No office rate
48140 describes partial distal pancreatectomy without pancreaticojejunostomy. Choose 48155 only when the operative report documents removal of the entire pancreas.
On this page
CMS RVU26D · Effective 2026-10-01
48155 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1664.87
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 48155: Complete surgical removal of the pancreas
Reports surgical removal of the entire pancreas for disease requiring total gland resection, rather than a limited lesion excision or partial pancreatectomy.
Code 48155 represents removal of the entire pancreas, rather than excision of a focal lesion or resection of only part of the gland. An HPB or general surgeon typically performs this major abdominal operation in a hospital for disease requiring removal of the whole pancreas, such as diffuse pancreatic neoplasia or otherwise extensive pancreatic disease. The operative report should establish that the resection was total.
Report the procedure based on the extent documented in the operative note; a partial resection or limited lesion excision belongs to a different procedure code. The 90-day global package includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted. Modifier 50 is inappropriate for this procedure.
CMS billing rules for 48155
- 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 RVU28.71 · 56%
- Practice expense (office) RVU15.24 · 30%
- Malpractice RVU7.29 · 14%
150
Medicare services in 2024 · #4565 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.
48155 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
48145 describes partial distal pancreatectomy with pancreaticojejunostomy. It is not the code for a total pancreatectomy.
48160
No office ratePancreas removal/transplant
48160 includes autologous transplantation of pancreatic tissue or islet cells with the pancreatectomy; 48155 describes total pancreatic removal without that transplant service.
No office rate
48120 is for excision of a pancreatic lesion, not removal of the entire gland. Base selection on the documented extent of resection.
The same code, a different location
How does El Centro compare?
48155 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 48155
Office
Unavailable
Facility
$1663.65
No comparable office rate is available.
Modesto
California · 48155
Office
Unavailable
Facility
$1663.65
No comparable office rate is available.
Napa
California · 48155
Office
Unavailable
Facility
$1813.95
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 48155
Office
Unavailable
Facility
$1739.16
No comparable office rate is available.
Redding
California · 48155
Office
Unavailable
Facility
$1663.65
No comparable office rate is available.
Rest Of California
California · 48155
Office
Unavailable
Facility
$1663.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 48155
Office
Unavailable
Facility
$1741.80
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 48155
Office
Unavailable
Facility
$1715.98
No comparable office rate is available.
Salinas
California · 48155
Office
Unavailable
Facility
$1709.14
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 48155
Office
Unavailable
Facility
$1728.48
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 48155
Office
Unavailable
Facility
$1879.53
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 48155
Office
Unavailable
Facility
$1871.26
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 48155
Office
Unavailable
Facility
$1928.96
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 48155
Office
Unavailable
Facility
$1895.11
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 48155
Office
Unavailable
Facility
$1685.54
No comparable office rate is available.
Santa Cruz-Watsonville
California · 48155
Office
Unavailable
Facility
$1728.06
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 48155
Office
Unavailable
Facility
$1709.83
No comparable office rate is available.
Santa Rosa-Petaluma
California · 48155
Office
Unavailable
Facility
$1743.31
No comparable office rate is available.
Stockton
California · 48155
Office
Unavailable
Facility
$1663.65
No comparable office rate is available.
Vallejo
California · 48155
Office
Unavailable
Facility
$1802.02
No comparable office rate is available.
Visalia
California · 48155
Office
Unavailable
Facility
$1663.65
No comparable office rate is available.
Yuba City
California · 48155
Office
Unavailable
Facility
$1663.65
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 48155
Office
Unavailable
Facility
$1881.37
No comparable office rate is available.
Miami
Florida · 48155
Office
Unavailable
Facility
$2104.63
No comparable office rate is available.
Chicago
Illinois · 48155
Office
Unavailable
Facility
$2036.04
No comparable office rate is available.
Manhattan
New York · 48155
Office
Unavailable
Facility
$1997.98
No comparable office rate is available.
Alaska*
Alaska · 48155
Office
Unavailable
Facility
$2114.69
No comparable office rate is available.
Alabama
Alabama · 48155
Office
Unavailable
Facility
$1542.16
No comparable office rate is available.
Arkansas
Arkansas · 48155
Office
Unavailable
Facility
$1521.60
No comparable office rate is available.
Arizona
Arizona · 48155
Office
Unavailable
Facility
$1660.62
No comparable office rate is available.
Colorado
Colorado · 48155
Office
Unavailable
Facility
$1702.22
No comparable office rate is available.
Connecticut
Connecticut · 48155
Office
Unavailable
Facility
$1820.97
No comparable office rate is available.
