48551
No office ratePrep donor pancreas
Use 48551 for standard backbench preparation, including dissection and arterial preparation; 48552 describes venous reconstruction only.
On this page
CMS RVU26D · Effective 2026-10-01
48552 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$199.72
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.
Transplant surgery
About 48552: Pancreas allograft venous reconstruction
Reports backbench venous reconstruction of a cadaveric donor pancreas allograft when venous work is performed without the standard graft-preparation service.
This service reconstructs venous outflow on a cadaveric donor pancreas allograft on the back table before transplantation. The transplant surgeon or another qualified transplant surgeon performs the work on the procured organ, not on the recipient. A typical task is extending or rebuilding the graft’s venous drainage so it can be connected during implantation.
Report 48552 when the documented backbench work is venous reconstruction only. The operative report should identify the venous reconstruction performed and distinguish it from the broader standard preparation described by 48551. Do not separately report venous work that is part of the standard preparation service. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
CMS billing rules for 48552
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU4.19 · 66%
- Practice expense (office) RVU1.02 · 16%
- Malpractice RVU1.12 · 18%
32
Medicare services in 2024 · #5625 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.
48552 compared with similar codes
Office rates for Modesto, from the same CMS release.
48550
No office rateDonor pancreatectomy
48550 represents procurement through donor pancreatectomy, while 48552 represents venous reconstruction of the procured graft on the back table.
48554
No office rateTranspl allograft pancreas
48554 is the recipient’s pancreas allograft transplant operation; 48552 is preparation of the donor graft before implantation.
The same code, a different location
How does Modesto compare?
48552 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 · 48552
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
Merced
California · 48552
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
Napa
California · 48552
Office
Unavailable
Facility
$212.67
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 48552
Office
Unavailable
Facility
$207.44
No comparable office rate is available.
Redding
California · 48552
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
Rest Of California
California · 48552
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 48552
Office
Unavailable
Facility
$211.72
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 48552
Office
Unavailable
Facility
$204.66
No comparable office rate is available.
Salinas
California · 48552
Office
Unavailable
Facility
$203.83
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 48552
Office
Unavailable
Facility
$205.17
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 48552
Office
Unavailable
Facility
$218.45
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 48552
Office
Unavailable
Facility
$217.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 48552
Office
Unavailable
Facility
$224.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 48552
Office
Unavailable
Facility
$219.32
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 48552
Office
Unavailable
Facility
$201.18
No comparable office rate is available.
Santa Cruz-Watsonville
California · 48552
Office
Unavailable
Facility
$204.33
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 48552
Office
Unavailable
Facility
$203.64
No comparable office rate is available.
Santa Rosa-Petaluma
California · 48552
Office
Unavailable
Facility
$206.04
No comparable office rate is available.
Stockton
California · 48552
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
Vallejo
California · 48552
Office
Unavailable
Facility
$210.84
No comparable office rate is available.
Visalia
California · 48552
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
Yuba City
California · 48552
Office
Unavailable
Facility
$199.72
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 48552
Office
Unavailable
Facility
$229.28
No comparable office rate is available.
Miami
Florida · 48552
Office
Unavailable
Facility
$270.02
No comparable office rate is available.
Chicago
Illinois · 48552
Office
Unavailable
Facility
$261.02
No comparable office rate is available.
Manhattan
New York · 48552
Office
Unavailable
Facility
$247.83
No comparable office rate is available.
Alaska*
Alaska · 48552
Office
Unavailable
Facility
$266.82
No comparable office rate is available.
Alabama
Alabama · 48552
Office
Unavailable
Facility
$190.93
No comparable office rate is available.
Arkansas
Arkansas · 48552
Office
Unavailable
Facility
$188.48
No comparable office rate is available.
Arizona
Arizona · 48552
Office
Unavailable
Facility
$204.98
No comparable office rate is available.
Colorado
Colorado · 48552
Office
Unavailable
Facility
$207.09
No comparable office rate is available.
Connecticut
Connecticut · 48552
Office
Unavailable
Facility
$224.71
No comparable office rate is available.
Delaware
Delaware · 48552
Office
Unavailable
Facility
$207.94
No comparable office rate is available.
Fort Lauderdale
Florida · 48552
Office
Unavailable
Facility
$242.10
No comparable office rate is available.
Rest Of Florida
Florida · 48552
Office
Unavailable
Facility
$228.75
No comparable office rate is available.
Atlanta
Georgia · 48552
Office
Unavailable
Facility
$219.91
No comparable office rate is available.
Rest Of Georgia
Georgia · 48552
Office
Unavailable
Facility
$214.93
No comparable office rate is available.
