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See a sample rate comparisonCPT 48155 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 Total;
| 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 51 - Multiple procedures 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48155 |
| Medicaid Fee Schedule | View Medicaid rates for 48155 |
National average reimbursement for CPT 48155 by major payers:
$2,428.55
$2,400.71
$2,544.66
$2,885.06
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CPT 48155
5 of 25 sample ratesHigher to lower in this preview
Campbell Clinic Surgery Center, LLC
$1,424.00Published rateHudson Valley Ambulatory Surgery, LLC
Hudson Valley Ambulatory
$1,042.00Published rateQuality Care Surgery Center, LLC
Quality Care Surgery Center LLC
$700.00Published ratePremier Physicians Centers, Inc
Premier Physicians Centers, Inc.
$424.00Published rateFour Corners Ambulatory Surgical Center LLC
$158.00Published rate
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See a sample payer proposalCPT 48155 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48155 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 48155 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 |
|---|---|---|
| 48155-CPT | High | Pancreatectomy Total; |
| 48160-CPT | High | Pancreas Removal Transplant, Pancreatectomy Total Or Subtotal With Autologous Transplantation Of Pancreas Or Pancreatic Islet Cells |
| 48550-CPT | High | Donor Pancreatectomy With Pre, Donor Pancreatectomy With Preparation And Maintenance Ofallograft From Cadaver Donor With Or Without Duodenal Segment For Transplantation |
| 48554-CPT | High | Transplantation Of Pancreatic Allograft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 48155. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48155 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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