Delaware
Delaware · 48155
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Fort Lauderdale
Florida · 48155
Office
Unavailable
Facility
$1914.82
No comparable office rate is available.
Rest Of Florida
Florida · 48155
Office
Unavailable
Facility
$1811.54
No comparable office rate is available.
Atlanta
Georgia · 48155
Office
Unavailable
Facility
$1771.43
No comparable office rate is available.
Rest Of Georgia
Georgia · 48155
Office
Unavailable
Facility
$1703.24
No comparable office rate is available.
Hawaii, Guam
Hawaii · 48155
Office
Unavailable
Facility
$1678.69
No comparable office rate is available.
Iowa
Iowa · 48155
Office
Unavailable
Facility
$1521.37
No comparable office rate is available.
Idaho
Idaho · 48155
Office
Unavailable
Facility
$1542.42
No comparable office rate is available.
East St. Louis
Illinois · 48155
Office
Unavailable
Facility
$1917.64
No comparable office rate is available.
Rest Of Illinois
Illinois · 48155
Office
Unavailable
Facility
$1804.26
No comparable office rate is available.
Suburban Chicago
Illinois · 48155
Office
Unavailable
Facility
$1919.89
No comparable office rate is available.
Indiana
Indiana · 48155
Office
Unavailable
Facility
$1549.15
No comparable office rate is available.
Kansas
Kansas · 48155
Office
Unavailable
Facility
$1541.82
No comparable office rate is available.
Kentucky
Kentucky · 48155
Office
Unavailable
Facility
$1634.26
No comparable office rate is available.
New Orleans
Louisiana · 48155
Office
Unavailable
Facility
$1714.54
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 48155
Office
Unavailable
Facility
$1642.70
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 48155
Office
Unavailable
Facility
$1822.75
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 48155
Office
Unavailable
Facility
$1704.35
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 48155
Office
Unavailable
Facility
$1821.67
No comparable office rate is available.
Rest Of Maryland
Maryland · 48155
Office
Unavailable
Facility
$1707.19
No comparable office rate is available.
Rest Of Maine
Maine · 48155
Office
Unavailable
Facility
$1578.70
No comparable office rate is available.
Southern Maine
Maine · 48155
Office
Unavailable
Facility
$1617.03
No comparable office rate is available.
Detroit
Michigan · 48155
Office
Unavailable
Facility
$1860.68
No comparable office rate is available.
Rest Of Michigan
Michigan · 48155
Office
Unavailable
Facility
$1698.59
No comparable office rate is available.
Minnesota
Minnesota · 48155
Office
Unavailable
Facility
$1554.81
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 48155
Office
Unavailable
Facility
$1674.81
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 48155
Office
Unavailable
Facility
$1687.52
No comparable office rate is available.
Rest Of Missouri
Missouri · 48155
Office
Unavailable
Facility
$1634.89
No comparable office rate is available.
Mississippi
Mississippi · 48155
Office
Unavailable
Facility
$1577.16
No comparable office rate is available.
Montana**
Montana · 48155
Office
Unavailable
Facility
$1710.98
No comparable office rate is available.
North Carolina
North Carolina · 48155
Office
Unavailable
Facility
$1589.46
No comparable office rate is available.
North Dakota**
North Dakota · 48155
Office
Unavailable
Facility
$1566.83
No comparable office rate is available.
Nebraska
Nebraska · 48155
Office
Unavailable
Facility
$1520.81
No comparable office rate is available.
New Hampshire
New Hampshire · 48155
Office
Unavailable
Facility
$1701.90
No comparable office rate is available.
Northern Nj
New Jersey · 48155
Office
Unavailable
Facility
$1869.88
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 48155
Office
Unavailable
Facility
$1820.27
No comparable office rate is available.
New Mexico
New Mexico · 48155
Office
Unavailable
Facility
$1718.15
No comparable office rate is available.
Nevada**
Nevada · 48155
Office
Unavailable
Facility
$1671.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 48155
Office
Unavailable
Facility
$2077.71
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 48155
Office
Unavailable
Facility
$1854.11
No comparable office rate is available.
Queens
New York · 48155
Office
Unavailable
Facility
$1973.10
No comparable office rate is available.
Rest Of New York
New York · 48155
Office
Unavailable
Facility
$1613.69
No comparable office rate is available.
Ohio
Ohio · 48155
Office
Unavailable
Facility
$1669.12
No comparable office rate is available.
Oklahoma
Oklahoma · 48155
Office
Unavailable
Facility
$1602.70
No comparable office rate is available.
