CPT code 47600: Gallbladder removal, open, without cholangiography2026 Medicare rate & RVUs in Connecticut

Reports open removal of the gallbladder without cholangiography, commonly for symptomatic gallstones or gallbladder inflammation when an open approach is performed.

CMS RVU26DEffective Oct 1, 2026One payment locality5.3K Medicare services in 2024

In Connecticut, Medicare pays $1,075.06 for 47600 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,075.06Hospital or facility

Check a contract rate as a % of Medicare · 47600 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 47600 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 47600 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 47600 covers

This code represents open surgical removal of the gallbladder through an abdominal incision, without cholangiography. General surgeons commonly perform it in a hospital operating room for conditions such as symptomatic gallstones or acute or chronic cholecystitis. The operative approach, rather than the diagnosis alone, distinguishes this service from laparoscopic gallbladder removal.

Report the code when the operative documentation supports open gallbladder removal and does not describe the additional services represented by codes for cholangiography or common-duct exploration. The note should identify the approach and the work performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is not appropriate for removal of the single gallbladder. Assistant-at-surgery payment may be available; co-surgeon claims 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.

How Connecticut compares for 47600

Across 109 of 109 payment localities, the facility rate for 47600 runs from $897.22 in Nebraska to $1,248.95 in Alaska. Connecticut pays $1,075.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

47600 in Connecticut vs other payment areas
  1. Connecticut · this page$1,075.06
  2. Los Angeles, CA · California$1,039.05−$36.01
  3. Washington, DC area · District of Columbia$1,110.21+$35.15
  4. Miami, FL · Florida$1,244.66+$169.60
  5. Chicago, IL · Illinois$1,204.00+$128.94
  6. Manhattan, NY · New York$1,179.89+$104.83
  7. Alaska · Alaska$1,248.95+$173.89

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

Every other payment area

47600 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$910.33
ArkansasArkansas—$898.18
ArizonaArizona—$980.28
Bakersfield, CACalifornia—$992.79
Chico, CACalifornia—$981.05
El Centro, CACalifornia—$981.77
Fresno, CACalifornia—$981.05
Hanford, CACalifornia—$981.05

47600 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
47600 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 47600 in every payment locality

How the 47600 rate is calculated

Each of 47600’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 · 47600

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.04

17.04 RVUs× 1.000 GPCI

Practice expense8.86

8.86 RVUs× 1.000 GPCI

Malpractice4.35

4.35 RVUs× 1.000 GPCI

Adjusted RVUs

30.2500

Conversion factor

$33.4009

Medicare rate

$1,010.38

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

5,708

Code
47600
Physician work
17.04
Practice expense
8.86
Malpractice
4.35

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 47600 in Connecticut
ComponentRVULocality factorAdjusted
Physician work17.04× 1.02017.3808
Practice expense8.86× 1.0779.5422
Malpractice4.35× 1.2105.2635
Total RVUs32.1865
Conversion factor× 33.4009

Facility rate, Connecticut$1075.06

Facility: (17.04 × 1.02 + 8.86 × 1.077 + 4.35 × 1.21) × $33.4009 = $1075.06

Open 47600 in the RVU calculator

Payment rules and modifiers for 47600

47600 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47600

Gallbladder removal, open, without cholangiography

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 · 47600

Gallbladder removal, open, without cholangiography

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

47600 without 51 · national facility

$1,010.38

Gallbladder removal, open, without cholangiography

47600-51 · Second procedure: 50%

$505.19

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 47600 has changed in Connecticut

