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Billing code 47712: Bile duct excisionMedicare rate & RVUs

Reports operative removal of a tumor involving bile ducts within the liver, with the intrahepatic location distinguishing it from extrahepatic bile duct tumor excision.

CMS RVU26DEffective Oct 1, 2026109 payment localities48 Medicare services in 2024

Medicare pays $1,853.08 for 47712 nationally in a facility.

Medicare rate · 47712

Bile duct excision

Swap in your local Medicare rate.

Work RVUs
32.88
Total RVUs
55.48
Global days
090

National rate · 2026

$1,853.08

Facility setting, before claim adjustments.

See every locality for 47712 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 47712 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 47712 covers

This code describes surgery to remove a tumor arising in bile ducts within the liver. A hepatobiliary or general surgeon typically performs the procedure in an operating room, often in a hospital setting, when the operative plan includes excision of the intrahepatic duct tumor. The operative report should identify the tumor’s location and describe the ductal tissue removed.

Select this code for an intrahepatic tumor, rather than the extrahepatic tumor service represented by 47711. Documentation should establish the intrahepatic site and the excision performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 47712 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47712 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,667.90
Alaska*Unavailable$2,300.18
ArizonaUnavailable$1,796.47
ArkansasUnavailable$1,645.54
AtlantaUnavailable$1,922.83
AustinUnavailable$1,848.50
BakersfieldUnavailable$1,803.27
Baltimore/Surr. CntysUnavailable$1,973.96
BeaumontUnavailable$1,790.73
BrazoriaUnavailable$1,793.06

47712 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
47712 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

How the 47712 rate is calculated

Each of 47712’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 · 47712

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 32.88Practice expense 13.80Malpractice 8.80

55.4800 adjusted RVUs×$33.4009 conversion factor=$1,853.08

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 47712

47712 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47712

Bile duct excision

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 · 47712

Bile duct 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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

47712 without 51 · national facility

$1,853.08

Bile duct excision

47712-51 · Second procedure: 50%

$926.54

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

47712 compared with similar codes

Compare codes

47712 vs 47711 vs 47715 vs 47700 vs 47701: national Medicare rates

Swap in your local Medicare rate.

  • 47712
    Bile duct excision · 32.88 wRVU
    —
  • 47711
    Bile duct excision · 25.25 wRVU
    —
  • 47715
    Bile duct surgery · 21.01 wRVU
    —
  • 47700
    Bile duct exploration · 16.09 wRVU
    —
  • 47701
    Bile duct revision · 28.01 wRVU
    —

How to choose

47711Bile duct excision
Use 47712 for a tumor involving bile ducts within the liver; 47711 describes excision of an extrahepatic bile duct tumor.
47715Bile duct surgery
47715 is for bile duct cyst excision. Choose 47712 when the treated lesion is a tumor involving intrahepatic ducts.
47700Bile duct exploration
47700 describes bile duct exploration. It is not the tumor-excision service when the operation removes an intrahepatic duct tumor.
47701Bile duct revision
47701 describes bile duct revision, not removal of an intrahepatic bile duct tumor.

Codes related to 47712

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

Codes related to 47712
CodeHow it relatesNational office range
Same family
47711Bile duct excisionCorresponding bile duct tumor excision service for an extrahepatic tumor.No office rate
Used instead
47715Bile duct surgeryFor excision of a bile duct cyst rather than a bile duct tumor.No office rate
47700Bile duct explorationExploration of bile ducts when exploration, rather than tumor excision, is performed.No office rate

47712 billing questions

How does 47712 differ from 47711?

47712 is for tumor excision involving bile ducts within the liver. 47711 is the corresponding service for an extrahepatic bile duct tumor.

Can modifier 50 be reported?

No. The anatomy and service descriptor make modifier 50 inappropriate for this procedure.

What documentation supports 47712?

The operative report should identify the tumor as involving intrahepatic bile ducts and describe the excision performed. A diagnosis alone does not establish which ductal site was treated.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care for 90 days are included in the global period. The code does not represent a separate postoperative visit during that period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and 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 47712PPRRVU2026_Oct_nonQPP.csv, line 5,716 (RVU26D)

Open CMS sourceHow we calculate rates

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