No office rate
Choose 48545 for direct suture repair of pancreatic tissue. Choose 48510 when the operation drains a pancreatic pseudocyst.
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CMS RVU26D · Effective 2026-10-01
48545 Pancreas repair Medicare reimbursement rates in Vermont
Reports direct suture repair of pancreatic tissue, typically for an acute pancreatic laceration or an operative injury requiring surgical repair. Compare 48545 office and facility rates across CMS payment localities in Vermont.
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 48545 in Vermont?
Vermont 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
$1164.72
1 of 1 localities have a supported rate.
Payment area: Vermont
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 48545: Pancreatic tissue suture repair
Reports direct suture repair of pancreatic tissue, typically for an acute pancreatic laceration or an operative injury requiring surgical repair.
Pancreatorrhaphy is direct suturing of injured pancreatic tissue, such as a laceration identified during surgery for abdominal trauma or an injury incurred during another operation. A surgeon performs the repair in an operative setting; the operative report should identify the pancreatic injury and describe the repair performed. This code represents repair of the gland itself, not drainage of a pancreatic collection or creation of a bowel connection.
Report the code when the documented service is direct pancreatic suture repair. Documentation should establish the injury and distinguish suturing from any separately performed resection, drainage, or reconstruction. Medicare assigns a 90-day global period, including 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% reduction. Modifier 50 is inappropriate for this single-organ repair. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48545
- 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 RVU21.67 · 57%
- Practice expense (office) RVU10.38 · 27%
- Malpractice RVU5.78 · 15%
21
Medicare services in 2024 · #5897 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.
48545 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
48545 reports suturing of the pancreas; 48548 describes an anastomosis connecting the pancreas with intestine.
No office rate
48500 concerns surgery of a pancreatic cyst. It is not the direct suture repair of pancreatic tissue reported with 48545.
Compare 48545 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1164.72
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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 48545 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
5,752
- Code
- 48545
- Physician work
- 21.67
- Practice expense
- 10.38
- Malpractice
- 5.78
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.67 | × 1.000 | 21.6700 |
| Practice expense | 10.38 | × 0.990 | 10.2762 |
| Malpractice | 5.78 | × 0.506 | 2.9247 |
| Total RVUs | 34.8709 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1164.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.67 | 1 |
| Practice expense | 10.38 | 0.99 |
| Malpractice | 5.78 | 0.506 |
(21.67 × 1 + 10.38 × 0.99 + 5.78 × 0.506) × $33.4009 = $1164.72
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.
48545 billing questions
When is this code appropriate instead of a pancreatic drainage code?
Use it for direct suture repair of pancreatic tissue, such as an injured portion of the gland. Drainage codes describe treatment of a pancreatic cyst or pseudocyst, not suturing the gland.
Does this code include repair-related postoperative visits?
Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this repair of a single, unpaired organ.
May an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other same-session procedures paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
5,74948510,,Drain pancreatic pseudocyst,A,,16.76,10.01,NA,10.01,,4.48,31.25,31.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75048520,,Fuse pancreas cyst and bowel,A,,17.70,8.53,NA,8.53,,4.74,30.97,30.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75148540,,Fuse pancreas cyst and bowel,A,,21.39,9.43,NA,9.43,,5.72,36.54,36.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75248545,,Pancreatorrhaphy,A,,21.67,10.38,NA,10.38,,5.78,37.83,37.83,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75348547,,Duodenal exclusion,A,,29.62,12.30,NA,12.30,,7.93,49.85,49.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,75448548,,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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817