office
Unavailable
Facility
$1086.11
No comparable office rate is available.
Northern Nj
New Jersey · 48500
Office
Unavailable
Facility
$1194.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 48500
Office
Unavailable
Facility
$1162.36
No comparable office rate is available.
New Mexico
New Mexico · 48500
Office
Unavailable
Facility
$1095.31
No comparable office rate is available.
Nevada**
Nevada · 48500
Office
Unavailable
Facility
$1065.78
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 48500
Office
Unavailable
Facility
$1330.06
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 48500
Office
Unavailable
Facility
$1184.23
No comparable office rate is available.
Queens
New York · 48500
Office
Unavailable
Facility
$1261.96
No comparable office rate is available.
Rest Of New York
New York · 48500
Office
Unavailable
Facility
$1027.75
No comparable office rate is available.
Ohio
Ohio · 48500
Office
Unavailable
Facility
$1063.39
No comparable office rate is available.
Oklahoma
Oklahoma · 48500
Office
Unavailable
Facility
$1019.97
No comparable office rate is available.
Portland
Oregon · 48500
Office
Unavailable
Facility
$1098.77
No comparable office rate is available.
Rest Of Oregon
Oregon · 48500
Office
Unavailable
Facility
$1043.49
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 48500
Office
Unavailable
Facility
$1147.10
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 48500
Office
Unavailable
Facility
$1055.12
No comparable office rate is available.
Puerto Rico
Puerto Rico · 48500
Office
Unavailable
Facility
$1093.26
No comparable office rate is available.
Rhode Island
Rhode Island · 48500
Office
Unavailable
Facility
$1097.30
No comparable office rate is available.
South Carolina
South Carolina · 48500
Office
Unavailable
Facility
$1042.13
No comparable office rate is available.
South Dakota**
South Dakota · 48500
Office
Unavailable
Facility
$986.75
No comparable office rate is available.
Tennessee
Tennessee · 48500
Office
Unavailable
Facility
$987.45
No comparable office rate is available.
Austin
Texas · 48500
Office
Unavailable
Facility
$1094.85
No comparable office rate is available.
Beaumont
Texas · 48500
Office
Unavailable
Facility
$1049.85
No comparable office rate is available.
Brazoria
Texas · 48500
Office
Unavailable
Facility
$1058.70
No comparable office rate is available.
Dallas
Texas · 48500
Office
Unavailable
Facility
$1073.35
No comparable office rate is available.
Fort Worth
Texas · 48500
Office
Unavailable
Facility
$1071.99
No comparable office rate is available.
Galveston
Texas · 48500
Office
Unavailable
Facility
$1066.98
No comparable office rate is available.
Houston
Texas · 48500
Office
Unavailable
Facility
$1153.74
No comparable office rate is available.
Rest Of Texas
Texas · 48500
Office
Unavailable
Facility
$1059.08
No comparable office rate is available.
Utah
Utah · 48500
Office
Unavailable
Facility
$1055.21
No comparable office rate is available.
Virginia
Virginia · 48500
Office
Unavailable
Facility
$1039.51
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 48500
Office
Unavailable
Facility
$1093.26
No comparable office rate is available.
Vermont
Vermont · 48500
Office
Unavailable
Facility
$1010.24
No comparable office rate is available.
Rest Of Washington
Washington · 48500
Office
Unavailable
Facility
$1079.85
No comparable office rate is available.
Seattle (King Cnty)
Washington · 48500
Office
Unavailable
Facility
$1170.12
No comparable office rate is available.
Wisconsin
Wisconsin · 48500
Office
Unavailable
Facility
$967.95
No comparable office rate is available.
West Virginia
West Virginia · 48500
Office
Unavailable
Facility
$1115.31
No comparable office rate is available.
Wyoming**
Wyoming · 48500
Office
Unavailable
Facility
$1050.71
No comparable office rate is available.
See how rates vary across the country
48500 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 48500 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1182.21
$1074.74 × 110% = $1182.21
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 48500 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,748
- Code
- 48500
- Physician work
- 17.71
- Practice expense
- 10.24
- Malpractice
- 4.74
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.71 | × 1.005 | 17.7985 |
| Practice expense | 10.24 | × 0.988 | 10.1171 |
| Malpractice | 4.74 | × 0.899 | 4.2613 |
| Total RVUs | 32.1769 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1074.74
Open 48500 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.71 | 1.005 |
| Practice expense | 10.24 | 0.988 |
| Malpractice | 4.74 | 0.899 |
(17.71 × 1.005 + 10.24 × 0.988 + 4.74 × 0.899) × $33.4009 = $1074.74
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
48500 · 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 | $1074.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $1074.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $1074.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $1074.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $1117.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $1117.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $1117.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $1117.63 | RVU25A |
48500 billing questions
How is cyst excision different from pancreatic cyst drainage?
Use 48500 when the surgeon removes the cyst. For drainage without excision, consider 48510; for internal drainage through an anastomosis, consider 48520 or 48540, as applicable.
What documentation supports reporting 48500?
The operative report should establish that the surgeon excised a pancreatic cyst and describe its location and the tissue removed. Documentation of drainage or an internal connection instead supports choosing the corresponding drainage procedure.
Does the 90-day global period include postoperative care?
Yes. It includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this procedure because the pancreatic anatomy is not treated as a paired site for bilateral adjustment.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Medicare pays the highest-valued procedure in full and reduces the other procedure or procedures to 50% under the standard multiple procedure rule.
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.
5,74548155,,Removal of pancreas,A,,28.71,15.24,NA,15.24,,7.29,51.24,51.24,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74648160,,Pancreas removal/transplant,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74748400,,Injection intraop add-on,A,,1.90,0.46,NA,0.46,,0.49,2.85,2.85,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74848500,,Surgery of pancreatic cyst,A,,17.71,10.24,NA,10.24,,4.74,32.69,32.69,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74948510,,Drain pancreatic pseudocyst,A,,16.76,10.01,NA,10.01,,4.48,31.25,31.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75048520,,Fuse pancreas cyst and bowel,A,,17.70,8.53,NA,8.53,,4.74,30.97,30.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75148540,,Fuse pancreas cyst and bowel,A,,21.39,9.43,NA,9.43,,5.72,36.54,36.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503