No office rate
Use 43264 for endoscopic extraction of pancreatic duct stones during ERCP. CPT 48020 represents operative removal.
On this page
CMS RVU26D · Effective 2026-10-01
48020 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1078.98
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 48020: Surgical pancreatic stone extraction
Reports operative removal of a pancreatic calculus, rather than endoscopic duct clearance or lithotripsy performed during ERCP.
CPT 48020 represents operative extraction of a stone from the pancreas or pancreatic duct. A surgeon performs the procedure in an operating-room setting when the stone is addressed surgically; it is distinct from clearing a duct endoscopically during ERCP. The operative report should identify the stone’s location and describe the removal performed.
Report the code when the operative service includes removal of the pancreatic stone, not simply drainage or treatment of a different pancreatic condition. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this descriptor. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery billing is not permitted.
CMS billing rules for 48020
- 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 RVU18.61 · 56%
- Practice expense (office) RVU9.78 · 29%
- Malpractice RVU4.96 · 15%
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.
48020 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
Use 43265 when ERCP includes lithotripsy of duct stones. CPT 48020 describes surgical extraction rather than endoscopic fragmentation.
No office rate
CPT 48001 describes pancreatic drain placement, not stone extraction. Report 48020 only when the operative service includes removal of a pancreatic stone.
The same code, a different location
How does Modesto compare?
48020 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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.
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
Madera
California · 48020
Office
Unavailable
Facility
$1078.98
No comparable office rate is available.
Merced
California · 48020
Office
Unavailable
Facility
$1078.98
No comparable office rate is available.
Napa
California · 48020
Office
Unavailable
Facility
$1175.45
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 48020
Office
Unavailable
Facility
$1128.32
No comparable office rate is available.
Redding
California · 48020
Office
Unavailable
Facility
$1078.98
No comparable office rate is available.
Rest Of California
California · 48020
Office
Unavailable
Facility
$1078.98
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 48020
Office
Unavailable
Facility
$1132.11
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 48020
Office
Unavailable
Facility
$1112.67
No comparable office rate is available.
Salinas
California · 48020
Office
Unavailable
Facility
$1108.26
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 48020
Office
Unavailable
Facility
$1120.72
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 48020
Office
Unavailable
Facility
$1217.28
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 48020
Office
Unavailable
Facility
$1211.64
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 48020
Office
Unavailable
Facility
$1249.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 48020
Office
Unavailable
Facility
$1226.78
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 48020
Office
Unavailable
Facility
$1093.02
No comparable office rate is available.
Santa Cruz-Watsonville
California · 48020
Office
Unavailable
Facility
$1120.34
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 48020
Office
Unavailable
Facility
$1108.68
No comparable office rate is available.
Santa Rosa-Petaluma
California · 48020
Office
Unavailable
Facility
$1130.18
No comparable office rate is available.
Stockton
California · 48020
Office
Unavailable
Facility
$1078.98
No comparable office rate is available.
Vallejo
California · 48020
Office
Unavailable
Facility
$1167.33
No comparable office rate is available.
Visalia
California · 48020
Office
Unavailable
Facility
$1078.98
No comparable office rate is available.
Yuba City
California · 48020
Office
Unavailable
Facility
$1078.98
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 48020
Office
Unavailable
Facility
$1224.35
No comparable office rate is available.
Miami
Florida · 48020
Office
Unavailable
Facility
$1380.62
No comparable office rate is available.
Chicago
Illinois · 48020
Office
Unavailable
Facility
$1334.45
No comparable office rate is available.
Manhattan
New York · 48020
Office
Unavailable
Facility
$1303.70
No comparable office rate is available.
Alaska*
Alaska · 48020
Office
Unavailable
Facility
$1371.56
No comparable office rate is available.
Alabama
Alabama · 48020
Office
Unavailable
Facility
$1001.19
No comparable office rate is available.
Arkansas
Arkansas · 48020
Office
Unavailable
Facility
$987.51
No comparable office rate is available.
Arizona
Arizona · 48020
Office
Unavailable
Facility
$1079.94
No comparable office rate is available.
Colorado
Colorado · 48020
Office
Unavailable
Facility
$1106.00
No comparable office rate is available.
Connecticut
Connecticut · 48020
Office
Unavailable
Facility
$1186.30
No comparable office rate is available.
Delaware
Delaware · 48020
Office
Unavailable
Facility
$1096.38
No comparable office rate is available.
Fort Lauderdale
Florida · 48020
Office
Unavailable
Facility
$1252.03
No comparable office rate is available.
Rest Of Florida
Florida · 48020
Office
Unavailable
Facility
$1182.88
No comparable office rate is available.
