No office rate
Choose 48102 for percutaneous needle sampling; 48100 describes biopsy through an open surgical approach.
On this page
CMS RVU26D · Effective 2026-10-01
48102 Pancreatic biopsy Medicare reimbursement rates in Kentucky
Reports percutaneous needle sampling of a pancreatic lesion for diagnosis, typically performed with imaging guidance by an interventional radiologist or surgeon. Compare 48102 office and facility rates across CMS payment localities in Kentucky.
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 48102 in Kentucky?
Kentucky 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
$455.38
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$198.54
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 procedures
About 48102: Percutaneous pancreatic needle biopsy
Reports percutaneous needle sampling of a pancreatic lesion for diagnosis, typically performed with imaging guidance by an interventional radiologist or surgeon.
A clinician advances a needle through the skin to obtain pancreatic tissue for diagnostic evaluation, commonly when imaging identifies a suspicious mass. Interventional radiologists and surgeons typically perform the procedure in a hospital imaging or procedure suite, often using imaging to guide the needle. This code describes the percutaneous route; an open biopsy or an endoscopic ultrasound-guided tissue acquisition uses a different code pathway.
Select the code when the documented approach is percutaneous needle biopsy of the pancreas, and record the target, route, sampling performed, and clinical reason. The 10-day global period includes related postoperative visits during that period. When another procedure subject to the standard multiple-procedure reduction is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral adjustment does not apply, and modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 48102
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.58 · 31%
- Practice expense (office) RVU9.68 · 66%
- Malpractice RVU0.49 · 3%
427
Medicare services in 2024 · #3678 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.
48102 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Choose 43242 when tissue acquisition is performed endoscopically with ultrasound guidance, rather than by a needle passed through the skin.
No office rate
48120 describes removal of a pancreatic lesion; 48102 is for needle sampling rather than lesion excision.
Compare 48102 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
Kentucky →
Office / nonfacility
$455.38
Facility
$198.54
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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 48102 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,734
- Code
- 48102
- Physician work
- 4.58
- Practice expense
- 9.68
- Malpractice
- 0.49
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.58 | × 1.000 | 4.5800 |
| Practice expense | 9.68 | × 0.889 | 8.6055 |
| Malpractice | 0.49 | × 0.915 | 0.4484 |
| Total RVUs | 13.6339 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$455.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.58 | 1 |
| Practice expense | 9.68 | 0.889 |
| Malpractice | 0.49 | 0.915 |
(4.58 × 1 + 9.68 × 0.889 + 0.49 × 0.915) × $33.4009 = $455.38
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.58 | 1 |
| Practice expense | 1.03 | 0.889 |
| Malpractice | 0.49 | 0.915 |
(4.58 × 1 + 1.03 × 0.889 + 0.49 × 0.915) × $33.4009 = $198.54
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.
48102 billing questions
How does this differ from an open pancreatic biopsy?
48102 is for a needle biopsy performed through the skin. Use 48100 when the biopsy is performed through an open surgical approach.
Is modifier 50 appropriate for biopsies on both sides of the pancreas?
No. CMS identifies bilateral adjustment as inapplicable for this code, and modifier 50 is inappropriate for the descriptor and anatomy.
Are related postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the 10-day global period.
What documentation supports reporting 48102?
Document that the pancreatic target was sampled with a needle through a percutaneous route, along with the target and diagnostic reason. The record should distinguish this approach from open or endoscopic ultrasound-guided sampling.
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.
5,73148001,,Placement of drain pancreas,A,,38.70,14.66,NA,14.66,,10.37,63.73,63.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73248020,,Removal of pancreatic stone,A,,18.61,9.78,NA,9.78,,4.96,33.35,33.35,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73348100,,Biopsy of pancreas open,A,,14.10,7.61,NA,7.61,,3.56,25.27,25.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73448102,,Needle biopsy pancreas,A,,4.58,9.68,,1.03,,0.49,14.75,6.10,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631