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See a sample rate comparisonCPT 48145 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Pancreatectomy Distal Subtotal W//W/O Splenectomy; W/ Pan, Pancreatectomy Distal Subtotal With Or Without Splenectomy; With Pan
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 22 - Increased Procedural Services 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48145 |
| Medicaid Fee Schedule | View Medicaid rates for 48145 |
National average reimbursement for CPT 48145 by major payers:
$2,037.28
$2,168.23
$2,304.86
$2,587.92
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CPT 48145
5 of 25 sample ratesHigher to lower in this preview
Waverley Surgery Center LLC, Waverley Surgery Center
Waverley Surgery Center, L.P.
$6,756.00Published rateFlorida Orthopaedic Institute Surgery Center LLC
$900.00Published rateSilver Summit Medical Corporation, Premier Surgery Center
Silver Summit Medical Corporation
$580.00Published rateSarasota Ambulatory Surgery Center Ltd, Sarasota Ambulatory Surgery Center
Sarasota Ambulatory Surgery Center Ltd
$424.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 48145 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48145 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 48145 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 48020-CPT | High | Remove Pancreatic Calculus |
| 48140-CPT | High | Pancreatectomy Distal Subtotal W//W/O Splenectomy; W/O, Pancreatectomy Distal Subtotal With Or Without Splenectomy; Without |
| 48145-CPT | High | Pancreatectomy Distal Subtotal W//W/O Splenectomy; W/ Pan, Pancreatectomy Distal Subtotal With Or Without Splenectomy; With Pan |
| 48146-CPT | High | Pancreatectomy, Partial Removal Of Pancreas With Connection Of Pancreas To Small Bowel With Preservation Of First Part Of Small Intestine (Duodenum) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 48145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48145 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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