CPT code 47564: Laparoscopic cholecystectomy, with common duct exploration2026 Medicare rate & RVUs in Delaware

Report this service when a surgeon removes the gallbladder laparoscopically and explores the common bile duct during the same operation.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In Delaware, Medicare pays $1,045.03 for 47564 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,045.03Hospital or facility

Check a contract rate as a % of Medicare · 47564 nationwide

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

We’ll open 47564 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 47564 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 47564 covers

A surgeon uses a laparoscope to remove the gallbladder and also explores the common bile duct during the operation. Exploration may be performed when duct stones are suspected or identified, such as in a patient with biliary obstruction or choledocholithiasis. This procedure is generally performed in a hospital operating room by a general surgeon or another surgeon qualified to perform biliary surgery.

Select this code when the operative report supports both laparoscopic gallbladder removal and common duct exploration; gallbladder removal alone or removal with cholangiography alone points to a different code. Document the findings and the exploration performed, including any duct-stone management. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires 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.

How Delaware compares for 47564

Across 109 of 109 payment localities, the facility rate for 47564 runs from $941.15 in Nebraska to $1,309.59 in Miami, FL. Delaware pays $1,045.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

47564 in Delaware vs other payment areas
  1. Delaware · this page$1,045.03
  2. Los Angeles, CA · California$1,092.75+$47.72
  3. Washington, DC area · District of Columbia$1,167.75+$122.72
  4. Miami, FL · Florida$1,309.59+$264.56
  5. Chicago, IL · Illinois$1,266.16+$221.13
  6. Manhattan, NY · New York$1,241.14+$196.11
  7. Alaska · Alaska$1,306.49+$261.46

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

47564 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$954.59
ArkansasArkansas—$941.61
ArizonaArizona—$1,029.38
Bakersfield, CACalifornia—$1,043.42
Chico, CACalifornia—$1,031.03
El Centro, CACalifornia—$1,031.80
Fresno, CACalifornia—$1,031.03
Hanford, CACalifornia—$1,031.03

47564 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
47564 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 47564 in every payment locality

How the 47564 rate is calculated

Each of 47564’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.

How the rate is built · 47564

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.55

17.55 RVUs× 1.000 GPCI

Practice expense9.63

9.63 RVUs× 1.000 GPCI

Malpractice4.60

4.60 RVUs× 1.000 GPCI

Adjusted RVUs

31.7800

Conversion factor

$33.4009

Medicare rate

$1,061.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,705

Code
47564
Physician work
17.55
Practice expense
9.63
Malpractice
4.60

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 47564 in Delaware
ComponentRVULocality factorAdjusted
Physician work17.55× 1.00517.6378
Practice expense9.63× 0.9889.5144
Malpractice4.60× 0.8994.1354
Total RVUs31.2876
Conversion factor× 33.4009

Facility rate, Delaware$1045.03

Facility: (17.55 × 1.005 + 9.63 × 0.988 + 4.6 × 0.899) × $33.4009 = $1045.03

Open 47564 in the RVU calculator

Payment rules and modifiers for 47564

47564 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47564

Laparoscopic cholecystectomy, with common duct exploration

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 47564

Laparoscopic cholecystectomy, with common duct exploration

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47564 without 51 · national facility

$1,061.48

Laparoscopic cholecystectomy, with common duct exploration

47564-51 · Second procedure: 50%

$530.74

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 47564 has changed in Delaware

47564 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,045.03RVU26D
2026-07-01Not available in this setting$1,045.03RVU26C
2026-04-01Not available in this setting$1,045.03RVU26B
2026-01-01Not available in this setting$1,045.03RVU26A
2025-10-01Not available in this setting$1,090.42RVU25D
2025-07-01Not available in this setting$1,090.42RVU25C
2025-04-01Not available in this setting$1,090.42RVU25B
2025-01-01Not available in this setting$1,090.42RVU25A
2024-10-01Not available in this setting$1,114.82RVU24D
2024-07-01Not available in this setting$1,114.82RVU24C
2024-04-01Not available in this setting$1,114.82RVU24B
2024-03-09Not available in this setting$1,114.82RVU24AR
2024-01-01Not available in this setting$1,096.63RVU24A
2023-10-01Not available in this setting$1,130.42RVU23D
2023-07-01Not available in this setting$1,130.42RVU23C
2023-04-01Not available in this setting$1,130.42RVU23B
2023-01-01Not available in this setting$1,130.42RVU23A
2022-10-01Not available in this setting$1,154.64RVU22D
2022-07-01Not available in this setting$1,154.64RVU22C
2022-04-01Not available in this setting$1,154.64RVU22B
2022-01-01Not available in this setting$1,154.64RVU22A
2021-10-01Not available in this setting$1,154.88RVU21D
2021-07-01Not available in this setting$1,154.88RVU21C
2021-04-01Not available in this setting$1,154.88RVU21B
2021-01-01Not available in this setting$1,154.88RVU21A
2020-10-01Not available in this setting$1,187.37RVU20D
2020-07-01Not available in this setting$1,187.37RVU20C
2020-04-01Not available in this setting$1,187.37RVU20B
2020-01-01Not available in this setting$1,187.37RVU20A
2019-10-01Not available in this setting$1,192.61RVU19D
2019-07-01Not available in this setting$1,192.61RVU19C
2019-04-01Not available in this setting$1,192.61RVU19B
2019-01-01Not available in this setting$1,192.61RVU19A
2018-10-01Not available in this setting$1,189.03RVU18D
2018-07-01Not available in this setting$1,189.03RVU18C
2018-04-01Not available in this setting$1,189.03RVU18B
2018-01-01Not available in this setting$1,189.03RVU18AR1
2017-10-01Not available in this setting$1,187.14RVU17D
2017-07-01Not available in this setting$1,187.14RVU17C
2017-04-01Not available in this setting$1,187.14RVU17B
2017-01-01Not available in this setting$1,187.14RVU17A
2016-10-01Not available in this setting$1,187.33RVU16D
2016-07-01Not available in this setting$1,187.33RVU16C
2016-04-01Not available in this setting$1,187.33RVU16B
2016-01-01Not available in this setting$1,187.33RVU16A
2015-10-01Not available in this setting$1,186.26RVU15D
2015-07-01Not available in this setting$1,186.26RVU15C
2015-04-01Not available in this setting$1,180.36RVU15B
2015-01-01Not available in this setting$1,180.36RVU15A
2014-10-01Not available in this setting$1,139.82RVU14D
2014-07-01Not available in this setting$1,139.82RVU14C
2014-04-01Not available in this setting$1,139.82RVU14B
2014-01-01Not available in this setting$1,139.82RVU14A
2013-10-01Not available in this setting$1,102.90RVU13D
2013-07-01Not available in this setting$1,102.90RVU13C
2013-04-01Not available in this setting$1,102.90RVU13B
2013-01-01Not available in this setting$1,102.90RVU13AR

Price 47564 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

47564 billing questions

How is this different from 47562?

47562 covers laparoscopic gallbladder removal without common duct exploration. Use 47564 when the operative record documents duct exploration as part of the operation.

How is this different from 47563?

47563 identifies laparoscopic gallbladder removal with cholangiography. Choose 47564 when the documented service includes common duct exploration; do not select it solely because imaging was performed.

Can the assistant surgeon be reported?

CMS permits payment for an assistant at surgery for this procedure. Co-surgeon payment requires supporting documentation.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. Unrelated services are not described by that global-care rule.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction.

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

Show the CMS file lines behind this rate
RVUs for 47564PPRRVU2026_Oct_nonQPP.csv, line 5,705 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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