No office rate
Use 48140 for a distal subtotal pancreatic resection. This code is for proximal resection with duodenectomy and pancreaticojejunostomy.
On this page
CMS RVU26D · Effective 2026-10-01
48152 in Salinas
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2631.04
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 48152: Proximal subtotal pancreatectomy with duodenectomy
Reports proximal subtotal removal of the pancreas with duodenectomy and pancreaticojejunostomy, as performed for selected pancreatic head conditions.
This code represents a major operation removing the proximal portion of the pancreas along with the duodenum and reconnecting the remaining pancreas to the jejunum. The operation is commonly performed by a surgeon in a hospital operating room for conditions involving the pancreatic head, including selected pancreatic or periampullary tumors. The operative report should identify the resection and reconstruction performed; the code’s scope includes the pancreaticojejunostomy and allows for cholecystectomy as part of the operation.
Select this code when the documented procedure matches this proximal subtotal resection and reconstruction, rather than a distal resection or removal of the entire pancreas. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate for this operation, and team surgery is not permitted.
CMS billing rules for 48152
- 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 RVU47.43 · 59%
- Practice expense (office) RVU19.90 · 25%
- Malpractice RVU12.70 · 16%
77
Medicare services in 2024 · #5088 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.
48152 compared with similar codes
Office rates for Salinas, from the same CMS release.
No office rate
Both are proximal pancreatic resection codes. Choose based on the specific operation and reconstruction documented rather than treating them as interchangeable.
No office rate
48155 describes removal of the pancreas; this code describes a proximal subtotal resection, leaving pancreatic tissue.
The same code, a different location
How does Salinas compare?
48152 across payment areas
Same release and payment basis · bars start at $0
Salinas · 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 · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Merced
California · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Modesto
California · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Napa
California · 48152
Office
Unavailable
Facility
$2775.54
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 48152
Office
Unavailable
Facility
$2678.48
No comparable office rate is available.
Redding
California · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Rest Of California
California · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 48152
Office
Unavailable
Facility
$2703.04
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 48152
Office
Unavailable
Facility
$2641.62
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 48152
Office
Unavailable
Facility
$2656.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 48152
Office
Unavailable
Facility
$2866.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 48152
Office
Unavailable
Facility
$2852.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 48152
Office
Unavailable
Facility
$2944.30
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 48152
Office
Unavailable
Facility
$2885.34
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 48152
Office
Unavailable
Facility
$2595.57
No comparable office rate is available.
Santa Cruz-Watsonville
California · 48152
Office
Unavailable
Facility
$2652.42
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 48152
Office
Unavailable
Facility
$2630.94
No comparable office rate is available.
Santa Rosa-Petaluma
California · 48152
Office
Unavailable
Facility
$2675.32
No comparable office rate is available.
Stockton
California · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Vallejo
California · 48152
Office
Unavailable
Facility
$2754.76
No comparable office rate is available.
Visalia
California · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Yuba City
California · 48152
Office
Unavailable
Facility
$2566.99
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 48152
Office
Unavailable
Facility
$2924.87
No comparable office rate is available.
Miami
Florida · 48152
Office
Unavailable
Facility
$3348.91
No comparable office rate is available.
Chicago
Illinois · 48152
Office
Unavailable
Facility
$3236.81
No comparable office rate is available.
Manhattan
New York · 48152
Office
Unavailable
Facility
$3130.72
No comparable office rate is available.
Alaska*
Alaska · 48152
Office
Unavailable
Facility
$3317.92
No comparable office rate is available.
Alabama
Alabama · 48152
Office
Unavailable
Facility
$2405.89
No comparable office rate is available.
Arkansas
Arkansas · 48152
Office
Unavailable
Facility
$2373.62
No comparable office rate is available.
Arizona
Arizona · 48152
Office
Unavailable
Facility
$2591.39
No comparable office rate is available.
Colorado
Colorado · 48152
Office
Unavailable
Facility
$2641.73
No comparable office rate is available.
Connecticut
Connecticut · 48152
Office
Unavailable
Facility
$2845.02
No comparable office rate is available.
Delaware
Delaware · 48152
Office
Unavailable
Facility
$2630.18
No comparable office rate is available.
Fort Lauderdale
Florida · 48152
Office
Unavailable
Facility
$3024.46
No comparable office rate is available.
Rest Of Florida
Florida · 48152
Office
Unavailable
Facility
$2857.20
No comparable office rate is available.
Atlanta
Georgia · 48152
Office
Unavailable
Facility
$2773.72
No comparable office rate is available.
Rest Of Georgia
Georgia · 48152
Office
Unavailable
Facility
$2682.73
No comparable office rate is available.
