CPT code 47620: Gallbladder surgery, duct exploration with enteric bypass2026 Medicare rate & RVUs in Montana

Reports gallbladder removal combined with common bile duct exploration and creation of a drainage connection to the intestine.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Montana, Medicare pays $1,282.53 for 47620 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,282.53Hospital or facility

Check a contract rate as a % of Medicare · 47620 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 47620 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 47620 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 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.

How Montana compares for 47620

Across 109 of 109 payment localities, the facility rate for 47620 runs from $1,129.90 in Wisconsin to $1,603.93 in Miami, FL. Montana pays $1,282.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

47620 in Montana vs other payment areas
  1. Montana · this page$1,282.53
  2. Los Angeles, CA · California$1,306.68+$24.15
  3. Washington, DC area · District of Columbia$1,405.07+$122.54
  4. Miami, FL · Florida$1,603.93+$321.40
  5. Chicago, IL · Illinois$1,550.23+$267.70
  6. Manhattan, NY · New York$1,502.40+$219.87
  7. Alaska · Alaska$1,589.73+$307.20

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

Every other payment area

47620 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,154.33
ArkansasArkansas—$1,138.78
ArizonaArizona—$1,243.72
Bakersfield, CACalifornia—$1,250.33
Chico, CACalifornia—$1,234.14
El Centro, CACalifornia—$1,235.15
Fresno, CACalifornia—$1,234.14
Hanford, CACalifornia—$1,234.14

47620 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
47620 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 47620 in every payment locality

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

Office or facility?

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,712

Code
47620
Physician work
22.49
Practice expense
9.90
Malpractice
6.02

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 47620 in Montana
ComponentRVULocality factorAdjusted
Physician work22.49× 1.00022.4900
Practice expense9.90× 1.0009.9000
Malpractice6.02× 0.9986.0080
Total RVUs38.3980
Conversion factor× 33.4009

Facility rate, Montana$1282.53

Facility: (22.49 × 1 + 9.9 × 1 + 6.02 × 0.998) × $33.4009 = $1282.53

Open 47620 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

How 47620 has changed in Montana

47620 · 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$1,282.53RVU26D
2026-07-01Not available in this setting$1,282.53RVU26C
2026-04-01Not available in this setting$1,282.53RVU26B
2026-01-01Not available in this setting$1,282.53RVU26A
2025-10-01Not available in this setting$1,335.28RVU25D
2025-07-01Not available in this setting$1,335.28RVU25C
2025-04-01Not available in this setting$1,335.28RVU25B
2025-01-01Not available in this setting$1,335.28RVU25A
2024-10-01Not available in this setting$1,368.09RVU24D
2024-07-01Not available in this setting$1,368.09RVU24C
2024-04-01Not available in this setting$1,368.09RVU24B
2024-03-09Not available in this setting$1,368.09RVU24AR
2024-01-01Not available in this setting$1,345.76RVU24A
2023-10-01Not available in this setting$1,387.44RVU23D
2023-07-01Not available in this setting$1,387.44RVU23C
2023-04-01Not available in this setting$1,387.44RVU23B
2023-01-01Not available in this setting$1,387.44RVU23A
2022-10-01Not available in this setting$1,418.37RVU22D
2022-07-01Not available in this setting$1,418.37RVU22C
2022-04-01Not available in this setting$1,418.37RVU22B
2022-01-01Not available in this setting$1,418.37RVU22A
2021-10-01Not available in this setting$1,419.47RVU21D
2021-07-01Not available in this setting$1,419.47RVU21C
2021-04-01Not available in this setting$1,419.47RVU21B
2021-01-01Not available in this setting$1,419.47RVU21A
2020-10-01Not available in this setting$1,512.02RVU20D
2020-07-01Not available in this setting$1,512.02RVU20C
2020-04-01Not available in this setting$1,512.02RVU20B
2020-01-01Not available in this setting$1,512.02RVU20A
2019-10-01Not available in this setting$1,570.13RVU19D
2019-07-01Not available in this setting$1,570.13RVU19C
2019-04-01Not available in this setting$1,543.09RVU19B
2019-01-01Not available in this setting$1,543.09RVU19A
2018-10-01Not available in this setting$1,564.39RVU18D
2018-07-01Not available in this setting$1,564.39RVU18C
2018-04-01Not available in this setting$1,564.39RVU18B
2018-01-01Not available in this setting$1,564.39RVU18AR1
2017-10-01Not available in this setting$1,506.48RVU17D
2017-07-01Not available in this setting$1,506.48RVU17C
2017-04-01Not available in this setting$1,506.48RVU17B
2017-01-01Not available in this setting$1,506.48RVU17A
2016-10-01Not available in this setting$1,474.14RVU16D
2016-07-01Not available in this setting$1,474.14RVU16C
2016-04-01Not available in this setting$1,474.14RVU16B
2016-01-01Not available in this setting$1,474.14RVU16A
2015-10-01Not available in this setting$1,479.73RVU15D
2015-07-01Not available in this setting$1,479.73RVU15C
2015-04-01Not available in this setting$1,472.37RVU15B
2015-01-01Not available in this setting$1,472.37RVU15A
2014-10-01Not available in this setting$1,432.87RVU14D
2014-07-01Not available in this setting$1,432.87RVU14C
2014-04-01Not available in this setting$1,432.87RVU14B
2014-01-01Not available in this setting$1,432.87RVU14A
2013-10-01Not available in this setting$1,401.71RVU13D
2013-07-01Not available in this setting$1,401.71RVU13C
2013-04-01Not available in this setting$1,401.71RVU13B
2013-01-01Not available in this setting$1,401.71RVU13AR

Price 47620 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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

Show the CMS file lines behind this rate
RVUs for 47620PPRRVU2026_Oct_nonQPP.csv, line 5,712 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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