48145 Partial removal of pancreas
Also known as: Distal pancreatectomy with splenectomy
Partial surgical removal of the pancreas with distal pancreatectomy and splenectomy (removal of spleen) due to vascular involvement or spleen mobilization requirements.
In Plain Language
Removing part of pancreas and spleen
Clinical Context
Performed when splenic vein involvement or spleen engagement requires splenectomy. More extensive procedure than simple distal pancreatectomy.
RVU Breakdown
| Work RVU | 26.71 |
| Total RVU | 26.71 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 26.71, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 48145?
CPT 48145 (Partial removal of pancreas) is a Surgery code. Partial surgical removal of the pancreas with distal pancreatectomy and splenectomy (removal of spleen) due to vascular involvement or spleen mobilization requirements.
What is the wRVU value for CPT 48145?
The work RVU for CPT 48145 is 26.71. This code is primarily used by General Surgery, Hepatobiliary Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 48145 used?
Performed when splenic vein involvement or spleen engagement requires splenectomy. More extensive procedure than simple distal pancreatectomy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.