Hawaii, Guam
Hawaii · 48552
Office
Unavailable
Facility
$200.35
No comparable office rate is available.
Iowa
Iowa · 48552
Office
Unavailable
Facility
$185.97
No comparable office rate is available.
Idaho
Idaho · 48552
Office
Unavailable
Facility
$188.99
No comparable office rate is available.
East St. Louis
Illinois · 48552
Office
Unavailable
Facility
$246.63
No comparable office rate is available.
Rest Of Illinois
Illinois · 48552
Office
Unavailable
Facility
$229.52
No comparable office rate is available.
Suburban Chicago
Illinois · 48552
Office
Unavailable
Facility
$242.21
No comparable office rate is available.
Indiana
Indiana · 48552
Office
Unavailable
Facility
$189.71
No comparable office rate is available.
Kansas
Kansas · 48552
Office
Unavailable
Facility
$189.60
No comparable office rate is available.
Kentucky
Kentucky · 48552
Office
Unavailable
Facility
$204.47
No comparable office rate is available.
New Orleans
Louisiana · 48552
Office
Unavailable
Facility
$214.51
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 48552
Office
Unavailable
Facility
$205.94
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 48552
Office
Unavailable
Facility
$219.66
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 48552
Office
Unavailable
Facility
$207.88
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 48552
Office
Unavailable
Facility
$225.02
No comparable office rate is available.
Rest Of Maryland
Maryland · 48552
Office
Unavailable
Facility
$210.17
No comparable office rate is available.
Rest Of Maine
Maine · 48552
Office
Unavailable
Facility
$194.56
No comparable office rate is available.
Southern Maine
Maine · 48552
Office
Unavailable
Facility
$197.32
No comparable office rate is available.
Detroit
Michigan · 48552
Office
Unavailable
Facility
$235.90
No comparable office rate is available.
Rest Of Michigan
Michigan · 48552
Office
Unavailable
Facility
$213.29
No comparable office rate is available.
Minnesota
Minnesota · 48552
Office
Unavailable
Facility
$186.08
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 48552
Office
Unavailable
Facility
$208.49
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 48552
Office
Unavailable
Facility
$209.87
No comparable office rate is available.
Rest Of Missouri
Missouri · 48552
Office
Unavailable
Facility
$205.75
No comparable office rate is available.
Mississippi
Mississippi · 48552
Office
Unavailable
Facility
$196.93
No comparable office rate is available.
Montana**
Montana · 48552
Office
Unavailable
Facility
$211.35
No comparable office rate is available.
North Carolina
North Carolina · 48552
Office
Unavailable
Facility
$195.64
No comparable office rate is available.
North Dakota**
North Dakota · 48552
Office
Unavailable
Facility
$189.21
No comparable office rate is available.
Nebraska
Nebraska · 48552
Office
Unavailable
Facility
$185.54
No comparable office rate is available.
New Hampshire
New Hampshire · 48552
Office
Unavailable
Facility
$208.15
No comparable office rate is available.
Northern Nj
New Jersey · 48552
Office
Unavailable
Facility
$228.24
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 48552
Office
Unavailable
Facility
$223.79
No comparable office rate is available.
New Mexico
New Mexico · 48552
Office
Unavailable
Facility
$216.12
No comparable office rate is available.
Nevada**
Nevada · 48552
Office
Unavailable
Facility
$205.21
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 48552
Office
Unavailable
Facility
$258.88
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 48552
Office
Unavailable
Facility
$228.82
No comparable office rate is available.
Queens
New York · 48552
Office
Unavailable
Facility
$243.12
No comparable office rate is available.
Rest Of New York
New York · 48552
Office
Unavailable
Facility
$198.61
No comparable office rate is available.
Ohio
Ohio · 48552
Office
Unavailable
Facility
$208.76
No comparable office rate is available.
Oklahoma
Oklahoma · 48552
Office
Unavailable
Facility
$199.44
No comparable office rate is available.
Portland
Oregon · 48552
Office
Unavailable
Facility
$207.87
No comparable office rate is available.
Rest Of Oregon
Oregon · 48552
Office
Unavailable
Facility
$200.18
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 48552
Office
Unavailable
Facility
$222.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 48552
Office
Unavailable
Facility
$206.58
No comparable office rate is available.
Puerto Rico
Puerto Rico · 48552
Office
Unavailable
Facility
$211.24
No comparable office rate is available.
Rhode Island
Rhode Island · 48552
Office
Unavailable
Facility
$211.17
No comparable office rate is available.
South Carolina
South Carolina · 48552
Office
Unavailable
Facility
$203.23
No comparable office rate is available.
