48551
No office ratePrep donor pancreas
Use 48551 for standard backbench preparation, including dissection and arterial preparation; 48552 describes venous reconstruction only.
On this page
CMS RVU26D · Effective 2026-10-01
48552 Pancreas preparation Medicare reimbursement rates in New Mexico
Reports backbench venous reconstruction of a cadaveric donor pancreas allograft when venous work is performed without the standard graft-preparation service. Compare 48552 office and facility rates across CMS payment localities in New Mexico.
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 48552 in New Mexico?
New Mexico 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
$216.12
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Transplant surgery
About 48552: Pancreas allograft venous reconstruction
Reports backbench venous reconstruction of a cadaveric donor pancreas allograft when venous work is performed without the standard graft-preparation service.
This service reconstructs venous outflow on a cadaveric donor pancreas allograft on the back table before transplantation. The transplant surgeon or another qualified transplant surgeon performs the work on the procured organ, not on the recipient. A typical task is extending or rebuilding the graft’s venous drainage so it can be connected during implantation.
Report 48552 when the documented backbench work is venous reconstruction only. The operative report should identify the venous reconstruction performed and distinguish it from the broader standard preparation described by 48551. Do not separately report venous work that is part of the standard preparation service. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
CMS billing rules for 48552
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU4.19 · 66%
- Practice expense (office) RVU1.02 · 16%
- Malpractice RVU1.12 · 18%
32
Medicare services in 2024 · #5625 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.
48552 compared with similar codes
Office rates for New Mexico, from the same CMS release.
48550
No office rateDonor pancreatectomy
48550 represents procurement through donor pancreatectomy, while 48552 represents venous reconstruction of the procured graft on the back table.
48554
No office rateTranspl allograft pancreas
48554 is the recipient’s pancreas allograft transplant operation; 48552 is preparation of the donor graft before implantation.
Compare 48552 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$216.12
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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 48552 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
5,757
- Code
- 48552
- Physician work
- 4.19
- Practice expense
- 1.02
- Malpractice
- 1.12
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.19 | × 1.000 | 4.1900 |
| Practice expense | 1.02 | × 0.917 | 0.9353 |
| Malpractice | 1.12 | × 1.201 | 1.3451 |
| Total RVUs | 6.4705 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$216.12
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.19 | 1 |
| Practice expense | 1.02 | 0.917 |
| Malpractice | 1.12 | 1.201 |
(4.19 × 1 + 1.02 × 0.917 + 1.12 × 1.201) × $33.4009 = $216.12
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.
48552 billing questions
How does 48552 differ from 48551?
48552 is for backbench venous reconstruction only. Use 48551 for standard pancreas allograft preparation, which includes arterial preparation and may include venous reconstruction.
Can 48552 be reported with 48551?
Do not separately report venous reconstruction that is included in the standard preparation represented by 48551. The record should support that 48552 describes a distinct venous-only service rather than duplicating work in the standard preparation.
What documentation supports 48552?
The operative report should describe the donor pancreas graft’s venous reconstruction and make clear that the service was venous reconstruction only.
Is this work performed on the transplant recipient?
No. The surgeon performs this backbench service on the cadaveric donor pancreas allograft before it is implanted in the recipient.
How does the multiple procedure rule affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
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.
5,75448548,,Fuse pancreas and bowel,A,,27.39,11.90,NA,11.90,,7.33,46.62,46.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75548550,,Donor pancreatectomy,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210