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See a sample rate comparisonCPT 48510 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.
External Drainage, Pseudocyst Of Pancrea
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48510 |
| Medicaid Fee Schedule | View Medicaid rates for 48510 |
National average reimbursement for CPT 48510 by major payers:
$1,391.21
$1,441.98
$1,498.85
$1,733.42
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CPT 48510
5 of 25 sample ratesHigher to lower in this preview
Shawnee Mission Prairie Star Surgery Center LLC, Adventhealth Surgery Center Lenexa
Shawnee Mission Prairie Star Surgery Center LLC
$2,499.00Published rateAz West Endoscopy Center LLC
$1,064.00Published rateSedalia Surgery Center, LLC
Sedalia Surgery Center L L C
$1,020.00Published rateSouth Hill Ambulatory Surgical Center Ps
$569.00Published rateTarboro Endoscopy Center, LLC
Tarboro Endoscopy Center LLC
$273.00Published rate
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See a sample payer proposalCPT 48510 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48510 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 48510 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 |
| 48105-CPT | High | Resct Or Debrideme Of Pancreas & Peripancreatic Tissue For Acu, Resection Or Debridement Of Pancreas And Peripancreatic Tissue For Acu |
| 48140-CPT | High | Pancreatectomy Distal Subtotal W//W/O Splenectomy; W/O, Pancreatectomy Distal Subtotal With Or Without Splenectomy; Without |
| 48510-CPT | High | External Drainage, Pseudocyst Of Pancrea |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 48510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48510 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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