No office rate
Use 48140 for a distal subtotal pancreatic resection. This code is for proximal resection with duodenectomy and pancreaticojejunostomy.
On this page
CMS RVU26D · Effective 2026-10-01
48152 Pancreatectomy Medicare reimbursement rates in Minnesota
Reports proximal subtotal removal of the pancreas with duodenectomy and pancreaticojejunostomy, as performed for selected pancreatic head conditions. Compare 48152 office and facility rates across CMS payment localities in Minnesota.
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 48152 in Minnesota?
Minnesota 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
$2393.72
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 48152: Proximal subtotal pancreatectomy with duodenectomy
Reports proximal subtotal removal of the pancreas with duodenectomy and pancreaticojejunostomy, as performed for selected pancreatic head conditions.
This code represents a major operation removing the proximal portion of the pancreas along with the duodenum and reconnecting the remaining pancreas to the jejunum. The operation is commonly performed by a surgeon in a hospital operating room for conditions involving the pancreatic head, including selected pancreatic or periampullary tumors. The operative report should identify the resection and reconstruction performed; the code’s scope includes the pancreaticojejunostomy and allows for cholecystectomy as part of the operation.
Select this code when the documented procedure matches this proximal subtotal resection and reconstruction, rather than a distal resection or removal of the entire pancreas. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global 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 multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate for this operation, and team surgery is not permitted.
CMS billing rules for 48152
- 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 RVU47.43 · 59%
- Practice expense (office) RVU19.90 · 25%
- Malpractice RVU12.70 · 16%
77
Medicare services in 2024 · #5088 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.
48152 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
Both are proximal pancreatic resection codes. Choose based on the specific operation and reconstruction documented rather than treating them as interchangeable.
No office rate
48155 describes removal of the pancreas; this code describes a proximal subtotal resection, leaving pancreatic tissue.
Compare 48152 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$2393.72
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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 48152 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
5,742
- Code
- 48152
- Physician work
- 47.43
- Practice expense
- 19.90
- Malpractice
- 12.70
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 47.43 | × 1.000 | 47.4300 |
| Practice expense | 19.90 | × 1.029 | 20.4771 |
| Malpractice | 12.70 | × 0.296 | 3.7592 |
| Total RVUs | 71.6663 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$2393.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 47.43 | 1 |
| Practice expense | 19.9 | 1.029 |
| Malpractice | 12.7 | 0.296 |
(47.43 × 1 + 19.9 × 1.029 + 12.7 × 0.296) × $33.4009 = $2393.72
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.
48152 billing questions
How is this distinguished from a distal pancreatectomy?
This code describes a proximal resection that includes duodenectomy and pancreaticojejunostomy. A distal pancreatectomy removes pancreatic tissue toward the body or tail instead.
Is the pancreaticojejunostomy separately reported?
The reconstruction is part of this coded operation. Cholecystectomy performed as part of the operation is also included in the code’s stated scope.
What documentation supports reporting this code?
The operative report should establish the proximal pancreatic resection, duodenectomy, and pancreaticojejunostomy. It should also describe the operative details needed to distinguish this procedure from other pancreatic resections.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this operation because the anatomy and procedure do not support bilateral reporting.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,73948146,,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
5,74248152,,Pancreatectomy,A,,47.43,19.90,NA,19.90,,12.70,80.03,80.03,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74348153,,Pancreatectomy,A,,51.47,20.90,NA,20.90,,13.34,85.71,85.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74448154,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002