Atlanta
Georgia · 48020
Office
Unavailable
Facility
$1154.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 48020
Office
Unavailable
Facility
$1110.45
No comparable office rate is available.
Hawaii, Guam
Hawaii · 48020
Office
Unavailable
Facility
$1088.93
No comparable office rate is available.
Iowa
Iowa · 48020
Office
Unavailable
Facility
$986.26
No comparable office rate is available.
Idaho
Idaho · 48020
Office
Unavailable
Facility
$1000.48
No comparable office rate is available.
East St. Louis
Illinois · 48020
Office
Unavailable
Facility
$1255.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 48020
Office
Unavailable
Facility
$1178.77
No comparable office rate is available.
Suburban Chicago
Illinois · 48020
Office
Unavailable
Facility
$1254.99
No comparable office rate is available.
Indiana
Indiana · 48020
Office
Unavailable
Facility
$1004.92
No comparable office rate is available.
Kansas
Kansas · 48020
Office
Unavailable
Facility
$1000.39
No comparable office rate is available.
Kentucky
Kentucky · 48020
Office
Unavailable
Facility
$1063.58
No comparable office rate is available.
New Orleans
Louisiana · 48020
Office
Unavailable
Facility
$1117.18
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 48020
Office
Unavailable
Facility
$1069.40
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 48020
Office
Unavailable
Facility
$1184.55
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 48020
Office
Unavailable
Facility
$1107.55
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 48020
Office
Unavailable
Facility
$1186.98
No comparable office rate is available.
Rest Of Maryland
Maryland · 48020
Office
Unavailable
Facility
$1110.47
No comparable office rate is available.
Rest Of Maine
Maine · 48020
Office
Unavailable
Facility
$1025.16
No comparable office rate is available.
Southern Maine
Maine · 48020
Office
Unavailable
Facility
$1049.85
No comparable office rate is available.
Detroit
Michigan · 48020
Office
Unavailable
Facility
$1216.14
No comparable office rate is available.
Rest Of Michigan
Michigan · 48020
Office
Unavailable
Facility
$1106.87
No comparable office rate is available.
Minnesota
Minnesota · 48020
Office
Unavailable
Facility
$1006.76
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 48020
Office
Unavailable
Facility
$1090.18
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 48020
Office
Unavailable
Facility
$1098.57
No comparable office rate is available.
Rest Of Missouri
Missouri · 48020
Office
Unavailable
Facility
$1064.53
No comparable office rate is available.
Mississippi
Mississippi · 48020
Office
Unavailable
Facility
$1025.27
No comparable office rate is available.
Montana**
Montana · 48020
Office
Unavailable
Facility
$1113.59
No comparable office rate is available.
North Carolina
North Carolina · 48020
Office
Unavailable
Facility
$1032.23
No comparable office rate is available.
North Dakota**
North Dakota · 48020
Office
Unavailable
Facility
$1015.51
No comparable office rate is available.
Nebraska
Nebraska · 48020
Office
Unavailable
Facility
$985.72
No comparable office rate is available.
New Hampshire
New Hampshire · 48020
Office
Unavailable
Facility
$1106.60
No comparable office rate is available.
Northern Nj
New Jersey · 48020
Office
Unavailable
Facility
$1216.61
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 48020
Office
Unavailable
Facility
$1184.91
No comparable office rate is available.
New Mexico
New Mexico · 48020
Office
Unavailable
Facility
$1120.11
No comparable office rate is available.
Nevada**
Nevada · 48020
Office
Unavailable
Facility
$1086.58
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 48020
Office
Unavailable
Facility
$1357.42
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 48020
Office
Unavailable
Facility
$1207.71
No comparable office rate is available.
Queens
New York · 48020
Office
Unavailable
Facility
$1286.38
No comparable office rate is available.
Rest Of New York
New York · 48020
Office
Unavailable
Facility
$1048.38
No comparable office rate is available.
Ohio
Ohio · 48020
Office
Unavailable
Facility
$1086.83
No comparable office rate is available.
Oklahoma
Oklahoma · 48020
Office
Unavailable
Facility
$1042.02
No comparable office rate is available.
Portland
Oregon · 48020
Office
Unavailable
Facility
$1117.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 48020
Office
Unavailable
Facility
$1063.41
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 48020
Office
Unavailable
Facility
$1170.48
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 48020
Office
Unavailable
Facility
$1078.02
No comparable office rate is available.
Puerto Rico
Puerto Rico · 48020
Office
Unavailable
Facility
$1115.03
No comparable office rate is available.
Rhode Island
Rhode Island · 48020
Office
Unavailable
Facility
$1118.62
No comparable office rate is available.
