CPT code 47605: Cholecystectomy, with cholangiography2026 Medicare rate & RVUs in Virgin Islands, VI
Reports open gallbladder removal with intraoperative cholangiography, commonly performed to assess the bile ducts during surgery for gallbladder disease.
In Virgin Islands, VI, Medicare pays $1,062.49 for 47605 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 47605 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 47605 covers
A surgeon uses this code for open removal of the gallbladder combined with intraoperative cholangiography, in which contrast is introduced into the biliary system and images are obtained to assess the ducts. It is commonly performed in a hospital operating room for gallbladder disease, including when the surgeon wants to evaluate the bile ducts during the operation.
Report 47605 when the operative service includes both open cholecystectomy and cholangiography; open removal without cholangiography is represented by a different code. The operative report should support the approach, gallbladder removal, and performance of the cholangiographic study. CMS 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. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single-organ procedure.
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 Virgin Islands, VI compares for 47605
Across 109 of 109 payment localities, the facility rate for 47605 runs from $941.01 in Wisconsin to $1,312.29 in Alaska. Virgin Islands, VI pays $1,062.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virgin Islands, VI · this page$1,062.49
- Los Angeles, CA · California$1,089.48+$26.99
- Washington, DC area · District of Columbia$1,165.67+$103.18
- Miami, FL · Florida$1,311.93+$249.44
- Chicago, IL · Illinois$1,268.78+$206.29
- Manhattan, NY · New York$1,240.45+$177.96
- Alaska · Alaska$1,312.29+$249.80
Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $955.94 |
| ArkansasArkansas | — | $943.13 |
| ArizonaArizona | — | $1,029.64 |
| Bakersfield, CACalifornia | — | $1,041.24 |
| Chico, CACalifornia | — | $1,028.67 |
| El Centro, CACalifornia | — | $1,029.45 |
| Fresno, CACalifornia | — | $1,028.67 |
| Hanford, CACalifornia | — | $1,028.67 |
| Madera, CACalifornia | — | $1,028.67 |
| Merced, CACalifornia | — | $1,028.67 |
| Modesto, CACalifornia | — | $1,028.67 |
| Napa, CACalifornia | — | $1,119.48 |
| Oxnard, CACalifornia | — | $1,074.97 |
| Redding, CACalifornia | — | $1,028.67 |
| Rest of CaliforniaCalifornia | — | $1,028.67 |
| Riverside, CACalifornia | — | $1,078.61 |
| Sacramento, CACalifornia | — | $1,060.47 |
| Salinas, CACalifornia | — | $1,056.25 |
| San Diego, CACalifornia | — | $1,067.82 |
| Marin County, CACalifornia | — | $1,159.07 |
| San Francisco, CACalifornia | — | $1,153.78 |
| San Benito County, CACalifornia | — | $1,189.81 |
| Santa Clara County, CACalifornia | — | $1,168.18 |
| San Luis Obispo, CACalifornia | — | $1,041.74 |
| Santa Cruz, CACalifornia | — | $1,067.25 |
| Santa Maria, CACalifornia | — | $1,056.57 |
| Santa Rosa, CACalifornia | — | $1,076.62 |
| Stockton, CACalifornia | — | $1,028.67 |
| Vallejo, CACalifornia | — | $1,111.85 |
| Visalia, CACalifornia | — | $1,028.67 |
| Yuba City, CACalifornia | — | $1,028.67 |
| ColoradoColorado | — | $1,054.07 |
| ConnecticutConnecticut | — | $1,129.61 |
| DelawareDelaware | — | $1,045.12 |
| Fort Lauderdale, FLFlorida | — | $1,191.20 |
| Rest of FloridaFlorida | — | $1,126.40 |
| Atlanta, GAGeorgia | — | $1,099.43 |
| Rest of GeorgiaGeorgia | — | $1,058.54 |
| Hawaii, Guam, HIHawaii | — | $1,037.59 |
| IowaIowa | — | $941.79 |
| IdahoIdaho | — | $955.14 |
| East St. Louis, ILIllinois | — | $1,194.99 |
| Rest of IllinoisIllinois | — | $1,122.67 |
| Suburban Chicago, ILIllinois | — | $1,194.06 |
| IndianaIndiana | — | $959.29 |
| KansasKansas | — | $955.10 |
| KentuckyKentucky | — | $1,014.51 |
| New Orleans, LALouisiana | — | $1,064.72 |
| Rest of LouisianaLouisiana | — | $1,019.99 |
| Metropolitan Boston, MAMassachusetts | — | $1,128.00 |
| Rest of MassachusettsMassachusetts | — | $1,055.62 |
| Baltimore area, MDMaryland | — | $1,130.19 |
| Rest of MarylandMaryland | — | $1,058.38 |
| Rest of MaineMaine | — | $978.33 |
| Southern Maine, MEMaine | — | $1,001.31 |
| Detroit, MIMichigan | — | $1,157.62 |
| Rest of MichiganMichigan | — | $1,055.12 |
| MinnesotaMinnesota | — | $960.72 |
| Metropolitan Kansas City, MOMissouri | — | $1,039.36 |
| Metropolitan St. Louis, MOMissouri | — | $1,047.20 |
| Rest of MissouriMissouri | — | $1,015.49 |
| MississippiMississippi | — | $978.61 |
| MontanaMontana | — | $1,061.17 |
| North CarolinaNorth Carolina | — | $984.93 |
| North DakotaNorth Dakota | — | $969.03 |
| NebraskaNebraska | — | $941.26 |
| New HampshireNew Hampshire | — | $1,054.49 |
| Northern New JerseyNew Jersey | — | $1,158.62 |
| Rest of New JerseyNew Jersey | — | $1,128.62 |
| New MexicoNew Mexico | — | $1,067.54 |
| NevadaNevada | — | $1,035.79 |
| NYC suburbs and Long Island, NYNew York | — | $1,290.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,150.13 |
| Queens, NYNew York | — | $1,224.12 |
| Rest of New YorkNew York | — | $1,000.06 |
| OhioOhio | — | $1,036.28 |
| OklahomaOklahoma | — | $994.25 |
| Portland, OROregon | — | $1,065.00 |
| Rest of OregonOregon | — | $1,014.04 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,114.82 |
| Rest of PennsylvaniaPennsylvania | — | $1,028.00 |
| Puerto RicoPuerto Rico | — | $1,062.49 |
| Rhode IslandRhode Island | — | $1,066.14 |
| South CarolinaSouth Carolina | — | $1,015.03 |
| South DakotaSouth Dakota | — | $958.13 |
| TennesseeTennessee | — | $961.76 |
| Austin, TXTexas | — | $1,062.57 |
| Beaumont, TXTexas | — | $1,023.07 |
| Brazoria, TXTexas | — | $1,029.32 |
| Dallas, TXTexas | — | $1,043.58 |
| Fort Worth, TXTexas | — | $1,042.56 |
| Galveston, TXTexas | — | $1,037.40 |
| Houston, TXTexas | — | $1,122.69 |
| Rest of TexasTexas | — | $1,030.88 |
| UtahUtah | — | $1,027.37 |
| VirginiaVirginia | — | $1,010.55 |
| VermontVermont | — | $981.55 |
| Rest of WashingtonWashington | — | $1,048.21 |
