CPT code 47740: Biliary bypass, gallbladder to intestine2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,147.55 for 47740 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 47740 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 47740 covers

The surgeon creates an anastomosis between the gallbladder and intestine so bile can drain around an obstruction. This may be considered when the gallbladder can serve as the drainage conduit, such as in selected patients with distal biliary obstruction. The operation is generally performed by a general or hepatobiliary surgeon in a hospital operating room. The operative report should identify the structures joined and describe the reconstruction performed.

Choose this code from the documented operative configuration, not merely from the diagnosis or the fact that bile drainage was restored. Distinguish it from procedures joining the bile duct or hepatic ducts directly to bowel, and review related gallbladder-to-bowel codes against the full operative details. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be allowed; 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 North Carolina compares for 47740

Across 109 of 109 payment localities, the facility rate for 47740 runs from $1,095.47 in Wisconsin to $1,535.78 in Miami, FL. North Carolina pays $1,147.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

47740 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 47740 in every payment locality

How the 47740 rate is calculated

Each of 47740’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.

Payment rules and modifiers for 47740

47740 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 47740

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 47740 has changed in North Carolina

Price 47740 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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

Open CMS sourceHow we calculate rates