Billing code 48548: Pancreatic anastomosisMedicare rate & RVUs in Nevada
Report this service when a surgeon creates a surgical connection between pancreatic tissue or duct and bowel, commonly for pancreatic drainage or reconstruction.
CMS doesn’t publish an office rate for 48548 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 48548 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,516.66 |
How the 48548 rate is calculated
Each of 48548’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 · 48548
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 27.39Practice expense 11.90Malpractice 7.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 48548
48548 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 48548
Pancreatic anastomosis
| 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 · 48548
Pancreatic anastomosis
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
48548 without 51 · national facility
$1,557.15
Pancreatic anastomosis
48548-51 · Second procedure: 50%
$778.58
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%).
48548 compared with similar codes
Compare codes
48548 vs 48510 vs 48520 vs 48545: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 48510Pseudocyst drainage
- Use this code for a pancreatic-to-bowel anastomosis. Code 48510 concerns drainage of a pancreatic pseudocyst.
- 48520Cystogastrostomy
- Code 48520 concerns a cyst-to-bowel procedure. This code is for joining pancreatic tissue or duct to bowel.
- 48545Pancreas repair
- Code 48545 concerns repair of the pancreas. This code describes creating a connection between the pancreas or its duct and bowel.
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 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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