No office rate
Use 47562 for laparoscopic gallbladder removal without cholangiography; 47563 includes cholangiography performed during the operation.
On this page
CMS RVU26D · Effective 2026-10-01
47563 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$658.26
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.
General surgery
About 47563: Laparoscopic cholecystectomy with cholangiography
Reports laparoscopic gallbladder removal with intraoperative cholangiography, commonly used to assess biliary anatomy or check for common bile duct stones.
A surgeon removes the gallbladder through laparoscopic ports and performs cholangiography during the operation, commonly by introducing contrast through the cystic duct to image the biliary tree. This approach is used for conditions such as symptomatic gallstones or cholecystitis when the surgeon also evaluates duct anatomy or possible common bile duct stones. The procedure is typically performed in a hospital operating room or ambulatory surgery center.
Report 47563 when the laparoscopic gallbladder removal includes cholangiography; use 47562 when cholangiography is not performed. Documentation should support the laparoscopic approach, gallbladder removal, and the cholangiographic study. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this single-gallbladder procedure. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 47563
- 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 RVU11.18 · 55%
- Practice expense (office) RVU6.37 · 31%
- Malpractice RVU2.94 · 14%
36.5K
Medicare services in 2024 · #904 by national volume
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.
47563 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
Use 47564 when the laparoscopic operation includes common bile duct exploration. Cholangiography with gallbladder removal, without that exploration, is reported with 47563.
47579
No office rateUnlisted laps px biliary trc
47579 is an unlisted code for a laparoscopic biliary procedure not represented by a specific code. Use 47563 when the documented service is laparoscopic gallbladder removal with cholangiography.
The same code, a different location
How does Beaumont compare?
47563 across payment areas
Same release and payment basis · bars start at $0
Beaumont · 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 · 47563
Office
Unavailable
Facility
$664.01
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 47563
Office
Unavailable
Facility
$705.64
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47563
Office
Unavailable
Facility
$753.52
No comparable office rate is available.
Miami
Florida · 47563
Office
Unavailable
Facility
$843.25
No comparable office rate is available.
Chicago
Illinois · 47563
Office
Unavailable
Facility
$815.23
No comparable office rate is available.
Manhattan
New York · 47563
Office
Unavailable
Facility
$800.30
No comparable office rate is available.
Alaska*
Alaska · 47563
Office
Unavailable
Facility
$840.83
No comparable office rate is available.
Alabama
Alabama · 47563
Office
Unavailable
Facility
$615.17
No comparable office rate is available.
Arkansas
Arkansas · 47563
Office
Unavailable
Facility
$606.76
No comparable office rate is available.
Arizona
Arizona · 47563
Office
Unavailable
Facility
$663.65
No comparable office rate is available.
Bakersfield
California · 47563
Office
Unavailable
Facility
$673.51
No comparable office rate is available.
Chico
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
El Centro
California · 47563
Office
Unavailable
Facility
$666.08
No comparable office rate is available.
Fresno
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Hanford-Corcoran
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Madera
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Merced
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Modesto
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Napa
California · 47563
Office
Unavailable
Facility
$727.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47563
Office
Unavailable
Facility
$696.54
No comparable office rate is available.
Redding
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Rest Of California
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47563
Office
Unavailable
Facility
$697.10
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47563
Office
Unavailable
Facility
$686.94
No comparable office rate is available.
Salinas
California · 47563
Office
Unavailable
Facility
$684.23
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47563
Office
Unavailable
Facility
$692.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47563
Office
Unavailable
Facility
$753.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47563
Office
Unavailable
Facility
$750.63
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47563
Office
Unavailable
Facility
$773.94
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47563
Office
Unavailable
Facility
$760.29
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47563
Office
Unavailable
Facility
$674.74
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47563
Office
Unavailable
Facility
$692.41
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47563
Office
Unavailable
Facility
$684.59
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47563
Office
Unavailable
Facility
$698.53
No comparable office rate is available.
Stockton
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Vallejo
California · 47563
Office
Unavailable
Facility
$722.44
No comparable office rate is available.
Visalia
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Yuba City
California · 47563
Office
Unavailable
Facility
$665.59
No comparable office rate is available.
Colorado
Colorado · 47563
Office
Unavailable
Facility
$680.98
No comparable office rate is available.
Connecticut
Connecticut · 47563
Office
Unavailable
Facility
$728.86
No comparable office rate is available.
Delaware
Delaware · 47563
Office
Unavailable
Facility
$673.78
No comparable office rate is available.
Fort Lauderdale
Florida · 47563
Office
Unavailable
Facility
$766.49
No comparable office rate is available.
Rest Of Florida
Florida · 47563
Office
Unavailable
Facility
$724.42
No comparable office rate is available.
Atlanta
Georgia · 47563
Office
Unavailable
Facility
$708.65
No comparable office rate is available.
Rest Of Georgia
Georgia · 47563
Office
Unavailable
Facility
$680.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47563
Office
Unavailable
Facility
$672.19
No comparable office rate is available.
Iowa
Iowa · 47563
Office
Unavailable
Facility
$607.09
No comparable office rate is available.
Idaho
Idaho · 47563
Office
Unavailable
Facility
$615.61
No comparable office rate is available.
East St. Louis
Illinois · 47563
Office
Unavailable
Facility
$766.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 47563
Office
Unavailable
Facility
$721.16
No comparable office rate is available.
Suburban Chicago
Illinois · 47563
Office
Unavailable
Facility
$768.55
No comparable office rate is available.
Indiana
Indiana · 47563
Office
Unavailable
Facility
$618.38
No comparable office rate is available.
Kansas
Kansas · 47563
Office
Unavailable
Facility
$615.25
No comparable office rate is available.
Kentucky
Kentucky · 47563
Office
Unavailable
Facility
$652.42
No comparable office rate is available.
New Orleans
Louisiana · 47563
Office
Unavailable
Facility
$685.19
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47563
Office
Unavailable
Facility
$655.79
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47563
Office
Unavailable
Facility
$730.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47563
Office
Unavailable
Facility
$681.70
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47563
Office
Unavailable
Facility
$729.16
No comparable office rate is available.
Rest Of Maryland
Maryland · 47563
Office
Unavailable
Facility
$682.62
No comparable office rate is available.
Rest Of Maine
Maine · 47563
Office
Unavailable
Facility
$630.24
No comparable office rate is available.
Southern Maine
Maine · 47563
Office
Unavailable
Facility
$646.23
No comparable office rate is available.
Detroit
Michigan · 47563
Office
Unavailable
Facility
$744.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 47563
Office
Unavailable
Facility
$678.54
No comparable office rate is available.
Minnesota
Minnesota · 47563
Office
Unavailable
Facility
$621.42
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47563
Office
Unavailable
Facility
$669.15
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47563
Office
Unavailable
Facility
$674.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 47563
Office
Unavailable
Facility
$652.47
No comparable office rate is available.
Mississippi
Mississippi · 47563
Office
Unavailable
Facility
$629.18
No comparable office rate is available.
Montana**
Montana · 47563
Office
Unavailable
Facility
$684.19
No comparable office rate is available.
North Carolina
North Carolina · 47563
Office
Unavailable
Facility
$634.68
No comparable office rate is available.
North Dakota**
North Dakota · 47563
Office
Unavailable
Facility
$626.05
No comparable office rate is available.
Nebraska
Nebraska · 47563
Office
Unavailable
Facility
$606.92
No comparable office rate is available.
New Hampshire
New Hampshire · 47563
Office
Unavailable
Facility
$680.83
No comparable office rate is available.
Northern Nj
New Jersey · 47563
Office
Unavailable
Facility
$748.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47563
Office
Unavailable
Facility
$728.42
No comparable office rate is available.
New Mexico
New Mexico · 47563
Office
Unavailable
Facility
$686.46
No comparable office rate is available.
Nevada**
Nevada · 47563
Office
Unavailable
Facility
$668.20
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47563
Office
Unavailable
Facility
$832.65
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47563
Office
Unavailable
Facility
$742.02
No comparable office rate is available.
Queens
New York · 47563
Office
Unavailable
Facility
$790.41
No comparable office rate is available.
Rest Of New York
New York · 47563
Office
Unavailable
Facility
$644.58
No comparable office rate is available.
Ohio
Ohio · 47563
Office
Unavailable
Facility
$666.66
No comparable office rate is available.
Oklahoma
Oklahoma · 47563
Office
Unavailable
Facility
$639.72
No comparable office rate is available.
Portland
Oregon · 47563
Office
Unavailable
Facility
$688.84
No comparable office rate is available.
