No office rate
This code includes laparoscopic cholecystectomy with intraoperative cholangiography, which evaluates the biliary system. Code 48400 concerns intraoperative pancreatography of the pancreatic duct.
On this page
CMS RVU26D · Effective 2026-10-01
48400 Pancreatic injection Medicare reimbursement rates in Alabama
Reports injection performed during pancreatic surgery to support intraoperative pancreatography, such as evaluating the pancreatic duct during an operative procedure. Compare 48400 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 48400 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
$86.17
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 48400: Intraoperative pancreatic duct injection
Reports injection performed during pancreatic surgery to support intraoperative pancreatography, such as evaluating the pancreatic duct during an operative procedure.
This add-on reports an injection performed during pancreatic surgery to facilitate intraoperative pancreatography, typically by introducing contrast into the pancreatic duct for operative assessment. It is associated with pancreatic operations in which the surgeon needs duct imaging during the procedure; it is not a stand-alone diagnostic pancreatography service performed separately from surgery.
Report 48400 only with the eligible primary procedure performed at the same operative encounter. The operative note should identify the injection, its purpose, and the primary pancreatic procedure; supporting imaging documentation should reflect the intraoperative duct assessment. CMS classifies the service as an add-on and pays it within the primary procedure’s global period, so it cannot be reported as an independent service outside that pairing.
CMS billing rules for 48400
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.90 · 67%
- Practice expense (office) RVU0.46 · 16%
- Malpractice RVU0.49 · 17%
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.
48400 compared with similar codes
Office rates for Alabama, from the same CMS release.
$445.15
Code 48102 reports a pancreatic needle biopsy. Code 48400 reports an intraoperative injection for duct imaging and must accompany a primary operation.
Compare 48400 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
$86.17
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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 48400 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
5,747
- Code
- 48400
- Physician work
- 1.90
- Practice expense
- 0.46
- Malpractice
- 0.49
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.90 | × 1.000 | 1.9000 |
| Practice expense | 0.46 | × 0.875 | 0.4025 |
| Malpractice | 0.49 | × 0.566 | 0.2773 |
| Total RVUs | 2.5798 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$86.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1 |
| Practice expense | 0.46 | 0.875 |
| Malpractice | 0.49 | 0.566 |
(1.9 × 1 + 0.46 × 0.875 + 0.49 × 0.566) × $33.4009 = $86.17
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.
48400 billing questions
Can 48400 be billed by itself?
No. It is an add-on code and must be reported with an eligible primary procedure for the same operative encounter.
What documentation supports reporting 48400?
Document the intraoperative injection, its purpose in evaluating the pancreatic duct, and the primary pancreatic operation. The record should support that the injection was performed during surgery, not as a separate diagnostic service.
Is 48400 the code for intraoperative cholangiography?
No. It concerns intraoperative pancreatography of the pancreatic duct. Intraoperative cholangiography evaluates the biliary system and is represented by different coding, such as 47563 in the appropriate laparoscopic cholecystectomy setting.
How does the global-period rule affect 48400?
CMS treats this add-on as paid within the primary procedure’s global period. It must be paired with the primary operation rather than reported as an independent service.
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.
5,74448154,,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
5,74948510,,Drain pancreatic pseudocyst,A,,16.76,10.01,NA,10.01,,4.48,31.25,31.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75048520,,Fuse pancreas cyst and bowel,A,,17.70,8.53,NA,8.53,,4.74,30.97,30.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,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