CPT code 47620: Gallbladder surgery, duct exploration with enteric bypass2026 Medicare rate & RVUs in Florida
Reports gallbladder removal combined with common bile duct exploration and creation of a drainage connection to the intestine.
CMS doesn’t publish an office rate for 47620 in Florida.
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 47620 covers
This open operation removes the gallbladder, explores the common bile duct, and creates a connection between the bile duct and intestine to provide drainage. General or hepatobiliary surgeons may perform it for complex biliary disease, such as duct obstruction or a stricture requiring a bypass, in a hospital operating room. The operative report should establish that all three parts of the procedure were performed; gallbladder removal or duct exploration alone does not describe this service.
Report the combined procedure when the documented work includes cholecystectomy, common duct exploration, and choledochoenterostomy. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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. Assistant-at-surgery payment may be available; 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.
Where 47620 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $1,449.69 |
| Miami, FL | Unavailable | $1,603.93 |
| Rest of Florida | Unavailable | $1,369.52 |
How the 47620 rate is calculated
Each of 47620’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 · 47620
RVUs × geographic indexes × conversion factor
Work22.49
22.49 RVUs× 1.000 GPCI
Practice expense9.90
9.90 RVUs× 1.000 GPCI
Malpractice6.02
6.02 RVUs× 1.000 GPCI
Adjusted RVUs
38.4100
Conversion factor
$33.4009
Medicare rate
$1,282.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47620
47620 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47620
Gallbladder surgery, duct exploration with enteric bypass
| 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 · 47620
Gallbladder surgery, duct exploration with enteric bypass
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
47620 without 51 · national facility
$1,282.93
Gallbladder surgery, duct exploration with enteric bypass
47620-51 · Second procedure: 50%
$641.47
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%).
47620 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 47600Gallbladder removalOpen, without cholangiography
- 47600 describes cholecystectomy alone. Choose 47620 when the surgeon also explores the common duct and creates a choledochoenterostomy.
- 47605CholecystectomyWith cholangiography
- 47605 adds cholangiography to cholecystectomy. It does not describe the duct exploration and enteric bypass combination reported with 47620.
- 47610Gallbladder surgeryCommon duct exploration
- 47610 includes common duct exploration with cholecystectomy. 47620 additionally requires a choledochoenterostomy.
- 47612Gallbladder surgeryWith duct exploration and reconstruction
- 47612 describes duct exploration with cholecystectomy and cholangiography. 47620 is distinguished by the choledochoenterostomy.
47620 billing questions
When is 47620 appropriate instead of 47610?
Use 47620 when the operation includes a choledochoenterostomy in addition to gallbladder removal and common duct exploration. 47610 describes duct exploration with cholecystectomy without that bypass.
Does this code include gallbladder removal and duct exploration?
Yes. The reported service combines cholecystectomy, exploration of the common bile duct, and a choledochoenterostomy; the operative report should document each part.
Should modifier 50 be appended?
No. Bilateral adjustment is inappropriate for this code and the anatomy described.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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
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