Hawaii, Guam
Hawaii · 48152
Office
Unavailable
Facility
$2585.55
No comparable office rate is available.
Iowa
Iowa · 48152
Office
Unavailable
Facility
$2360.79
No comparable office rate is available.
Idaho
Idaho · 48152
Office
Unavailable
Facility
$2396.35
No comparable office rate is available.
East St. Louis
Illinois · 48152
Office
Unavailable
Facility
$3050.03
No comparable office rate is available.
Rest Of Illinois
Illinois · 48152
Office
Unavailable
Facility
$2854.07
No comparable office rate is available.
Suburban Chicago
Illinois · 48152
Office
Unavailable
Facility
$3029.59
No comparable office rate is available.
Indiana
Indiana · 48152
Office
Unavailable
Facility
$2406.52
No comparable office rate is available.
Kansas
Kansas · 48152
Office
Unavailable
Facility
$2398.87
No comparable office rate is available.
Kentucky
Kentucky · 48152
Office
Unavailable
Facility
$2563.24
No comparable office rate is available.
New Orleans
Louisiana · 48152
Office
Unavailable
Facility
$2691.55
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 48152
Office
Unavailable
Facility
$2578.82
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 48152
Office
Unavailable
Facility
$2820.31
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 48152
Office
Unavailable
Facility
$2647.54
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 48152
Office
Unavailable
Facility
$2847.48
No comparable office rate is available.
Rest Of Maryland
Maryland · 48152
Office
Unavailable
Facility
$2662.11
No comparable office rate is available.
Rest Of Maine
Maine · 48152
Office
Unavailable
Facility
$2459.56
No comparable office rate is available.
Southern Maine
Maine · 48152
Office
Unavailable
Facility
$2510.57
No comparable office rate is available.
Detroit
Michigan · 48152
Office
Unavailable
Facility
$2940.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 48152
Office
Unavailable
Facility
$2669.97
No comparable office rate is available.
Minnesota
Minnesota · 48152
Office
Unavailable
Facility
$2393.72
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 48152
Office
Unavailable
Facility
$2622.77
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 48152
Office
Unavailable
Facility
$2642.02
No comparable office rate is available.
Rest Of Missouri
Missouri · 48152
Office
Unavailable
Facility
$2570.32
No comparable office rate is available.
Mississippi
Mississippi · 48152
Office
Unavailable
Facility
$2469.97
No comparable office rate is available.
Montana**
Montana · 48152
Office
Unavailable
Facility
$2672.23
No comparable office rate is available.
North Carolina
North Carolina · 48152
Office
Unavailable
Facility
$2475.41
No comparable office rate is available.
North Dakota**
North Dakota · 48152
Office
Unavailable
Facility
$2421.10
No comparable office rate is available.
Nebraska
Nebraska · 48152
Office
Unavailable
Facility
$2358.05
No comparable office rate is available.
New Hampshire
New Hampshire · 48152
Office
Unavailable
Facility
$2647.30
No comparable office rate is available.
Northern Nj
New Jersey · 48152
Office
Unavailable
Facility
$2908.07
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 48152
Office
Unavailable
Facility
$2838.74
No comparable office rate is available.
New Mexico
New Mexico · 48152
Office
Unavailable
Facility
$2703.17
No comparable office rate is available.
Nevada**
Nevada · 48152
Office
Unavailable
Facility
$2602.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 48152
Office
Unavailable
Facility
$3263.62
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 48152
Office
Unavailable
Facility
$2896.59
No comparable office rate is available.
Queens
New York · 48152
Office
Unavailable
Facility
$3082.93
No comparable office rate is available.
Rest Of New York
New York · 48152
Office
Unavailable
Facility
$2513.86
No comparable office rate is available.
Ohio
Ohio · 48152
Office
Unavailable
Facility
$2618.64
No comparable office rate is available.
Oklahoma
Oklahoma · 48152
Office
Unavailable
Facility
$2507.36
No comparable office rate is available.
Portland
Oregon · 48152
Office
Unavailable
Facility
$2663.61
No comparable office rate is available.
Rest Of Oregon
Oregon · 48152
Office
Unavailable
Facility
$2544.43
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 48152
Office
Unavailable
Facility
$2810.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 48152
Office
Unavailable
Facility
$2595.24
No comparable office rate is available.
Puerto Rico
Puerto Rico · 48152
Office
Unavailable
Facility
$2674.02
No comparable office rate is available.
Rhode Island
Rhode Island · 48152
Office
Unavailable
Facility
$2679.30
No comparable office rate is available.
