CPT code 47563: Laparoscopic cholecystectomy, with cholangiography2026 Medicare rate & RVUs

Medicare pays $684.38 for 47563 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 47563 covers

A surgeon removes the gallbladder through laparoscopic ports and performs cholangiography during the operation, commonly by introducing contrast through the cystic duct to image the biliary tree. This approach is used for conditions such as symptomatic gallstones or cholecystitis when the surgeon also evaluates duct anatomy or possible common bile duct stones. The procedure is typically performed in a hospital operating room or ambulatory surgery center.

Report 47563 when the laparoscopic gallbladder removal includes cholangiography; use 47562 when cholangiography is not performed. Documentation should support the laparoscopic approach, gallbladder removal, and the cholangiographic study. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this single-gallbladder procedure. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 47563 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47563 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 47563 rate is calculated

Each of 47563’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 47563

47563 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

47563 compared with similar codes

How to choose

47562Laparoscopic cholecystectomyWithout cholangiography or exploration

Use 47562 for laparoscopic gallbladder removal without cholangiography; 47563 includes cholangiography performed during the operation.

47564Laparoscopic cholecystectomyWith common duct exploration

Use 47564 when the laparoscopic operation includes common bile duct exploration. Cholangiography with gallbladder removal, without that exploration, is reported with 47563.

47579Unlisted biliary laparoscopyUnlisted procedure

47579 is an unlisted code for a laparoscopic biliary procedure not represented by a specific code. Use 47563 when the documented service is laparoscopic gallbladder removal with cholangiography.

Codes related to 47563

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates