No office rate
Both describe distal pancreatic resection, but 48145 includes a pancreaticojejunostomy; 48140 is selected when that reconstruction is not performed.
On this page
CMS RVU26D · Effective 2026-10-01
48140 Pancreas resection Medicare reimbursement rates in Rhode Island
Reports distal subtotal removal of the pancreas, with or without spleen removal, when no pancreaticojejunostomy is created. Compare 48140 office and facility rates across CMS payment localities in Rhode Island.
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 48140 in Rhode Island?
Rhode Island 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
$1462.35
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 48140: Distal subtotal pancreatectomy without jejunal reconstruction
Reports distal subtotal removal of the pancreas, with or without spleen removal, when no pancreaticojejunostomy is created.
Code 48140 describes removal of a substantial portion of the pancreas’s body and tail without connecting the remaining pancreas to the jejunum. The spleen may be removed or preserved. Typical indications include a neoplasm or cystic lesion in the distal gland and selected cases of chronic pancreatitis. A general surgeon or surgical oncologist usually performs the operation in a hospital operating room.
Choose the code from the operative extent and reconstruction, not the diagnosis alone. The operative report should establish the portion of pancreas removed, whether the spleen was removed, and whether a pancreaticojejunostomy was created. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 48140
- 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 RVU25.66 · 59%
- Practice expense (office) RVU11.51 · 26%
- Malpractice RVU6.44 · 15%
1.6K
Medicare services in 2024 · #2603 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.
48140 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
48120 is for removal of a pancreatic lesion. Use 48140 when the operation removes a distal subtotal portion of the gland rather than a limited lesion.
No office rate
48150 describes a proximal pancreatic resection involving the head and duodenum. Code 48140 is for resection of the distal gland, principally the body and tail.
Compare 48140 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$1462.35
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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 48140 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,737
- Code
- 48140
- Physician work
- 25.66
- Practice expense
- 11.51
- Malpractice
- 6.44
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.66 | × 1.019 | 26.1475 |
| Practice expense | 11.51 | × 1.033 | 11.8898 |
| Malpractice | 6.44 | × 0.892 | 5.7445 |
| Total RVUs | 43.7818 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1462.35
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.66 | 1.019 |
| Practice expense | 11.51 | 1.033 |
| Malpractice | 6.44 | 0.892 |
(25.66 × 1.019 + 11.51 × 1.033 + 6.44 × 0.892) × $33.4009 = $1462.35
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.
48140 billing questions
How is this code distinguished from 48145?
Use 48140 when the distal resection does not include a pancreaticojejunostomy. Code 48145 is the related option when that connection is created.
Does removing the spleen change the code?
No. This code covers the distal pancreatic resection whether the spleen is removed or preserved.
Can modifier 50 be used if both sides are involved?
No. Modifier 50 is inappropriate for this code; the CMS bilateral adjustment is not used for this procedure.
What documentation supports reporting 48140?
The operative report should identify the pancreatic portion removed and state whether the surgeon created a pancreaticojejunostomy. It should also make clear whether the spleen was removed or preserved.
How are assistant or co-surgeon claims handled?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted.
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.
5,73448102,,Needle biopsy pancreas,A,,4.58,9.68,,1.03,,0.49,14.75,6.10,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73548105,,Resect/debride pancreas,A,,48.03,18.08,NA,18.08,,10.41,76.52,76.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73648120,,Removal of pancreas lesion,A,,17.95,8.60,NA,8.60,,4.80,31.35,31.35,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73748140,,Partial removal of pancreas,A,,25.66,11.51,NA,11.51,,6.44,43.61,43.61,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73848145,,Partial removal of pancreas,A,,26.71,11.75,NA,11.75,,7.14,45.60,45.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73948146,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537