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See a sample rate comparisonCPT 48148 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.
Remove Part Of Bile Duct, Surgery To Remove The Ampulla Of Vater A Portion Of The Bile Duct Where The Ducts From The Liver And The Pancreas Meet.
| 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 51 - Multiple procedures 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48148 |
| Medicaid Fee Schedule | View Medicaid rates for 48148 |
National average reimbursement for CPT 48148 by major payers:
$1,509.57
$1,650.63
$1,723.89
$1,979.58
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CPT 48148
5 of 25 sample ratesHigher to lower in this preview
Synergy Surgicenter, LLC, Synergy Surgery Center
Synergy Surgicenter LLC
$2,785.00Published rateAdvanced Center For Surgery, The Advanced Center For Surgery
Advanced Center For Surgery
$1,028.00Published rateNovamed Eye Surgery Center Of Overland Park, LLC, Overland Park Surgery Center
Novamed Eye Surgery Center Of Overland Park LLC
$550.00Published rateEndoscopy Center Of Northwest Connecticut
Endoscopy Center Of Northwest Ct
$444.00Published rateTeaneck Gastroenterology&Endoscopy Center
Teaneck Gastroenterologyendoscopy Center
$125.00Published rate
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See a sample payer proposalCPT 48148 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48148 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 48148 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 |
|---|---|---|
| 48146-CPT | High | Pancreatectomy, Partial Removal Of Pancreas With Connection Of Pancreas To Small Bowel With Preservation Of First Part Of Small Intestine (Duodenum) |
| 48148-CPT | High | Remove Part Of Bile Duct, Surgery To Remove The Ampulla Of Vater A Portion Of The Bile Duct Where The Ducts From The Liver And The Pancreas Meet. |
| 48150-CPT | High | Partial Removal Of Pancreas, Pancreatectomy Proximal Subtotal With Total Duodenectomy Partial Gastrectomy Choledochoenterostomy And Gastrojejunostomy Whipple Type Procedure With Pancreatojejunostomy |
| 48153-CPT | High | Pancreatic Surgery, Pancreatectomy Proximal Subtotal With Near-Total Duodenectomy Choledochoenterostomy And Duodenojejunostomy (Pylorus-Sparing Whipple-Type Procedure); With Pancreatojejunostomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 48148. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48148 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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