No office rate
Both describe distal subtotal pancreatectomy, with or without splenectomy. Choose 48145 when the operation also includes pancreaticojejunostomy; 48140 describes the operation without it.
On this page
CMS RVU26D · Effective 2026-10-01
48145 Pancreatectomy Medicare reimbursement rates in Alabama
Reports distal subtotal removal of the pancreas with reconstruction of the remaining pancreatic tissue to the jejunum, with or without splenectomy. Compare 48145 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 48145 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1370.52
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Pancreatic surgery
About 48145: Distal pancreatectomy with pancreaticojejunostomy
Reports distal subtotal removal of the pancreas with reconstruction of the remaining pancreatic tissue to the jejunum, with or without splenectomy.
This service covers distal subtotal resection of the pancreas, generally involving the body and tail, followed by an anastomosis between the remaining pancreas and the jejunum. The spleen may also be removed. Surgeons perform this operation in a hospital operating room for selected pancreatic disease requiring distal resection and drainage of the pancreatic remnant into the small bowel.
Report 48145 when the operative report supports both the distal subtotal resection and pancreaticojejunostomy; document the resection performed, the reconstruction, and whether the spleen was removed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48145
- 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 RVU26.71 · 59%
- Practice expense (office) RVU11.75 · 26%
- Malpractice RVU7.14 · 16%
32
Medicare services in 2024 · #5624 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.
48145 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
48150 describes pancreaticoduodenectomy involving the pancreatic head and duodenum. 48145 is for distal subtotal resection with pancreaticojejunostomy.
No office rate
48120 is for local excision of a pancreatic lesion. 48145 describes a distal subtotal resection with reconstruction of the remaining pancreas to the jejunum.
No office rate
48155 is total pancreatectomy. Use 48145 when the documented resection is distal and subtotal, with pancreaticojejunostomy.
Compare 48145 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$1370.52
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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 48145 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
5,738
- Code
- 48145
- Physician work
- 26.71
- Practice expense
- 11.75
- Malpractice
- 7.14
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.71 | × 1.000 | 26.7100 |
| Practice expense | 11.75 | × 0.875 | 10.2813 |
| Malpractice | 7.14 | × 0.566 | 4.0412 |
| Total RVUs | 41.0325 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$1370.52
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.71 | 1 |
| Practice expense | 11.75 | 0.875 |
| Malpractice | 7.14 | 0.566 |
(26.71 × 1 + 11.75 × 0.875 + 7.14 × 0.566) × $33.4009 = $1370.52
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.
48145 billing questions
How is 48145 distinguished from 48140?
48145 includes a pancreaticojejunostomy after distal subtotal pancreatectomy. Use 48140 when the documented distal resection does not include that reconstruction.
Does 48145 include splenectomy?
The service allows for distal pancreatectomy with or without splenectomy. The operative report should state whether the spleen was removed.
What documentation supports reporting 48145?
Document the extent of pancreatic resection and the pancreaticojejunostomy connecting the pancreatic remnant to the jejunum. Record splenectomy separately in the operative details when performed.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global surgical service.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other same-session procedures paid?
For multiple procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
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.
5,73548105,,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
5,73648120,,Removal of pancreas lesion,A,,17.95,8.60,NA,8.60,,4.80,31.35,31.35,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73748140,,Partial removal of pancreas,A,,25.66,11.51,NA,11.51,,6.44,43.61,43.61,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73848145,,Partial removal of pancreas,A,,26.71,11.75,NA,11.75,,7.14,45.60,45.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73948146,,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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515