CPT code 47741: Biliary bypass, gallbladder to bowel2026 Medicare rate & RVUs in Delaware
Reports a surgical connection between the gallbladder and bowel to provide internal biliary drainage when the operative anatomy supports this bypass.
In Delaware, Medicare pays $1,362.83 for 47741 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 47741 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 47741 covers
The surgeon creates an internal route for bile to pass from the gallbladder into the bowel. This bypass may be considered when normal drainage is blocked and the gallbladder and its drainage pathway can serve as the source for the anastomosis. It is a major abdominal operation, generally performed by a surgeon in an operating-room setting. The operative report should identify the structures joined and the specific construction performed.
Select 47741 from the documented operation, not solely from a diagnosis such as biliary obstruction. The report should support the gallbladder-to-bowel connection and distinguish it from a connection made directly from a bile duct or liver duct. The service has 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 other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single-anatomy 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 Delaware compares for 47741
Across 109 of 109 payment localities, the facility rate for 47741 runs from $1,222.75 in Wisconsin to $1,722.87 in Miami, FL. Delaware pays $1,362.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,362.83
- Los Angeles, CA · California$1,416.90+$54.07
- Washington, DC area · District of Columbia$1,519.85+$157.02
- Miami, FL · Florida$1,722.87+$360.04
- Chicago, IL · Illinois$1,665.18+$302.35
- Manhattan, NY · New York$1,621.25+$258.42
- Alaska · Alaska$1,709.38+$346.55
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,245.11 |
| ArkansasArkansas | — | $1,228.19 |
| ArizonaArizona | — | $1,342.49 |
| Bakersfield, CACalifornia | — | $1,354.41 |
| Chico, CACalifornia | — | $1,337.44 |
| El Centro, CACalifornia | — | $1,338.50 |
| Fresno, CACalifornia | — | $1,337.44 |
| Hanford, CACalifornia | — | $1,337.44 |
| Madera, CACalifornia | — | $1,337.44 |
| Merced, CACalifornia | — | $1,337.44 |
| Modesto, CACalifornia | — | $1,337.44 |
| Napa, CACalifornia | — | $1,453.45 |
| Oxnard, CACalifornia | — | $1,397.63 |
| Redding, CACalifornia | — | $1,337.44 |
| Rest of CaliforniaCalifornia | — | $1,337.44 |
| Riverside, CACalifornia | — | $1,405.04 |
| Sacramento, CACalifornia | — | $1,378.27 |
| Salinas, CACalifornia | — | $1,372.78 |
| San Diego, CACalifornia | — | $1,387.53 |
| Marin County, CACalifornia | — | $1,503.84 |
| San Francisco, CACalifornia | — | $1,496.67 |
| San Benito County, CACalifornia | — | $1,544.23 |
| Santa Clara County, CACalifornia | — | $1,514.94 |
| San Luis Obispo, CACalifornia | — | $1,354.03 |
| Santa Cruz, CACalifornia | — | $1,386.51 |
| Santa Maria, CACalifornia | — | $1,373.12 |
| Santa Rosa, CACalifornia | — | $1,398.61 |
| Stockton, CACalifornia | — | $1,337.44 |
| Vallejo, CACalifornia | — | $1,443.12 |
| Visalia, CACalifornia | — | $1,337.44 |
| Yuba City, CACalifornia | — | $1,337.44 |
| ColoradoColorado | — | $1,372.79 |
| ConnecticutConnecticut | — | $1,474.53 |
| Fort Lauderdale, FLFlorida | — | $1,560.11 |
| Rest of FloridaFlorida | — | $1,473.84 |
| Atlanta, GAGeorgia | — | $1,435.70 |
| Rest of GeorgiaGeorgia | — | $1,383.60 |
| Hawaii, Guam, HIHawaii | — | $1,348.92 |
| IowaIowa | — | $1,224.92 |
| IdahoIdaho | — | $1,242.87 |
| East St. Louis, ILIllinois | — | $1,567.65 |
| Rest of IllinoisIllinois | — | $1,469.90 |
| Suburban Chicago, ILIllinois | — | $1,563.44 |
| IndianaIndiana | — | $1,248.31 |
| KansasKansas | — | $1,243.23 |
| KentuckyKentucky | — | $1,324.07 |
| New Orleans, LALouisiana | — | $1,390.70 |
| Rest of LouisianaLouisiana | — | $1,331.58 |
| Metropolitan Boston, MAMassachusetts | — | $1,468.78 |
| Rest of MassachusettsMassachusetts | — | $1,375.08 |
| Baltimore area, MDMaryland | — | $1,475.53 |
| Rest of MarylandMaryland | — | $1,380.03 |
| Rest of MaineMaine | — | $1,274.27 |
| Southern Maine, MEMaine | — | $1,303.56 |
| Detroit, MIMichigan | — | $1,515.88 |
| Rest of MichiganMichigan | — | $1,378.43 |
| MinnesotaMinnesota | — | $1,247.61 |
| Metropolitan Kansas City, MOMissouri | — | $1,356.42 |
| Metropolitan St. Louis, MOMissouri | — | $1,366.71 |
| Rest of MissouriMissouri | — | $1,326.08 |
| MississippiMississippi | — | $1,276.17 |
| MontanaMontana | — | $1,384.38 |
| North CarolinaNorth Carolina | — | $1,282.87 |
| North DakotaNorth Dakota | — | $1,259.61 |
| NebraskaNebraska | — | $1,224.00 |
| New HampshireNew Hampshire | — | $1,374.27 |
| Northern New JerseyNew Jersey | — | $1,510.52 |
| Rest of New JerseyNew Jersey | — | $1,472.27 |
| New MexicoNew Mexico | — | $1,395.14 |
| NevadaNevada | — | $1,349.99 |
| NYC suburbs and Long Island, NYNew York | — | $1,688.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,501.18 |
| Queens, NYNew York | — | $1,598.62 |
| Rest of New YorkNew York | — | $1,302.92 |
| OhioOhio | — | $1,352.92 |
| OklahomaOklahoma | — | $1,296.52 |
| Portland, OROregon | — | $1,386.28 |
| Rest of OregonOregon | — | $1,320.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,455.48 |
| Rest of PennsylvaniaPennsylvania | — | $1,341.58 |
| Puerto RicoPuerto Rico | — | $1,385.88 |
| Rhode IslandRhode Island | — | $1,389.75 |
| South CarolinaSouth Carolina | — | $1,323.87 |
| South DakotaSouth Dakota | — | $1,244.86 |
| TennesseeTennessee | — | $1,252.11 |
| Austin, TXTexas | — | $1,384.73 |
| Beaumont, TXTexas | — | $1,335.12 |
| Brazoria, TXTexas | — | $1,341.27 |
| Dallas, TXTexas | — | $1,360.42 |
| Fort Worth, TXTexas | — | $1,359.31 |
| Galveston, TXTexas | — | $1,352.16 |
| Houston, TXTexas | — | $1,467.65 |
| Rest of TexasTexas | — | $1,344.68 |
| UtahUtah | — | $1,340.16 |
| VirginiaVirginia | — | $1,316.28 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,385.88 |
| VermontVermont | — | $1,276.83 |
| Rest of WashingtonWashington | — | $1,365.12 |
| King County, WAWashington | — | $1,473.22 |
| WisconsinWisconsin | — | $1,222.75 |