| King County, WAWashington | — | $1,132.09 |
| WisconsinWisconsin | — | $941.01 |
| West VirginiaWest Virginia | — | $1,088.75 |
| WyomingWyoming | — | $1,021.01 |
47605 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 47605 rate is calculated
Each of 47605’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 · 47605
RVUs × geographic indexes × conversion factor
Work18.02
18.02 RVUs× 1.000 GPCI
Practice expense9.10
9.10 RVUs× 1.000 GPCI
Malpractice4.66
4.66 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 Virgin Islands, VI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,709
- Code
- 47605
- Physician work
- 18.02
- Practice expense
- 9.10
- Malpractice
- 4.66
GPCI2026.csv
107
- Locality
- Virgin Islands, VI
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.02 | × 1.000 | 18.0200 |
| Practice expense | 9.10 | × 1.011 | 9.2001 |
| Malpractice | 4.66 | × 0.985 | 4.5901 |
| Total RVUs | 31.8102 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virgin Islands, VI$1062.49
Facility: (18.02 × 1 + 9.1 × 1.011 + 4.66 × 0.985) × $33.4009 = $1062.49
Payment rules and modifiers for 47605
47605 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47605
Cholecystectomy, with 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 · 47605
Cholecystectomy, with 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
47605 without 51 · national facility
$1,061.48
Cholecystectomy, with cholangiography
47605-51 · 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%).
How 47605 has changed in Virgin Islands, VI
47605 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,062.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,062.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,062.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,062.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,101.86 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,101.86 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,101.86 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,101.86 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,127.17 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,127.17 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,127.17 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,127.17 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,108.78 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,143.46 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,143.02 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,143.02 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,143.02 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,166.96 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,166.96 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,166.96 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,166.96 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,164.44 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,164.44 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,164.44 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,164.44 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,184.70 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,184.70 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,184.70 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,184.70 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,175.76 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,175.76 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,175.76 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,175.76 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,171.96 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,171.96 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,171.96 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,171.96 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,168.46 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,168.46 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,168.46 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,168.46 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,152.31 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,152.31 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,152.31 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,152.31 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,152.24 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,152.24 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,146.51 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,146.51 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,147.77 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,147.77 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,147.77 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,147.77 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,133.34 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,133.34 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,133.34 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,133.34 | RVU13AR |
Where the Virgin Islands, VI rate applies
Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.
- Charlotte Amalie
- Charlotte Amalie East
- Charlotte Amalie West
- Christiansted
- Coral Bay
- Cruz Bay
- Frederiksted
- Frederiksted Southeast
47605 billing questions
How does 47605 differ from 47600?
47605 includes intraoperative cholangiography with open gallbladder removal. Use 47600 for open removal without the cholangiographic study.
Can 47605 be used for laparoscopic surgery?
No. For laparoscopic gallbladder removal with intraoperative cholangiography, the corresponding code is 47563.
What documentation supports reporting 47605?
The operative report should identify the open approach and document both gallbladder removal and the intraoperative cholangiographic study.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the others.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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
Fee sheets · Coming soon
Put 47605 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist