No office rate
This code concerns drain placement at the pancreas. Code 48000 is for drainage directed at a peritoneal abscess or localized peritonitis.
On this page
CMS RVU26D · Effective 2026-10-01
48001 Pancreatic drain Medicare reimbursement rates in Utah
Operative placement of a pancreatic drain is reported when a surgeon positions a drain to provide drainage or decompression at the pancreas. Compare 48001 office and facility rates across CMS payment localities in Utah.
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 48001 in Utah?
Utah 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
$2063.93
1 of 1 localities have a supported rate.
Payment area: Utah
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 48001: Operative pancreatic drain placement
Operative placement of a pancreatic drain is reported when a surgeon positions a drain to provide drainage or decompression at the pancreas.
This service involves a surgeon placing a drain at the pancreas to allow pancreatic fluid or secretions to drain. It is performed as an operative service when drainage or decompression is part of the surgical plan. The operative report should identify the pancreatic target and describe the placement, including the drain’s position and intended drainage route.
Select this code for the pancreatic drain placement itself, rather than for drainage directed at a peritoneal collection or for removal of a pancreatic stone. The record should establish the clinical reason for drainage and the work performed. This major surgery has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate, and team surgery is not permitted.
CMS billing rules for 48001
- 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 RVU38.70 · 61%
- Practice expense (office) RVU14.66 · 23%
- Malpractice RVU10.37 · 16%
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.
48001 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Code 48105 describes operative drainage of a pancreatic pseudocyst. Use 48001 when the documented service is pancreatic drain placement.
No office rate
Code 48020 is for removal of a pancreatic calculus. It represents stone removal, not pancreatic drain placement.
Compare 48001 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
Utah →
Office / nonfacility
Unavailable
Facility
$2063.93
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 48001 in Utah.
PPRRVU2026_Oct_nonQPP.csv
5,731
- Code
- 48001
- Physician work
- 38.70
- Practice expense
- 14.66
- Malpractice
- 10.37
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.70 | × 1.000 | 38.7000 |
| Practice expense | 14.66 | × 0.940 | 13.7804 |
| Malpractice | 10.37 | × 0.898 | 9.3123 |
| Total RVUs | 61.7927 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$2063.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 38.7 | 1 |
| Practice expense | 14.66 | 0.94 |
| Malpractice | 10.37 | 0.898 |
(38.7 × 1 + 14.66 × 0.94 + 10.37 × 0.898) × $33.4009 = $2063.93
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.
48001 billing questions
How is this different from drainage of an abdominal collection?
Use this code when the operative drain is placed at the pancreas. Code 48000 concerns drainage directed at a peritoneal abscess or localized peritonitis.
Is pancreatic drain placement the same as draining a pseudocyst?
No. Code 48105 describes operative drainage of a pancreatic pseudocyst; choose the code that matches the procedure actually performed and documented.
What should the operative report document?
Document the indication, pancreatic site, drain placement, and intended drainage route. The record should make clear that the work involved placement of a pancreatic drain.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this pancreatic drain placement.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery 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.
5,72847900,,Suture bile duct injury,A,,21.88,11.13,NA,11.13,,5.85,38.86,38.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72947999,,Unlisted px biliary tract,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73048000,,Drainage of abdomen,A,,31.15,12.82,NA,12.82,,8.33,52.30,52.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73148001,,Placement of drain pancreas,A,,38.70,14.66,NA,14.66,,10.37,63.73,63.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73248020,,Removal of pancreatic stone,A,,18.61,9.78,NA,9.78,,4.96,33.35,33.35,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73348100,,Biopsy of pancreas open,A,,14.10,7.61,NA,7.61,,3.56,25.27,25.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73448102,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985