| West VirginiaWest Virginia | — | $1,425.10 |
| WyomingWyoming | — | $1,330.00 |
47741 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 47741 rate is calculated
Each of 47741’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 · 47741
RVUs × geographic indexes × conversion factor
Work23.60
23.60 RVUs× 1.000 GPCI
Practice expense11.55
11.55 RVUs× 1.000 GPCI
Malpractice6.31
6.31 RVUs× 1.000 GPCI
Adjusted RVUs
41.4600
Conversion factor
$33.4009
Medicare rate
$1,384.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,721
- Code
- 47741
- Physician work
- 23.60
- Practice expense
- 11.55
- Malpractice
- 6.31
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.60 | × 1.005 | 23.7180 |
| Practice expense | 11.55 | × 0.988 | 11.4114 |
| Malpractice | 6.31 | × 0.899 | 5.6727 |
| Total RVUs | 40.8021 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1362.83
Facility: (23.6 × 1.005 + 11.55 × 0.988 + 6.31 × 0.899) × $33.4009 = $1362.83
Payment rules and modifiers for 47741
47741 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47741
Biliary bypass, gallbladder to bowel
| 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 · 47741
Biliary bypass, gallbladder to bowel
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
47741 without 51 · national facility
$1,384.80
Biliary bypass, gallbladder to bowel
47741-51 · Second procedure: 50%
$692.40
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 47741 has changed in Delaware
47741 · 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 | $1,362.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,362.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,362.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,362.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,431.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,431.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,431.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,431.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,466.96 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,466.96 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,466.96 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,466.96 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,443.02 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,490.72 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,490.72 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,490.72 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,490.72 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,528.17 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,528.17 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,528.17 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,528.17 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,529.35 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,529.35 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,529.35 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,529.35 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,575.44 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,575.44 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,575.44 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,575.44 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,585.73 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,585.73 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,580.90 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,580.90 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,580.15 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,580.15 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,580.15 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,580.15 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,548.16 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,548.16 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,548.16 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,548.16 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,567.08 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,567.08 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,567.08 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,567.08 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,578.09 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,578.09 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,570.23 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,570.23 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,509.44 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,509.44 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,509.44 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,509.44 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,458.07 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,458.07 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,458.07 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,458.07 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
47741 billing questions
How do I distinguish 47741 from 47760 or 47765?
Follow the anastomosis source documented in the operative report. 47741 concerns a connection from the gallbladder to bowel; 47760 and 47765 concern connections from bile ducts or liver ducts to bowel.
What documentation supports reporting 47741?
The operative report should identify the gallbladder and bowel as the structures joined and describe the construction performed. A diagnosis of obstruction by itself does not establish the procedure.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can 47741 be reported with another procedure in the same session?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. The operative record should support each separately reported procedure.
Which surgical-assistance rules apply?
An assistant at surgery may be paid. Co-surgeons require supporting documentation, and team surgery is not permitted.
Should modifier 50 be used?
No. The single gallbladder-to-bowel anastomosis is not a bilateral procedure, so modifier 50 is inappropriate.
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
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