Portland
Oregon · 48155
Office
Unavailable
Facility
$1720.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 48155
Office
Unavailable
Facility
$1637.11
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 48155
Office
Unavailable
Facility
$1796.59
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 48155
Office
Unavailable
Facility
$1656.33
No comparable office rate is available.
Puerto Rico
Puerto Rico · 48155
Office
Unavailable
Facility
$1713.41
No comparable office rate is available.
Rhode Island
Rhode Island · 48155
Office
Unavailable
Facility
$1720.18
No comparable office rate is available.
South Carolina
South Carolina · 48155
Office
Unavailable
Facility
$1636.25
No comparable office rate is available.
South Dakota**
South Dakota · 48155
Office
Unavailable
Facility
$1549.78
No comparable office rate is available.
Tennessee
Tennessee · 48155
Office
Unavailable
Facility
$1552.40
No comparable office rate is available.
Austin
Texas · 48155
Office
Unavailable
Facility
$1715.15
No comparable office rate is available.
Beaumont
Texas · 48155
Office
Unavailable
Facility
$1648.36
No comparable office rate is available.
Brazoria
Texas · 48155
Office
Unavailable
Facility
$1660.98
No comparable office rate is available.
Dallas
Texas · 48155
Office
Unavailable
Facility
$1683.48
No comparable office rate is available.
Fort Worth
Texas · 48155
Office
Unavailable
Facility
$1681.56
No comparable office rate is available.
Galveston
Texas · 48155
Office
Unavailable
Facility
$1673.69
No comparable office rate is available.
Houston
Texas · 48155
Office
Unavailable
Facility
$1807.12
No comparable office rate is available.
Rest Of Texas
Texas · 48155
Office
Unavailable
Facility
$1661.88
No comparable office rate is available.
Utah
Utah · 48155
Office
Unavailable
Facility
$1656.08
No comparable office rate is available.
Virginia
Virginia · 48155
Office
Unavailable
Facility
$1631.22
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 48155
Office
Unavailable
Facility
$1713.41
No comparable office rate is available.
Vermont
Vermont · 48155
Office
Unavailable
Facility
$1586.09
No comparable office rate is available.
Rest Of Washington
Washington · 48155
Office
Unavailable
Facility
$1692.71
No comparable office rate is available.
Seattle (King Cnty)
Washington · 48155
Office
Unavailable
Facility
$1830.40
No comparable office rate is available.
Wisconsin
Wisconsin · 48155
Office
Unavailable
Facility
$1521.59
No comparable office rate is available.
West Virginia
West Virginia · 48155
Office
Unavailable
Facility
$1749.72
No comparable office rate is available.
Wyoming**
Wyoming · 48155
Office
Unavailable
Facility
$1648.15
No comparable office rate is available.
See how rates vary across the country
48155 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 48155 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1831.36
$1664.87 × 110% = $1831.36
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 48155 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,745
- Code
- 48155
- Physician work
- 28.71
- Practice expense
- 15.24
- Malpractice
- 7.29
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.71 | × 1.017 | 29.1981 |
| Practice expense | 15.24 | × 1.096 | 16.7030 |
| Malpractice | 7.29 | × 0.541 | 3.9439 |
| Total RVUs | 49.8450 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1664.87
Open 48155 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.71 | 1.017 |
| Practice expense | 15.24 | 1.096 |
| Malpractice | 7.29 | 0.541 |
(28.71 × 1.017 + 15.24 × 1.096 + 7.29 × 0.541) × $33.4009 = $1664.87
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
48155 · 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 | $1664.87 | RVU26D |
| 2026-07-01 | Not available in this setting | $1664.87 | RVU26C |
| 2026-04-01 | Not available in this setting | $1664.87 | RVU26B |
| 2026-01-01 | Not available in this setting | $1664.87 | RVU26A |
| 2025-10-01 | Not available in this setting | $1738.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $1738.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $1738.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $1738.13 | RVU25A |
48155 billing questions
How does 48155 differ from a partial pancreatectomy code?
Use 48155 when the operative report documents removal of the entire pancreas. Codes for partial pancreatectomy describe removal of only a portion of the gland.
Can a focal pancreatic lesion excision be reported as 48155?
No. A limited lesion excision, such as removal of a localized pancreatic lesion, is distinct from removal of the entire gland.
What postoperative care is included in the global period?
The 90-day global package includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
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.
5,74248152,,Pancreatectomy,A,,47.43,19.90,NA,19.90,,12.70,80.03,80.03,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74348153,,Pancreatectomy,A,,51.47,20.90,NA,20.90,,13.34,85.71,85.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74448154,,Pancreatectomy,A,,47.66,19.95,NA,19.95,,12.76,80.37,80.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74548155,,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
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664