No office rate
47600 describes cholecystectomy alone. Choose 47620 when the surgeon also explores the common duct and creates a choledochoenterostomy.
On this page
CMS RVU26D · Effective 2026-10-01
47620 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1280.69
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Hepatobiliary surgery
About 47620: Cholecystectomy with duct exploration and bypass
Reports gallbladder removal combined with common bile duct exploration and creation of a drainage connection to the intestine.
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.
CMS billing rules for 47620
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU22.49 · 59%
- Practice expense (office) RVU9.90 · 26%
- Malpractice RVU6.02 · 16%
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.
47620 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
47605 adds cholangiography to cholecystectomy. It does not describe the duct exploration and enteric bypass combination reported with 47620.
No office rate
47610 includes common duct exploration with cholecystectomy. 47620 additionally requires a choledochoenterostomy.
No office rate
47612 describes duct exploration with cholecystectomy and cholangiography. 47620 is distinguished by the choledochoenterostomy.
The same code, a different location
How does Austin compare?
47620 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 47620
Office
Unavailable
Facility
$1246.56
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 47620
Office
Unavailable
Facility
$1306.68
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47620
Office
Unavailable
Facility
$1405.07
No comparable office rate is available.
Miami
Florida · 47620
Office
Unavailable
Facility
$1603.93
No comparable office rate is available.
Chicago
Illinois · 47620
Office
Unavailable
Facility
$1550.23
No comparable office rate is available.
Manhattan
New York · 47620
Office
Unavailable
Facility
$1502.40
No comparable office rate is available.
Alaska*
Alaska · 47620
Office
Unavailable
Facility
$1589.73
No comparable office rate is available.
Alabama
Alabama · 47620
Office
Unavailable
Facility
$1154.33
No comparable office rate is available.
Arkansas
Arkansas · 47620
Office
Unavailable
Facility
$1138.78
No comparable office rate is available.
Arizona
Arizona · 47620
Office
Unavailable
Facility
$1243.72
No comparable office rate is available.
Bakersfield
California · 47620
Office
Unavailable
Facility
$1250.33
No comparable office rate is available.
Chico
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
El Centro
California · 47620
Office
Unavailable
Facility
$1235.15
No comparable office rate is available.
Fresno
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Hanford-Corcoran
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Madera
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Merced
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Modesto
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Napa
California · 47620
Office
Unavailable
Facility
$1336.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47620
Office
Unavailable
Facility
$1288.34
No comparable office rate is available.
Redding
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Rest Of California
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47620
Office
Unavailable
Facility
$1298.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47620
Office
Unavailable
Facility
$1270.57
No comparable office rate is available.
Salinas
California · 47620
Office
Unavailable
Facility
$1265.49
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47620
Office
Unavailable
Facility
$1278.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47620
Office
Unavailable
Facility
$1381.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47620
Office
Unavailable
Facility
$1374.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47620
Office
Unavailable
Facility
$1418.42
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47620
Office
Unavailable
Facility
$1390.47
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47620
Office
Unavailable
Facility
$1248.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47620
Office
Unavailable
Facility
$1276.50
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47620
Office
Unavailable
Facility
$1265.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47620
Office
Unavailable
Facility
$1287.56
No comparable office rate is available.
Stockton
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Vallejo
California · 47620
Office
Unavailable
Facility
$1326.63
No comparable office rate is available.
Visalia
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Yuba City
California · 47620
Office
Unavailable
Facility
$1234.14
No comparable office rate is available.
Colorado
Colorado · 47620
Office
Unavailable
Facility
$1269.07
No comparable office rate is available.
Connecticut
Connecticut · 47620
Office
Unavailable
Facility
$1365.64
No comparable office rate is available.
Delaware
Delaware · 47620
Office
Unavailable
Facility
$1262.41
No comparable office rate is available.
Fort Lauderdale
Florida · 47620
Office
Unavailable
Facility
$1449.69
No comparable office rate is available.
Rest Of Florida
Florida · 47620
Office
Unavailable
Facility
$1369.52
No comparable office rate is available.
