CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 48153 RVU and Medicare Payment (2026)
Pancreatectomy — 51.47 work RVU, about $2,862.79 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 51.47
- PE RVU (non-facility)
- 20.9
- PE RVU (facility)
- 20.9
- MP RVU
- 13.34
- Office payment
- $2,862.79
- Facility payment
- $2,862.79
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 48153 in a non-facility setting with national GPCI: (51.47 + 20.9 + 13.34) × $33.4009 ≈ $2,862.79. The same code in a facility setting pays about $2,862.79 because facility PE RVU (20.9) replaces office PE RVU.
What changes by locality
GPCI moves 48153 non-facility payment from $2,525.14 to $3,572.69 across CMS localities — from Wisconsin to Miami. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 48153?
51.47. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 48153 in 2026?
About $2,862.79 non-facility ($2,862.79 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (51.47) and malpractice RVU stay fixed; only practice expense changes (20.9 office vs 20.9 facility). That is the entire office-vs-facility payment gap.