Billing code 48145: PancreatectomyMedicare rate & RVUs in Washington
Reports distal subtotal removal of the pancreas with reconstruction of the remaining pancreatic tissue to the jejunum, with or without splenectomy.
CMS doesn’t publish an office rate for 48145 in Washington.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 48145 covers
This service covers distal subtotal resection of the pancreas, generally involving the body and tail, followed by an anastomosis between the remaining pancreas and the jejunum. The spleen may also be removed. Surgeons perform this operation in a hospital operating room for selected pancreatic disease requiring distal resection and drainage of the pancreatic remnant into the small bowel.
Report 48145 when the operative report supports both the distal subtotal resection and pancreaticojejunostomy; document the resection performed, the reconstruction, and whether the spleen was removed. The service has a 90-day global period, including the day-before preoperative visit and 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. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 48145 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $1,498.48 |
| Seattle (King Cnty) | Unavailable | $1,613.13 |
How the 48145 rate is calculated
Each of 48145’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 48145
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 26.71Practice expense 11.75Malpractice 7.14
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 48145
48145 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 48145
Pancreatectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 48145
Pancreatectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
48145 without 51 · national facility
$1,523.08
Pancreatectomy
48145-51 · Second procedure: 50%
$761.54
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
48145 compared with similar codes
Compare codes
48145 vs 48140 vs 48150 vs 48120 vs 48155: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 48140Pancreas resection
- Both describe distal subtotal pancreatectomy, with or without splenectomy. Choose 48145 when the operation also includes pancreaticojejunostomy; 48140 describes the operation without it.
- 48150Whipple procedure
- 48150 describes pancreaticoduodenectomy involving the pancreatic head and duodenum. 48145 is for distal subtotal resection with pancreaticojejunostomy.
- 48120Pancreatic lesion excision
- 48120 is for local excision of a pancreatic lesion. 48145 describes a distal subtotal resection with reconstruction of the remaining pancreas to the jejunum.
- 48155Pancreatectomy
- 48155 is total pancreatectomy. Use 48145 when the documented resection is distal and subtotal, with pancreaticojejunostomy.
48145 billing questions
How is 48145 distinguished from 48140?
48145 includes a pancreaticojejunostomy after distal subtotal pancreatectomy. Use 48140 when the documented distal resection does not include that reconstruction.
Does 48145 include splenectomy?
The service allows for distal pancreatectomy with or without splenectomy. The operative report should state whether the spleen was removed.
What documentation supports reporting 48145?
Document the extent of pancreatic resection and the pancreaticojejunostomy connecting the pancreatic remnant to the jejunum. Record splenectomy separately in the operative details when performed.
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 surgical service.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other same-session procedures paid?
For multiple procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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