Atlanta
Georgia · 47620
Office
Unavailable
Facility
$1330.89
No comparable office rate is available.
Rest Of Georgia
Georgia · 47620
Office
Unavailable
Facility
$1285.82
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47620
Office
Unavailable
Facility
$1243.58
No comparable office rate is available.
Iowa
Iowa · 47620
Office
Unavailable
Facility
$1133.57
No comparable office rate is available.
Idaho
Idaho · 47620
Office
Unavailable
Facility
$1150.51
No comparable office rate is available.
East St. Louis
Illinois · 47620
Office
Unavailable
Facility
$1460.36
No comparable office rate is available.
Rest Of Illinois
Illinois · 47620
Office
Unavailable
Facility
$1367.36
No comparable office rate is available.
Suburban Chicago
Illinois · 47620
Office
Unavailable
Facility
$1452.34
No comparable office rate is available.
Indiana
Indiana · 47620
Office
Unavailable
Facility
$1155.44
No comparable office rate is available.
Kansas
Kansas · 47620
Office
Unavailable
Facility
$1151.45
No comparable office rate is available.
Kentucky
Kentucky · 47620
Office
Unavailable
Facility
$1229.13
No comparable office rate is available.
New Orleans
Louisiana · 47620
Office
Unavailable
Facility
$1290.77
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47620
Office
Unavailable
Facility
$1236.46
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47620
Office
Unavailable
Facility
$1355.76
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47620
Office
Unavailable
Facility
$1271.66
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47620
Office
Unavailable
Facility
$1366.74
No comparable office rate is available.
Rest Of Maryland
Maryland · 47620
Office
Unavailable
Facility
$1277.92
No comparable office rate is available.
Rest Of Maine
Maine · 47620
Office
Unavailable
Facility
$1180.47
No comparable office rate is available.
Southern Maine
Maine · 47620
Office
Unavailable
Facility
$1205.76
No comparable office rate is available.
Detroit
Michigan · 47620
Office
Unavailable
Facility
$1409.29
No comparable office rate is available.
Rest Of Michigan
Michigan · 47620
Office
Unavailable
Facility
$1280.10
No comparable office rate is available.
Minnesota
Minnesota · 47620
Office
Unavailable
Facility
$1150.96
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47620
Office
Unavailable
Facility
$1258.13
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47620
Office
Unavailable
Facility
$1267.46
No comparable office rate is available.
Rest Of Missouri
Missouri · 47620
Office
Unavailable
Facility
$1232.07
No comparable office rate is available.
Mississippi
Mississippi · 47620
Office
Unavailable
Facility
$1184.49
No comparable office rate is available.
Montana**
Montana · 47620
Office
Unavailable
Facility
$1282.53
No comparable office rate is available.
North Carolina
North Carolina · 47620
Office
Unavailable
Facility
$1188.19
No comparable office rate is available.
North Dakota**
North Dakota · 47620
Office
Unavailable
Facility
$1163.49
No comparable office rate is available.
Nebraska
Nebraska · 47620
Office
Unavailable
Facility
$1132.40
No comparable office rate is available.
New Hampshire
New Hampshire · 47620
Office
Unavailable
Facility
$1271.35
No comparable office rate is available.
Northern Nj
New Jersey · 47620
Office
Unavailable
Facility
$1396.83
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47620
Office
Unavailable
Facility
$1362.90
No comparable office rate is available.
New Mexico
New Mexico · 47620
Office
Unavailable
Facility
$1295.90
No comparable office rate is available.
Nevada**
Nevada · 47620
Office
Unavailable
Facility
$1249.68
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47620
Office
Unavailable
Facility
$1565.82
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47620
Office
Unavailable
Facility
$1390.37
No comparable office rate is available.
Queens
New York · 47620
Office
Unavailable
Facility
$1480.06
No comparable office rate is available.
Rest Of New York
New York · 47620
Office
Unavailable
Facility
$1206.68
No comparable office rate is available.
