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See a sample rate comparisonCPT 48150 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.
Partial Removal Of Pancreas, Pancreatectomy Proximal Subtotal With Total Duodenectomy Partial Gastrectomy Choledochoenterostomy And Gastrojejunostomy Whipple Type Procedure With Pancreatojejunostomy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 22 - Increased Procedural Services GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48150 |
| Medicaid Fee Schedule | View Medicaid rates for 48150 |
National average reimbursement for CPT 48150 by major payers:
$3,721.00
$4,150.89
$4,493.25
$4,936.86
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CPT 48150
5 of 25 sample ratesHigher to lower in this preview
Surgical Suites Of Coastal Virginia, LLC
Surgical Suites Of Coastal Virginia LLC
$2,013.00Published ratePotomac View Surgery Center, LLC
Potomac View Surgery Center LLC
$1,064.00Published rateCss Jv, LLC, Center For Specialty Surgery
Css Jv LLC
$752.00Published rateGreat Lakes Ambulatory Surgery Center
$580.00Published rateAtlantic Surgery Center,LLC
Atlantic Surgery Centerllc
$200.00Published rate
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See a sample payer proposalCPT 48150 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48150 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 48150 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 |
|---|---|---|
| 47620-CPT | High | Cholecystectomy With Explorati, Cholecystectomy With Exploration Of Common Duct Withtransduodenal Sphincterotomy Or Sphincteroplasty With Or Without Cholangiography |
| 47720-CPT | High | Connect Bowel To Gallbladder, Surgery To Create A Connection Between The Gallbladder And A Man-Made Anus Or Through An Opening In The Abdominal Wall. |
| 47741-CPT | High | Connect Bowel To Gallbladder, Surgery To Create A Connection Between The Gallbladder And A Man-Made Anus Or Through An Opening In The Abdominal Wall. |
| 48150-CPT | High | Partial Removal Of Pancreas, Pancreatectomy Proximal Subtotal With Total Duodenectomy Partial Gastrectomy Choledochoenterostomy And Gastrojejunostomy 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 48150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48150 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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