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See a sample rate comparisonCPT 48550 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.
Donor Pancreatectomy With Pre, Donor Pancreatectomy With Preparation And Maintenance Ofallograft From Cadaver Donor With Or Without Duodenal Segment For Transplantation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48550 |
| Medicaid Fee Schedule | View Medicaid rates for 48550 |
National average reimbursement for CPT 48550 by major payers:
$1,331.31
$2,208.80
$2,100.81
$3,341.61
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CPT 48550
5 of 25 sample ratesHigher to lower in this preview
Fort Worth Endoscopy Centers, LLC, Southwest Fort Worth Endoscopy Center
Fort Worth Endoscopy Centers LLC
$6,068.00Published rateMurdock Ambulatory Surgery Center LLC
Murdock Ambulatory Surgery Cente
$1,064.00Published ratePacific Cataract And Laser Institute, Inc., P.C.
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published rateSan Diego Ca Multi Specialty Asc LLC, Mission Valley Heights Surgery Center
Poway Ca Multi-Specialty Asc LLC
$480.00Published rateAmbulatory Surgery Center Of Tucson, Inc.
Ambulatory Surgery Center Of Tucson Inc
$100.00Published rate
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See a sample payer proposalCPT 48550 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48550 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 48550 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 |
| 48400-CPT | Low | Injection Procedure For Intrao, Injection Procedure For Intraoperative Pancreatography (Listseparately In Addition To Code For Primary Procedure) |
| 48550-CPT | High | Donor Pancreatectomy With Pre, Donor Pancreatectomy With Preparation And Maintenance Ofallograft From Cadaver Donor With Or Without Duodenal Segment For Transplantation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 48550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48550 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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