South Dakota**
South Dakota · 48552
Office
Unavailable
Facility
$186.59
No comparable office rate is available.
Tennessee
Tennessee · 48552
Office
Unavailable
Facility
$191.01
No comparable office rate is available.
Austin
Texas · 48552
Office
Unavailable
Facility
$209.42
No comparable office rate is available.
Beaumont
Texas · 48552
Office
Unavailable
Facility
$205.71
No comparable office rate is available.
Brazoria
Texas · 48552
Office
Unavailable
Facility
$204.01
No comparable office rate is available.
Dallas
Texas · 48552
Office
Unavailable
Facility
$207.24
No comparable office rate is available.
Fort Worth
Texas · 48552
Office
Unavailable
Facility
$207.38
No comparable office rate is available.
Galveston
Texas · 48552
Office
Unavailable
Facility
$205.87
No comparable office rate is available.
Houston
Texas · 48552
Office
Unavailable
Facility
$226.37
No comparable office rate is available.
Rest Of Texas
Texas · 48552
Office
Unavailable
Facility
$206.06
No comparable office rate is available.
Utah
Utah · 48552
Office
Unavailable
Facility
$205.57
No comparable office rate is available.
Virginia
Virginia · 48552
Office
Unavailable
Facility
$199.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 48552
Office
Unavailable
Facility
$211.24
No comparable office rate is available.
Vermont
Vermont · 48552
Office
Unavailable
Facility
$192.61
No comparable office rate is available.
Rest Of Washington
Washington · 48552
Office
Unavailable
Facility
$206.11
No comparable office rate is available.
Seattle (King Cnty)
Washington · 48552
Office
Unavailable
Facility
$219.31
No comparable office rate is available.
Wisconsin
Wisconsin · 48552
Office
Unavailable
Facility
$184.11
No comparable office rate is available.
West Virginia
West Virginia · 48552
Office
Unavailable
Facility
$223.09
No comparable office rate is available.
Wyoming**
Wyoming · 48552
Office
Unavailable
Facility
$201.70
No comparable office rate is available.
See how rates vary across the country
48552 · 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 48552 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$219.69
$199.72 × 110% = $219.69
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 48552 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,757
- Code
- 48552
- Physician work
- 4.19
- Practice expense
- 1.02
- Malpractice
- 1.12
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.19 | × 1.017 | 4.2612 |
| Practice expense | 1.02 | × 1.096 | 1.1179 |
| Malpractice | 1.12 | × 0.536 | 0.6003 |
| Total RVUs | 5.9795 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$199.72
Open 48552 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.19 | 1.017 |
| Practice expense | 1.02 | 1.096 |
| Malpractice | 1.12 | 0.536 |
(4.19 × 1.017 + 1.02 × 1.096 + 1.12 × 0.536) × $33.4009 = $199.72
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
48552 · 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 | $199.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $199.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $199.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $199.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $217.88 | RVU25D |
| 2025-07-01 | Not available in this setting | $217.88 | RVU25C |
| 2025-04-01 | Not available in this setting | $217.88 | RVU25B |
| 2025-01-01 | Not available in this setting | $217.88 | RVU25A |
48552 billing questions
How does 48552 differ from 48551?
48552 is for backbench venous reconstruction only. Use 48551 for standard pancreas allograft preparation, which includes arterial preparation and may include venous reconstruction.
Can 48552 be reported with 48551?
Do not separately report venous reconstruction that is included in the standard preparation represented by 48551. The record should support that 48552 describes a distinct venous-only service rather than duplicating work in the standard preparation.
What documentation supports 48552?
The operative report should describe the donor pancreas graft’s venous reconstruction and make clear that the service was venous reconstruction only.
Is this work performed on the transplant recipient?
No. The surgeon performs this backbench service on the cadaveric donor pancreas allograft before it is implanted in the recipient.
How does the multiple procedure rule affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
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.
5,75448548,,Fuse pancreas and bowel,A,,27.39,11.90,NA,11.90,,7.33,46.62,46.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75548550,,Donor pancreatectomy,X,,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
5,75648551,,Prep donor pancreas,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75748552,,Prep donor pancreas/venous,A,,4.19,1.02,NA,1.02,,1.12,6.33,6.33,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75848554,,Transpl allograft pancreas,R,,36.86,30.08,NA,30.08,,9.73,76.67,76.67,0,090,0.09,0.81,0.10,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75948556,,Removal allograft pancreas,A,,18.98,13.27,NA,13.27,,5.06,37.31,37.31,0,090,0.09,0.81,0.10,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76048999,,Unlisted procedure pancreas,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,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