South Carolina
South Carolina · 48020
Office
Unavailable
Facility
$1064.24
No comparable office rate is available.
South Dakota**
South Dakota · 48020
Office
Unavailable
Facility
$1003.92
No comparable office rate is available.
Tennessee
Tennessee · 48020
Office
Unavailable
Facility
$1007.49
No comparable office rate is available.
Austin
Texas · 48020
Office
Unavailable
Facility
$1115.22
No comparable office rate is available.
Beaumont
Texas · 48020
Office
Unavailable
Facility
$1072.76
No comparable office rate is available.
Brazoria
Texas · 48020
Office
Unavailable
Facility
$1079.51
No comparable office rate is available.
Dallas
Texas · 48020
Office
Unavailable
Facility
$1094.68
No comparable office rate is available.
Fort Worth
Texas · 48020
Office
Unavailable
Facility
$1093.57
No comparable office rate is available.
Galveston
Texas · 48020
Office
Unavailable
Facility
$1088.11
No comparable office rate is available.
Houston
Texas · 48020
Office
Unavailable
Facility
$1178.90
No comparable office rate is available.
Rest Of Texas
Texas · 48020
Office
Unavailable
Facility
$1081.19
No comparable office rate is available.
Utah
Utah · 48020
Office
Unavailable
Facility
$1077.42
No comparable office rate is available.
Virginia
Virginia · 48020
Office
Unavailable
Facility
$1059.66
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 48020
Office
Unavailable
Facility
$1115.03
No comparable office rate is available.
Vermont
Vermont · 48020
Office
Unavailable
Facility
$1028.81
No comparable office rate is available.
Rest Of Washington
Washington · 48020
Office
Unavailable
Facility
$1099.72
No comparable office rate is available.
Seattle (King Cnty)
Washington · 48020
Office
Unavailable
Facility
$1188.83
No comparable office rate is available.
Wisconsin
Wisconsin · 48020
Office
Unavailable
Facility
$985.56
No comparable office rate is available.
West Virginia
West Virginia · 48020
Office
Unavailable
Facility
$1142.53
No comparable office rate is available.
Wyoming**
Wyoming · 48020
Office
Unavailable
Facility
$1070.85
No comparable office rate is available.
See how rates vary across the country
48020 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 48020 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1186.88
$1078.98 × 110% = $1186.88
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 48020 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,732
- Code
- 48020
- Physician work
- 18.61
- Practice expense
- 9.78
- Malpractice
- 4.96
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.61 | × 1.017 | 18.9264 |
| Practice expense | 9.78 | × 1.096 | 10.7189 |
| Malpractice | 4.96 | × 0.536 | 2.6586 |
| Total RVUs | 32.3038 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1078.98
Open 48020 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.61 | 1.017 |
| Practice expense | 9.78 | 1.096 |
| Malpractice | 4.96 | 0.536 |
(18.61 × 1.017 + 9.78 × 1.096 + 4.96 × 0.536) × $33.4009 = $1078.98
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
48020 · 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 | $1078.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $1078.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $1078.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $1078.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $1128.01 | RVU25D |
| 2025-07-01 | Not available in this setting | $1128.01 | RVU25C |
| 2025-04-01 | Not available in this setting | $1128.01 | RVU25B |
| 2025-01-01 | Not available in this setting | $1128.01 | RVU25A |
48020 billing questions
How is this different from ERCP stone removal?
CPT 48020 is for operative removal. Use the ERCP stone-removal code when the calculus is cleared endoscopically from the pancreatic duct.
What documentation supports reporting 48020?
The operative report should establish a pancreatic stone and describe its location and surgical extraction. A note documenting only pancreatic drainage does not establish stone removal.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be available for this code. Co-surgeon payment requires supporting documentation.
What global and multiple-procedure rules apply?
The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction.
Should modifier 50 be used for stones on both sides?
No. Modifier 50 is inappropriate for this code’s descriptor and anatomy.
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.
5,72947999,,Unlisted px biliary tract,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73048000,,Drainage of abdomen,A,,31.15,12.82,NA,12.82,,8.33,52.30,52.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73148001,,Placement of drain pancreas,A,,38.70,14.66,NA,14.66,,10.37,63.73,63.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73248020,,Removal of pancreatic stone,A,,18.61,9.78,NA,9.78,,4.96,33.35,33.35,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73348100,,Biopsy of pancreas open,A,,14.10,7.61,NA,7.61,,3.56,25.27,25.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73448102,,Needle biopsy pancreas,A,,4.58,9.68,,1.03,,0.49,14.75,6.10,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73548105,,Resect/debride pancreas,A,,48.03,18.08,NA,18.08,,10.41,76.52,76.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536