No office rate
Use this code for a pancreatic-to-bowel anastomosis. Code 48510 concerns drainage of a pancreatic pseudocyst.
On this page
CMS RVU26D · Effective 2026-10-01
48548 Pancreatic anastomosis Medicare reimbursement rates in California
Report this service when a surgeon creates a surgical connection between pancreatic tissue or duct and bowel, commonly for pancreatic drainage or reconstruction. Compare 48548 office and facility rates across CMS payment localities in California.
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 48548 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1497.26–$1719.87
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $222.61 per service.
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.
Where 48548 pays more and less in California
Pancreatic surgery
About 48548: Pancreas-to-jejunum anastomosis
Report this service when a surgeon creates a surgical connection between pancreatic tissue or duct and bowel, commonly for pancreatic drainage or reconstruction.
A surgeon joins the pancreas or its duct to bowel, commonly the jejunum, to establish drainage or restore continuity. The operation may be performed for ductal drainage in chronic pancreatitis or as part of reconstruction after pancreatic surgery. It is generally performed in an operating room under a surgeon’s care, rather than as an office service. The operative report should make clear what pancreatic structure was joined, the bowel segment used, and the reason for the anastomosis.
Report the code for the pancreatic-to-bowel connection itself, not for a cyst-to-bowel drainage procedure. Documentation should distinguish the target duct or pancreatic tissue from a pancreatic cyst or pseudocyst and describe the reconstruction performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that 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 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48548
- 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 RVU27.39 · 59%
- Practice expense (office) RVU11.90 · 26%
- Malpractice RVU7.33 · 16%
47
Medicare services in 2024 · #5392 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.
48548 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Code 48520 concerns a cyst-to-bowel procedure. This code is for joining pancreatic tissue or duct to bowel.
No office rate
Code 48545 concerns repair of the pancreas. This code describes creating a connection between the pancreas or its duct and bowel.
Compare 48548 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $1516.96 |
| Chico | Office Unavailable | Facility $1497.26 |
| El Centro | Office Unavailable | Facility $1498.48 |
| Fresno | Office Unavailable | Facility $1497.26 |
| Hanford-Corcoran | Office Unavailable | Facility $1497.26 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1585.13 |
| Madera | Office Unavailable | Facility $1497.26 |
| Merced | Office Unavailable | Facility $1497.26 |
| Modesto | Office Unavailable | Facility $1497.26 |
| Napa | Office Unavailable | Facility $1620.73 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1562.81 |
| Redding | Office Unavailable | Facility $1497.26 |
| Rest Of California | Office Unavailable | Facility $1497.26 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1575.78 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1541.27 |
| Salinas | Office Unavailable | Facility $1535.11 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1550.37 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1674.57 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1666.25 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1719.87 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1685.83 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1514.35 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1548.22 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1535.15 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1561.62 |
| Stockton | Office Unavailable | Facility $1497.26 |
| Vallejo | Office Unavailable | Facility $1608.73 |
| Visalia | Office Unavailable | Facility $1497.26 |
| Yuba City | Office Unavailable | Facility $1497.26 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
48548 billing questions
How is this different from pancreatic cyst drainage?
This code describes joining pancreatic tissue or duct to bowel. When the operation instead creates an internal drainage route from a pancreatic cyst or pseudocyst, consider the cyst-specific drainage codes.
Does this code describe a pancreaticojejunostomy?
Yes. It is used for a surgical connection between the pancreas or pancreatic duct and bowel, commonly the jejunum.
What operative documentation supports reporting it?
Document the pancreatic structure joined, the bowel segment, the purpose of the connection, and the reconstructive steps performed. The note should distinguish a duct or pancreatic-tissue anastomosis from drainage of a cyst.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global service.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery billing for this code.
What happens when this is performed with another procedure?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple-procedure 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.
5,75148540,,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
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