No office rate
Choose 48540 when the cyst is connected to the jejunum; choose 48520 when it is connected to the stomach.
On this page
CMS RVU26D · Effective 2026-10-01
48540 Pancreatic cyst drainage Medicare reimbursement rates in Arkansas
Reports surgical internal drainage of a pancreatic cyst into the jejunum, commonly used for a pancreatic pseudocyst selected for cystojejunostomy. Compare 48540 office and facility rates across CMS payment localities in Arkansas.
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 48540 in Arkansas?
Arkansas 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
$1083.40
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 48540: Pancreatic cyst-to-jejunum drainage
Reports surgical internal drainage of a pancreatic cyst into the jejunum, commonly used for a pancreatic pseudocyst selected for cystojejunostomy.
In this operation, the surgeon creates an internal opening between a pancreatic cyst, commonly a pseudocyst, and the jejunum so the collection can drain into the bowel. It is performed by a general or pancreatic surgeon in an operative facility when the cyst’s location and clinical circumstances support jejunal drainage. The operative report should identify the cyst or collection and document the jejunal connection and drainage procedure performed.
Report 48540 for cyst-to-jejunum drainage, not for connecting the pancreatic duct or pancreatic tissue to the jejunum. CMS assigns major-surgery payment with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48540
- 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 RVU21.39 · 59%
- Practice expense (office) RVU9.43 · 26%
- Malpractice RVU5.72 · 16%
11
Medicare services in 2024 · #6166 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.
48540 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
48510 describes pancreatic pseudocyst drainage without specifying the cyst-to-jejunum connection reported by 48540.
No office rate
48548 is for a pancreas-to-jejunum connection, not an anastomosis from a pancreatic cyst or pseudocyst to the jejunum.
Compare 48540 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$1083.40
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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 48540 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
5,751
- Code
- 48540
- Physician work
- 21.39
- Practice expense
- 9.43
- Malpractice
- 5.72
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.39 | × 1.000 | 21.3900 |
| Practice expense | 9.43 | × 0.859 | 8.1004 |
| Malpractice | 5.72 | × 0.515 | 2.9458 |
| Total RVUs | 32.4362 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1083.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.39 | 1 |
| Practice expense | 9.43 | 0.859 |
| Malpractice | 5.72 | 0.515 |
(21.39 × 1 + 9.43 × 0.859 + 5.72 × 0.515) × $33.4009 = $1083.40
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.
48540 billing questions
How does 48540 differ from 48520?
48540 connects the pancreatic cyst to the jejunum. 48520 is used when the cyst is connected to the stomach.
Is 48540 used for a direct pancreaticojejunostomy?
No. It describes drainage of a cyst into the jejunum; a connection from the pancreas itself to the jejunum is a different operation, such as 48548.
What documentation supports reporting 48540?
The operative report should establish the pancreatic cyst or collection and document its internal connection to the jejunum for drainage.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code’s anatomy.
How are assistant and co-surgeon services treated?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
5,74848500,,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
5,75148540,,Fuse pancreas cyst and bowel,A,,21.39,9.43,NA,9.43,,5.72,36.54,36.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75248545,,Pancreatorrhaphy,A,,21.67,10.38,NA,10.38,,5.78,37.83,37.83,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75348547,,Duodenal exclusion,A,,29.62,12.30,NA,12.30,,7.93,49.85,49.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75448548,,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
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541