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See a sample rate comparisonCPT 48551 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Prep Donor Pancreas, Backbench Standard Preparation Of Cadaver Donor Pancreas Allograft Prior To Transplantation Including Dissection Of Allograft From Surrounding Soft Tissues Splenectomy Duodenotomy Ligation Of Bile Duct Ligation Of Mesenteric Vessels And Y Graft Arterial Anastomoses From Iliac Artery To Superior Mesenteric Artery And To Splenic Artery
| 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 82 - Assistant surgeon - no qualified resident |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 48551 |
| Medicaid Fee Schedule | View Medicaid rates for 48551 |
National average reimbursement for CPT 48551 by major payers:
$436.50
$314.32
$509.34
$443.41
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CPT 48551
5 of 25 sample ratesHigher to lower in this preview
Eagle Highlands Surgery Center LLC, Eagle Highlands Surgery Center
$7,400.00Published rateBsc Chandler LLC
$1,146.00Published rateBiltmore Surgical Partners, LLC, Deer Valley Surgical And Endoscopy Center
Biltmore Surgical Partners LLC
$743.00Published rateBeaumont Surgical Affiliates, Ltd, Baptist Beaumont Surgical Affiliates
Beaumont Surgical Affiliates
$475.00Published rateMahoning Valley Ambulatory Surgery Center Inc
$200.00Published rate
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See a sample payer proposalCPT 48551 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48551 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 48551 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 |
|---|---|---|
| 48550-CPT | High | Donor Pancreatectomy With Pre, Donor Pancreatectomy With Preparation And Maintenance Ofallograft From Cadaver Donor With Or Without Duodenal Segment For Transplantation |
| 48551-CPT | Moderate | Prep Donor Pancreas, Backbench Standard Preparation Of Cadaver Donor Pancreas Allograft Prior To Transplantation Including Dissection Of Allograft From Surrounding Soft Tissues Splenectomy Duodenotomy Ligation Of Bile Duct Ligation Of Mesenteric Vessels And Y Graft Arterial Anastomoses From Iliac Artery To Superior Mesenteric Artery And To Splenic Artery |
| 48552-CPT | Moderate | Prep Donor Pancreas Venous, Backbench Reconstruction Of Cadaver Donor Pancreas Allograft Prior To Transplantation Venous Anastomosis Each |
| 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 48551. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48551 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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