No office rate
Choose 48148 when the operation excises pancreatic duct; choose 48140 when it removes distal pancreatic tissue.
On this page
CMS RVU26D · Effective 2026-10-01
48148 Pancreatic surgery Medicare reimbursement rates in Rhode Island
Report pancreatic duct excision when surgery removes diseased duct, with or without reconstruction connecting the remaining duct to the jejunum. Compare 48148 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 48148 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
$1182.67
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 48148: Pancreatic duct excision
Report pancreatic duct excision when surgery removes diseased duct, with or without reconstruction connecting the remaining duct to the jejunum.
This operation removes a diseased portion of the pancreatic duct; reconstruction may connect the remaining duct to the jejunum. It is typically performed by a surgeon treating pancreatic duct disease in an operating-room setting. The operative report should make clear that the duct itself was excised and describe any reconstruction, rather than documenting only a pancreatic tissue resection, debridement, or biopsy.
Select this code when the procedure performed is duct excision, not removal of pancreatic parenchyma alone. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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. Modifier 50 is not appropriate for this duct-removal service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48148
- 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 RVU19.88 · 56%
- Practice expense (office) RVU10.09 · 29%
- Malpractice RVU5.30 · 15%
42
Medicare services in 2024 · #5469 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.
48148 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
48150 describes a proximal pancreatic resection. Use 48148 for duct excision rather than a resection of pancreatic tissue.
No office rate
48100 is for open pancreatic biopsy to obtain tissue for diagnosis; 48148 describes therapeutic removal of pancreatic duct.
Compare 48148 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
$1182.67
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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 48148 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,740
- Code
- 48148
- Physician work
- 19.88
- Practice expense
- 10.09
- Malpractice
- 5.30
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.88 | × 1.019 | 20.2577 |
| Practice expense | 10.09 | × 1.033 | 10.4230 |
| Malpractice | 5.30 | × 0.892 | 4.7276 |
| Total RVUs | 35.4083 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1182.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.88 | 1.019 |
| Practice expense | 10.09 | 1.033 |
| Malpractice | 5.3 | 0.892 |
(19.88 × 1.019 + 10.09 × 1.033 + 5.3 × 0.892) × $33.4009 = $1182.67
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.
48148 billing questions
How is duct excision different from a partial pancreatectomy?
This code is for removal of pancreatic duct. A partial pancreatectomy code is used when pancreatic tissue is resected; the operative report should identify which structure was removed.
Is pancreaticojejunostomy included?
The service includes duct excision with or without pancreaticojejunostomy. The reconstruction is not a reason to report a separate code for the same described service.
Should modifier 50 be reported?
No. Modifier 50 is not appropriate for this duct-removal service; it is not reported as paired right- and left-sided work.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% 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 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.
5,73748140,,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
5,74148150,,Partial removal of pancreas,A,,51.52,21.52,NA,21.52,,12.92,85.96,85.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74248152,,Pancreatectomy,A,,47.43,19.90,NA,19.90,,12.70,80.03,80.03,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,74348153,,Pancreatectomy,A,,51.47,20.90,NA,20.90,,13.34,85.71,85.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,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