Rest Of Oregon
Oregon · 47563
Office
Unavailable
Facility
$654.37
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47563
Office
Unavailable
Facility
$718.78
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47563
Office
Unavailable
Facility
$661.54
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47563
Office
Unavailable
Facility
$685.25
No comparable office rate is available.
Rhode Island
Rhode Island · 47563
Office
Unavailable
Facility
$687.90
No comparable office rate is available.
South Carolina
South Carolina · 47563
Office
Unavailable
Facility
$653.48
No comparable office rate is available.
South Dakota**
South Dakota · 47563
Office
Unavailable
Facility
$619.18
No comparable office rate is available.
Tennessee
Tennessee · 47563
Office
Unavailable
Facility
$619.56
No comparable office rate is available.
Utah
Utah · 47563
Office
Unavailable
Facility
$661.60
No comparable office rate is available.
Virginia
Virginia · 47563
Office
Unavailable
Facility
$651.90
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47563
Office
Unavailable
Facility
$685.25
No comparable office rate is available.
Vermont
Vermont · 47563
Office
Unavailable
Facility
$633.75
No comparable office rate is available.
Rest Of Washington
Washington · 47563
Office
Unavailable
Facility
$677.05
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47563
Office
Unavailable
Facility
$733.38
No comparable office rate is available.
Wisconsin
Wisconsin · 47563
Office
Unavailable
Facility
$607.49
No comparable office rate is available.
West Virginia
West Virginia · 47563
Office
Unavailable
Facility
$698.84
No comparable office rate is available.
Wyoming**
Wyoming · 47563
Office
Unavailable
Facility
$658.85
No comparable office rate is available.
See how rates vary across the country
47563 · 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?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 47563 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$724.09
$658.26 × 110% = $724.09
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 47563 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
5,704
- Code
- 47563
- Physician work
- 11.18
- Practice expense
- 6.37
- Malpractice
- 2.94
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.18 | × 1.000 | 11.1800 |
| Practice expense | 6.37 | × 0.910 | 5.7967 |
| Malpractice | 2.94 | × 0.929 | 2.7313 |
| Total RVUs | 19.7080 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$658.26
Open 47563 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.18 | 1 |
| Practice expense | 6.37 | 0.91 |
| Malpractice | 2.94 | 0.929 |
(11.18 × 1 + 6.37 × 0.91 + 2.94 × 0.929) × $33.4009 = $658.26
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
47563 · 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 | $658.26 | RVU26D |
| 2026-07-01 | Not available in this setting | $658.26 | RVU26C |
| 2026-04-01 | Not available in this setting | $658.26 | RVU26B |
| 2026-01-01 | Not available in this setting | $658.26 | RVU26A |
| 2025-10-01 | Not available in this setting | $677.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $677.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $677.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $677.15 | RVU25A |
47563 billing questions
When should I report 47563 instead of 47562?
Report 47563 when the surgeon performs cholangiography during laparoscopic gallbladder removal. Use 47562 when the gallbladder is removed laparoscopically without cholangiography.
How does 47563 differ from 47564?
47563 includes cholangiography with laparoscopic gallbladder removal. 47564 is the pertinent code when the operation also includes exploration of the common bile duct.
What documentation supports 47563?
The operative report should establish the laparoscopic gallbladder removal and document that intraoperative cholangiography was performed. A stated intention to obtain a cholangiogram, without documentation that it was performed, does not support this combination code.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this single-gallbladder procedure.
How does Medicare handle other procedures performed in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and other procedures at 50%. 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?
An assistant at surgery may be paid. Co-surgeons are paid only with 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.
5,70147555,,Biliary endoscopy thru skin,A,,7.36,0.68,NA,0.68,,0.96,9.00,9.00,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70247556,,Biliary endoscopy thru skin,A,,8.34,0.77,NA,0.77,,1.09,10.20,10.20,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70347562,,Laparoscopic cholecystectomy,A,,10.21,6.04,NA,6.04,,2.67,18.92,18.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70447563,,Laparo cholecystectomy/graph,A,,11.18,6.37,NA,6.37,,2.94,20.49,20.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70547564,,Laparo cholecystectomy/explr,A,,17.55,9.63,NA,9.63,,4.60,31.78,31.78,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70647570,,Laparo cholecystoenterostomy,A,,12.25,6.52,NA,6.52,,3.27,22.04,22.04,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70747579,,Unlisted laps px biliary trc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10004412,TX,28,FORT WORTH,1.009,0.986,0.871