CPT code 47715: Bile duct surgery, cyst excision2026 Medicare rate & RVUs in Florida
Reports operative removal of a bile duct cyst, commonly a choledochal cyst, when the surgeon documents excision of the cyst rather than exploration alone.
CMS doesn’t publish an office rate for 47715 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.
Your location
On this page 9 sections
What 47715 covers
This code is for an operation to remove a cyst arising from the bile duct, including a choledochal cyst. A general or hepatobiliary surgeon typically performs the procedure in an operating room, often for a cystic bile duct abnormality requiring definitive treatment. The operative report should identify the cyst, its location and extent, and the work performed to remove it. It should also describe any reconstruction of bile drainage performed as part of the operation.
Report the code when the documented service is excision of a bile duct cyst, not merely inspection of the ducts or removal of a bile duct tumor. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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% multiple procedure 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 47715 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 | $1,410.01 |
| Miami, FL | Unavailable | $1,555.33 |
| Rest of Florida | Unavailable | $1,332.07 |
How the 47715 rate is calculated
Each of 47715’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 · 47715
RVUs × geographic indexes × conversion factor
Work21.01
21.01 RVUs× 1.000 GPCI
Practice expense10.92
10.92 RVUs× 1.000 GPCI
Malpractice5.61
5.61 RVUs× 1.000 GPCI
Adjusted RVUs
37.5400
Conversion factor
$33.4009
Medicare rate
$1,253.87
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47715
47715 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47715
Bile duct surgery, cyst excision
| 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 · 47715
Bile duct surgery, cyst excision
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
47715 without 51 · national facility
$1,253.87
Bile duct surgery, cyst excision
47715-51 · Second procedure: 50%
$626.94
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%).
47715 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 47700Bile duct exploration
- 47700 describes exploration of the bile ducts. Choose 47715 when the operation includes removal of a bile duct cyst.
- 47711Bile duct excisionTumor, primary repair
- 47711 is for excision of a bile duct tumor, not a cyst. Base code selection on the lesion documented in the operative report.
- 47712Bile duct excisionIntrahepatic tumor
- 47712 also describes bile duct tumor excision. It is not the cyst-excision code; distinguish the services by the documented lesion and operative work.
47715 billing questions
When should this code be chosen over bile duct exploration?
Use this code when the surgeon removes a bile duct cyst. Exploration alone, without cyst excision, is a different service.
How does cyst excision differ from bile duct tumor excision?
The operative diagnosis and findings distinguish a cystic lesion from a bile duct tumor. The tumor excision codes are not substitutes when the documented lesion is a cyst.
Should modifier 50 be appended?
No. The CMS payment rule identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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 47715 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist