CPT code 47600: Gallbladder removal, open, without cholangiography2026 Medicare rate & RVUs in Missouri
Reports open removal of the gallbladder without cholangiography, commonly for symptomatic gallstones or gallbladder inflammation when an open approach is performed.
CMS doesn’t publish an office rate for 47600 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 47600 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $988.98 |
| Metropolitan St. Louis, MO | Unavailable | $996.46 |
| Rest of Missouri | Unavailable | $965.76 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share 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.
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%).
47600 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 47605CholecystectomyWith cholangiography
- Both describe open gallbladder removal, but 47605 includes cholangiography. Use 47600 when that imaging is not performed.
- 47610Gallbladder surgeryCommon duct exploration
- 47610 includes common-duct exploration in addition to gallbladder removal. Use 47600 when the documented operation does not include duct exploration.
- 47562Laparoscopic cholecystectomyWithout cholangiography or exploration
- 47562 describes a laparoscopic approach without cholangiography; 47600 describes an open approach without cholangiography.
- 47563Laparoscopic cholecystectomyWith cholangiography
- 47563 is the laparoscopic option when cholangiography is performed. For an open operation with cholangiography, compare 47605.
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
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