South Carolina
South Carolina · 48152
Office
Unavailable
Facility
$2558.93
No comparable office rate is available.
South Dakota**
South Dakota · 48152
Office
Unavailable
Facility
$2391.41
No comparable office rate is available.
Tennessee
Tennessee · 48152
Office
Unavailable
Facility
$2416.19
No comparable office rate is available.
Austin
Texas · 48152
Office
Unavailable
Facility
$2666.44
No comparable office rate is available.
Beaumont
Texas · 48152
Office
Unavailable
Facility
$2583.14
No comparable office rate is available.
Brazoria
Texas · 48152
Office
Unavailable
Facility
$2586.44
No comparable office rate is available.
Dallas
Texas · 48152
Office
Unavailable
Facility
$2624.44
No comparable office rate is available.
Fort Worth
Texas · 48152
Office
Unavailable
Facility
$2623.31
No comparable office rate is available.
Galveston
Texas · 48152
Office
Unavailable
Facility
$2608.13
No comparable office rate is available.
Houston
Texas · 48152
Office
Unavailable
Facility
$2840.59
No comparable office rate is available.
Rest Of Texas
Texas · 48152
Office
Unavailable
Facility
$2598.03
No comparable office rate is available.
Utah
Utah · 48152
Office
Unavailable
Facility
$2589.93
No comparable office rate is available.
Virginia
Virginia · 48152
Office
Unavailable
Facility
$2537.06
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 48152
Office
Unavailable
Facility
$2674.02
No comparable office rate is available.
Vermont
Vermont · 48152
Office
Unavailable
Facility
$2456.88
No comparable office rate is available.
Rest Of Washington
Washington · 48152
Office
Unavailable
Facility
$2627.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 48152
Office
Unavailable
Facility
$2825.54
No comparable office rate is available.
Wisconsin
Wisconsin · 48152
Office
Unavailable
Facility
$2351.62
No comparable office rate is available.
West Virginia
West Virginia · 48152
Office
Unavailable
Facility
$2768.83
No comparable office rate is available.
Wyoming**
Wyoming · 48152
Office
Unavailable
Facility
$2562.78
No comparable office rate is available.
See how rates vary across the country
48152 · 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?
Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 48152 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2894.14
$2631.04 × 110% = $2894.14
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 48152 in Salinas.
PPRRVU2026_Oct_nonQPP.csv
5,742
- Code
- 48152
- Physician work
- 47.43
- Practice expense
- 19.90
- Malpractice
- 12.70
GPCI2026.csv
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 47.43 | × 1.031 | 48.9003 |
| Practice expense | 19.90 | × 1.159 | 23.0641 |
| Malpractice | 12.70 | × 0.536 | 6.8072 |
| Total RVUs | 78.7716 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Salinas$2631.04
Open 48152 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 47.43 | 1.031 |
| Practice expense | 19.9 | 1.159 |
| Malpractice | 12.7 | 0.536 |
(47.43 × 1.031 + 19.9 × 1.159 + 12.7 × 0.536) × $33.4009 = $2631.04
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
48152 · 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 | $2631.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $2631.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $2631.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $2631.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $2814.10 | RVU25D |
| 2025-07-01 | Not available in this setting | $2814.10 | RVU25C |
| 2025-04-01 | Not available in this setting | $2814.10 | RVU25B |
| 2025-01-01 | Not available in this setting | $2814.10 | RVU25A |
48152 billing questions
How is this distinguished from a distal pancreatectomy?
This code describes a proximal resection that includes duodenectomy and pancreaticojejunostomy. A distal pancreatectomy removes pancreatic tissue toward the body or tail instead.
Is the pancreaticojejunostomy separately reported?
The reconstruction is part of this coded operation. Cholecystectomy performed as part of the operation is also included in the code’s stated scope.
What documentation supports reporting this code?
The operative report should establish the proximal pancreatic resection, duodenectomy, and pancreaticojejunostomy. It should also describe the operative details needed to distinguish this procedure from other pancreatic resections.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this operation because the anatomy and procedure do not support bilateral reporting.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,73948146,,Pancreatectomy,A,,29.84,15.11,NA,15.11,,7.98,52.93,52.93,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74048148,,Removal of pancreatic duct,A,,19.88,10.09,NA,10.09,,5.30,35.27,35.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74148150,,Partial removal of pancreas,A,,51.52,21.52,NA,21.52,,12.92,85.96,85.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74248152,,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
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536
2301182,CA,72,SAN DIEGO-CHULA VISTA-CARLSBAD,1.030,1.196,0.542
2401112,CA,05,SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY),1.095,1.410,0.425
2501112,CA,52,SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY),1.095,1.410,0.459