No office rate
48105 addresses pancreatic tissue removed or debrided because of trauma. 48120 describes excision of a pancreatic lesion, such as a nontraumatic focal abnormality.
On this page
CMS RVU26D · Effective 2026-10-01
48105 Pancreatic trauma surgery Medicare reimbursement rates in Wyoming
Reports operative removal of injured or devitalized pancreatic tissue during surgical treatment of traumatic pancreatic injury. Compare 48105 office and facility rates across CMS payment localities in Wyoming.
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 48105 in Wyoming?
Wyoming 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
$2465.43
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 48105: Traumatic pancreatic tissue resection or debridement
Reports operative removal of injured or devitalized pancreatic tissue during surgical treatment of traumatic pancreatic injury.
This code is for operative removal of damaged or devitalized pancreatic tissue during treatment of pancreatic trauma, such as injury from blunt force or a penetrating wound. A trauma or general surgeon typically performs the procedure in a hospital operating room as part of the patient's acute injury care. The operative report should establish the traumatic cause and describe the pancreatic injury and tissue removed.
Choose this code for trauma-directed resection or debridement, rather than diagnostic sampling or excision of a nontraumatic focal lesion. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 anatomy. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 48105
- 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 RVU48.03 · 63%
- Practice expense (office) RVU18.08 · 24%
- Malpractice RVU10.41 · 14%
229
Medicare services in 2024 · #4206 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.
48105 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
48100 is open diagnostic sampling of the pancreas. 48105 is therapeutic removal or debridement of tissue injured by trauma.
No office rate
48140 is for a distal subtotal pancreatectomy without pancreaticojejunostomy; use 48105 when the operative service is trauma-directed resection or debridement.
No office rate
48145 describes distal subtotal pancreatectomy with pancreaticojejunostomy. The traumatic indication and service documented for 48105 differ from that defined operation.
Compare 48105 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$2465.43
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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 48105 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,735
- Code
- 48105
- Physician work
- 48.03
- Practice expense
- 18.08
- Malpractice
- 10.41
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 48.03 | × 1.000 | 48.0300 |
| Practice expense | 18.08 | × 1.000 | 18.0800 |
| Malpractice | 10.41 | × 0.740 | 7.7034 |
| Total RVUs | 73.8134 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$2465.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 48.03 | 1 |
| Practice expense | 18.08 | 1 |
| Malpractice | 10.41 | 0.74 |
(48.03 × 1 + 18.08 × 1 + 10.41 × 0.74) × $33.4009 = $2465.43
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.
48105 billing questions
How is this different from pancreatic lesion excision?
This code is for tissue removal or debridement because of trauma. Code 48120 is for excision of a pancreatic lesion, such as a nontraumatic focal abnormality.
Is related postoperative care separately reported?
The 90-day global period includes related postoperative care and the day-before preoperative visit. The operative record should support that follow-up is related to this surgery.
Can modifier 50 be used for this procedure?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this pancreatic procedure.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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.
5,73248020,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,