48554
No office rateTranspl allograft pancreas
Use 48556 for removing an existing transplanted pancreas; use 48554 for implanting a pancreas allograft.
On this page
CMS RVU26D · Effective 2026-10-01
48556 Pancreas graft removal Medicare reimbursement rates in New Jersey
Reports surgical removal of a previously transplanted pancreas allograft, such as when graft failure, rejection, or infection requires explantation. Compare 48556 office and facility rates across CMS payment localities in New Jersey.
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 48556 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1328.72–$1368.54
2 of 2 localities have a supported rate.
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.
Transplant surgery
About 48556: Removal of transplanted pancreas
Reports surgical removal of a previously transplanted pancreas allograft, such as when graft failure, rejection, or infection requires explantation.
This code covers an operation to remove a pancreas allograft from a transplant recipient. A transplant surgeon typically performs the procedure in a hospital operating room when the graft must be removed, for example, because of graft failure, rejection, or infection. It describes removal of the transplanted organ, not recovery of a pancreas from a donor or preparation of a donor graft for implantation.
Report the service when the operative record supports removal of the transplanted pancreas; document the indication, operative work, and structures addressed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. CMS permits assistant-at-surgery payment, co-surgeons, and team surgery.
CMS billing rules for 48556
- 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 permitted.
- Team surgery
- Team surgery permitted.
Where the value comes from
- Work RVU18.98 · 51%
- Practice expense (office) RVU13.27 · 36%
- Malpractice RVU5.06 · 14%
27
Medicare services in 2024 · #5740 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.
48556 compared with similar codes
Office rates for New Jersey, from the same CMS release.
48550
No office rateDonor pancreatectomy
Use 48550 for removing a pancreas from a donor for transplantation. Use 48556 for removing the transplanted graft from its recipient.
48551
No office ratePrep donor pancreas
Use 48551 for backbench preparation of a donor pancreas before implantation; it does not describe removal of a recipient's graft.
No office rate
Use 48552 for donor pancreas preparation that includes venous reconstruction, not for explanting a transplanted pancreas.
Compare 48556 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1368.54
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1328.72
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48556 billing questions
How is graft removal different from pancreas transplantation?
Removal describes explanting a pancreas already transplanted into the recipient. Code 48554 describes implantation of a pancreas allograft.
Can removal and a replacement transplant be reported in the same session?
When the operation includes both removal of the existing graft and implantation of a replacement, the services are distinct. CMS applies its standard multiple procedure reduction when procedures are performed in the same session.
Is modifier 50 appropriate for this code?
No. CMS identifies bilateral adjustment as inappropriate for this service; modifier 50 does not describe removal of a transplanted pancreas.
What documentation supports reporting graft removal?
The operative report should establish that the organ being removed is a transplanted pancreas allograft and describe the removal and its clinical indication, such as graft failure, rejection, or infection.
May an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and permits co-surgeons for this code. The operative record should support each surgeon's role.
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.
5,75648551,,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
5,75848554,,Transpl allograft pancreas,R,,36.86,30.08,NA,30.08,,9.73,76.67,76.67,0,090,0.09,0.81,0.10,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75948556,,Removal allograft pancreas,A,,18.98,13.27,NA,13.27,,5.06,37.31,37.31,0,090,0.09,0.81,0.10,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76048999,,Unlisted procedure pancreas,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76149000,,Exploration of abdomen,A,,12.23,6.58,NA,6.58,,3.01,21.82,21.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,76249002,,Reopening of abdomen,A,,17.19,7.71,NA,7.71,,4.27,29.17,29.17,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00