Billing code 48155: PancreatectomyMedicare rate & RVUs in Nevada
Reports surgical removal of the entire pancreas for disease requiring total gland resection, rather than a limited lesion excision or partial pancreatectomy.
CMS doesn’t publish an office rate for 48155 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 48155 covers
Code 48155 represents removal of the entire pancreas, rather than excision of a focal lesion or resection of only part of the gland. An HPB or general surgeon typically performs this major abdominal operation in a hospital for disease requiring removal of the whole pancreas, such as diffuse pancreatic neoplasia or otherwise extensive pancreatic disease. The operative report should establish that the resection was total.
Report the procedure based on the extent documented in the operative note; a partial resection or limited lesion excision belongs to a different procedure code. The 90-day global package includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted. Modifier 50 is inappropriate for this procedure.
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.
48155 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,671.31 |
How the 48155 rate is calculated
Each of 48155’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 48155
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 28.71Practice expense 15.24Malpractice 7.29
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 48155
48155 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 48155
Pancreatectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 48155
Pancreatectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
48155 without 51 · national facility
$1,711.46
Pancreatectomy
48155-51 · Second procedure: 50%
$855.73
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
48155 compared with similar codes
Compare codes
48155 vs 48140 vs 48145 vs 48160 vs 48120: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 48140Pancreas resection
- 48140 describes partial distal pancreatectomy without pancreaticojejunostomy. Choose 48155 only when the operative report documents removal of the entire pancreas.
- 48145Pancreatectomy
- 48145 describes partial distal pancreatectomy with pancreaticojejunostomy. It is not the code for a total pancreatectomy.
- 48160Pancreas removal/transplant
- 48160 includes autologous transplantation of pancreatic tissue or islet cells with the pancreatectomy; 48155 describes total pancreatic removal without that transplant service.
- 48120Pancreatic lesion excision
- 48120 is for excision of a pancreatic lesion, not removal of the entire gland. Base selection on the documented extent of resection.
48155 billing questions
How does 48155 differ from a partial pancreatectomy code?
Use 48155 when the operative report documents removal of the entire pancreas. Codes for partial pancreatectomy describe removal of only a portion of the gland.
Can a focal pancreatic lesion excision be reported as 48155?
No. A limited lesion excision, such as removal of a localized pancreatic lesion, is distinct from removal of the entire gland.
What postoperative care is included in the global period?
The 90-day global package includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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