47600 · 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$1,075.06RVU26D
2026-07-01Not available in this setting$1,075.06RVU26C
2026-04-01Not available in this setting$1,075.06RVU26B
2026-01-01Not available in this setting$1,075.06RVU26A
2025-10-01Not available in this setting$1,120.56RVU25D
2025-07-01Not available in this setting$1,120.56RVU25C
2025-04-01Not available in this setting$1,120.56RVU25B
2025-01-01Not available in this setting$1,120.56RVU25A
2024-10-01Not available in this setting$1,144.92RVU24D
2024-07-01Not available in this setting$1,144.92RVU24C
2024-04-01Not available in this setting$1,144.92RVU24B
2024-03-09Not available in this setting$1,144.92RVU24AR
2024-01-01Not available in this setting$1,126.23RVU24A
2023-10-01Not available in this setting$1,147.03RVU23D
2023-07-01Not available in this setting$1,147.03RVU23C
2023-04-01Not available in this setting$1,147.03RVU23B
2023-01-01Not available in this setting$1,147.03RVU23A
2022-10-01Not available in this setting$1,157.83RVU22D
2022-07-01Not available in this setting$1,157.83RVU22C
2022-04-01Not available in this setting$1,157.83RVU22B
2022-01-01Not available in this setting$1,157.83RVU22A
2021-10-01Not available in this setting$1,156.91RVU21D
2021-07-01Not available in this setting$1,156.91RVU21C
2021-04-01Not available in this setting$1,156.91RVU21B
2021-01-01Not available in this setting$1,156.91RVU21A
2020-10-01Not available in this setting$1,196.20RVU20D
2020-07-01Not available in this setting$1,196.20RVU20C
2020-04-01Not available in this setting$1,196.20RVU20B
2020-01-01Not available in this setting$1,196.20RVU20A
2019-10-01Not available in this setting$1,204.89RVU19D
2019-07-01Not available in this setting$1,204.89RVU19C
2019-04-01Not available in this setting$1,204.89RVU19B
2019-01-01Not available in this setting$1,204.89RVU19A
2018-10-01Not available in this setting$1,200.21RVU18D
2018-07-01Not available in this setting$1,200.21RVU18C
2018-04-01Not available in this setting$1,200.21RVU18B
2018-01-01Not available in this setting$1,200.21RVU18AR1
2017-10-01Not available in this setting$1,198.34RVU17D
2017-07-01Not available in this setting$1,198.34RVU17C
2017-04-01Not available in this setting$1,198.34RVU17B
2017-01-01Not available in this setting$1,198.34RVU17A
2016-10-01Not available in this setting$1,197.93RVU16D
2016-07-01Not available in this setting$1,197.93RVU16C
2016-04-01Not available in this setting$1,197.93RVU16B
2016-01-01Not available in this setting$1,197.93RVU16A
2015-10-01Not available in this setting$1,198.31RVU15D
2015-07-01Not available in this setting$1,198.31RVU15C
2015-04-01Not available in this setting$1,192.35RVU15B
2015-01-01Not available in this setting$1,192.35RVU15A
2014-10-01Not available in this setting$1,172.69RVU14D
2014-07-01Not available in this setting$1,172.69RVU14C
2014-04-01Not available in this setting$1,172.69RVU14B
2014-01-01Not available in this setting$1,172.69RVU14A
2013-10-01Not available in this setting$1,157.98RVU13D
2013-07-01Not available in this setting$1,157.98RVU13C
2013-04-01Not available in this setting$1,157.98RVU13B
2013-01-01Not available in this setting$1,157.98RVU13AR

Price 47600 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

47600 billing questions

How is 47600 distinguished from laparoscopic cholecystectomy?

47600 is for open removal through an abdominal incision. For a laparoscopic approach, use the code that matches the laparoscopic work performed.

When should 47605 be considered instead?

Use 47605 when the open gallbladder operation includes cholangiography. The operative report should document that imaging service.

Does 47600 include common-duct exploration?

No. If the surgeon explores the common bile duct, choose the code that represents the documented exploration and any additional duct procedure.

Can modifier 50 be reported?

No. The gallbladder is a single organ, so modifier 50 is not appropriate for this service.

What postoperative care is included?

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

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 47600PPRRVU2026_Oct_nonQPP.csv, line 5,708 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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