CPT code 47570: Biliary bypass, laparoscopic approach2026 Medicare rate & RVUs in Connecticut

Reports laparoscopic creation of a gallbladder-to-intestine drainage route to bypass biliary obstruction while retaining the gallbladder.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Connecticut, Medicare pays $784.04 for 47570 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$784.04Hospital or facility

Check a contract rate as a % of Medicare · 47570 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 47570 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 47570 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 47570 covers

This operation uses laparoscopic access to connect the gallbladder to a segment of intestine, creating a route for bile to drain around an obstruction in its usual outflow pathway. A general or hepatobiliary surgeon may perform it when the gallbladder and cystic duct can provide a usable source of drainage. It is an uncommon reconstructive operation, generally performed in an operating room under general anesthesia; the gallbladder remains part of the bypass.

Select this code for the laparoscopic bypass, not for removal of the gallbladder. The operative report should identify the indication, laparoscopic approach, intestinal connection, and anatomy supporting the bypass. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. 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 Connecticut compares for 47570

Across 109 of 109 payment localities, the facility rate for 47570 runs from $651.43 in Wisconsin to $912.08 in Miami, FL. Connecticut pays $784.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

47570 in Connecticut vs other payment areas
  1. Connecticut · this page$784.04
  2. Los Angeles, CA · California$756.09−$27.95
  3. Washington, DC area · District of Columbia$809.36+$25.32
  4. Miami, FL · Florida$912.08+$128.04
  5. Chicago, IL · Illinois$881.55+$97.51
  6. Manhattan, NY · New York$861.62+$77.58
  7. Alaska · Alaska$905.85+$121.81

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

Every other payment area

47570 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$661.53
ArkansasArkansas—$652.48
ArizonaArizona—$713.68
Bakersfield, CACalifornia—$722.13
Chico, CACalifornia—$713.34
El Centro, CACalifornia—$713.89
Fresno, CACalifornia—$713.34
Hanford, CACalifornia—$713.34

47570 rates by state

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

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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
47570 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 47570 in every payment locality

How the 47570 rate is calculated

Each of 47570’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 · 47570

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.25

12.25 RVUs× 1.000 GPCI

Practice expense6.52

6.52 RVUs× 1.000 GPCI

Malpractice3.27

3.27 RVUs× 1.000 GPCI

Adjusted RVUs

22.0400

Conversion factor

$33.4009

Medicare rate

$736.16

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,706

Code
47570
Physician work
12.25
Practice expense
6.52
Malpractice
3.27

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 47570 in Connecticut
ComponentRVULocality factorAdjusted
Physician work12.25× 1.02012.4950
Practice expense6.52× 1.0777.0220
Malpractice3.27× 1.2103.9567
Total RVUs23.4737
Conversion factor× 33.4009

Facility rate, Connecticut$784.04

Facility: (12.25 × 1.02 + 6.52 × 1.077 + 3.27 × 1.21) × $33.4009 = $784.04

Open 47570 in the RVU calculator

Payment rules and modifiers for 47570

47570 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47570

Biliary bypass, laparoscopic approach

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 · 47570

Biliary bypass, laparoscopic approach

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

47570 without 51 · national facility

$736.16

Biliary bypass, laparoscopic approach

47570-51 · Second procedure: 50%

$368.08

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 47570 has changed in Connecticut

47570 · 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$784.04RVU26D
2026-07-01Not available in this setting$784.04RVU26C
2026-04-01Not available in this setting$784.04RVU26B
2026-01-01Not available in this setting$784.04RVU26A
2025-10-01Not available in this setting$813.64RVU25D
2025-07-01Not available in this setting$813.64RVU25C
2025-04-01Not available in this setting$813.64RVU25B
2025-01-01Not available in this setting$813.64RVU25A
2024-10-01Not available in this setting$832.34RVU24D
2024-07-01Not available in this setting$832.34RVU24C
2024-04-01Not available in this setting$832.34RVU24B
2024-03-09Not available in this setting$832.34RVU24AR
2024-01-01Not available in this setting$818.76RVU24A
2023-10-01Not available in this setting$834.53RVU23D
2023-07-01Not available in this setting$834.53RVU23C
2023-04-01Not available in this setting$834.53RVU23B
2023-01-01Not available in this setting$834.53RVU23A
2022-10-01Not available in this setting$842.27RVU22D
2022-07-01Not available in this setting$842.27RVU22C
2022-04-01Not available in this setting$842.27RVU22B
2022-01-01Not available in this setting$842.27RVU22A
2021-10-01Not available in this setting$840.94RVU21D
2021-07-01Not available in this setting$840.94RVU21C
2021-04-01Not available in this setting$840.94RVU21B
2021-01-01Not available in this setting$840.94RVU21A
2020-10-01Not available in this setting$868.42RVU20D
2020-07-01Not available in this setting$868.42RVU20C
2020-04-01Not available in this setting$868.42RVU20B
2020-01-01Not available in this setting$868.42RVU20A
2019-10-01Not available in this setting$876.17RVU19D
2019-07-01Not available in this setting$876.17RVU19C
2019-04-01Not available in this setting$876.17RVU19B
2019-01-01Not available in this setting$876.17RVU19A
2018-10-01Not available in this setting$873.51RVU18D
2018-07-01Not available in this setting$873.51RVU18C
2018-04-01Not available in this setting$873.51RVU18B
2018-01-01Not available in this setting$873.51RVU18AR1
2017-10-01Not available in this setting$872.66RVU17D
2017-07-01Not available in this setting$872.66RVU17C
2017-04-01Not available in this setting$872.66RVU17B
2017-01-01Not available in this setting$872.66RVU17A
2016-10-01Not available in this setting$858.73RVU16D
2016-07-01Not available in this setting$858.73RVU16C
2016-04-01Not available in this setting$858.73RVU16B
2016-01-01Not available in this setting$858.73RVU16A
2015-10-01Not available in this setting$872.14RVU15D
2015-07-01Not available in this setting$872.14RVU15C
2015-04-01Not available in this setting$867.80RVU15B
2015-01-01Not available in this setting$867.80RVU15A
2014-10-01Not available in this setting$849.71RVU14D
2014-07-01Not available in this setting$849.71RVU14C
2014-04-01Not available in this setting$849.71RVU14B
2014-01-01Not available in this setting$849.71RVU14A
2013-10-01Not available in this setting$840.19RVU13D
2013-07-01Not available in this setting$840.19RVU13C
2013-04-01Not available in this setting$840.19RVU13B
2013-01-01Not available in this setting$840.19RVU13AR

Price 47570 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

47570 billing questions

How does this differ from laparoscopic cholecystectomy?

This code is for creating a drainage connection between the gallbladder and intestine while retaining the gallbladder. Laparoscopic cholecystectomy codes describe gallbladder removal.

What should the operative report document?

Document the biliary indication, laparoscopic technique, gallbladder and intestinal anatomy, and the connection created. The record should make clear that the operation establishes a bypass rather than removing the gallbladder.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 47570PPRRVU2026_Oct_nonQPP.csv, line 5,706 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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