Ohio
Ohio · 47620
Office
Unavailable
Facility
$1255.77
No comparable office rate is available.
Oklahoma
Oklahoma · 47620
Office
Unavailable
Facility
$1202.71
No comparable office rate is available.
Portland
Oregon · 47620
Office
Unavailable
Facility
$1280.18
No comparable office rate is available.
Rest Of Oregon
Oregon · 47620
Office
Unavailable
Facility
$1221.89
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47620
Office
Unavailable
Facility
$1348.81
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47620
Office
Unavailable
Facility
$1244.75
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47620
Office
Unavailable
Facility
$1283.55
No comparable office rate is available.
Rhode Island
Rhode Island · 47620
Office
Unavailable
Facility
$1286.40
No comparable office rate is available.
South Carolina
South Carolina · 47620
Office
Unavailable
Facility
$1227.64
No comparable office rate is available.
South Dakota**
South Dakota · 47620
Office
Unavailable
Facility
$1149.42
No comparable office rate is available.
Tennessee
Tennessee · 47620
Office
Unavailable
Facility
$1159.74
No comparable office rate is available.
Utah
Utah · 47620
Office
Unavailable
Facility
$1242.58
No comparable office rate is available.
Virginia
Virginia · 47620
Office
Unavailable
Facility
$1218.19
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47620
Office
Unavailable
Facility
$1283.55
No comparable office rate is available.
Vermont
Vermont · 47620
Office
Unavailable
Facility
$1180.29
No comparable office rate is available.
Rest Of Washington
Washington · 47620
Office
Unavailable
Facility
$1262.16
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47620
Office
Unavailable
Facility
$1358.75
No comparable office rate is available.
Wisconsin
Wisconsin · 47620
Office
Unavailable
Facility
$1129.90
No comparable office rate is available.
West Virginia
West Virginia · 47620
Office
Unavailable
Facility
$1326.27
No comparable office rate is available.
Wyoming**
Wyoming · 47620
Office
Unavailable
Facility
$1230.65
No comparable office rate is available.
See how rates vary across the country
47620 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 47620 in Austin
Multiple payment areas
- 47620 in Barton Creek
- 47620 in Bee Cave
- 47620 in Briarcliff
- 47620 in Cedar Park
Multiple payment areas
- 47620 in Creedmoor
Multiple payment areas
- 47620 in Elgin
Multiple payment areas
- 47620 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 47620 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1408.76
$1280.69 × 110% = $1408.76
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 47620 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,712
- Code
- 47620
- Physician work
- 22.49
- Practice expense
- 9.90
- Malpractice
- 6.02
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.49 | × 1.002 | 22.5350 |
| Practice expense | 9.90 | × 1.058 | 10.4742 |
| Malpractice | 6.02 | × 0.886 | 5.3337 |
| Total RVUs | 38.3429 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$1280.69
Open 47620 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.49 | 1.002 |
| Practice expense | 9.9 | 1.058 |
| Malpractice | 6.02 | 0.886 |
(22.49 × 1.002 + 9.9 × 1.058 + 6.02 × 0.886) × $33.4009 = $1280.69
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
47620 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1280.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $1280.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $1280.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $1280.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $1341.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $1341.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $1341.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $1341.65 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,70947605,,Cholecystectomy w/cholang,A,,18.02,9.10,NA,9.10,,4.66,31.78,31.78,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71047610,,Removal of gallbladder,A,,20.40,9.44,NA,9.44,,5.30,35.14,35.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71147612,,Removal of gallbladder,A,,20.68,9.46,NA,9.46,,5.53,35.67,35.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71247620,,Removal of gallbladder,A,,22.49,9.90,NA,9.90,,6.02,38.41,38.41,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71347700,,Exploration of bile ducts,A,,16.09,9.80,NA,9.80,,4.30,30.19,30.19,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71447701,,Bile duct revision,A,,28.01,13.02,NA,13.02,,7.48,48.51,48.51,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71547711,,Excision of bile duct tumor,A,,25.25,11.75,NA,11.75,,6.33,43.33,43.33,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858