No office rate
Choose 47425 when a calculus is extracted through the bile-duct incision. Choose 47420 for duct exploration without calculus removal as the defining work.
On this page
CMS RVU26D · Effective 2026-10-01
47425 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1241.67
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.
Biliary surgery
About 47425: Open common bile duct stone removal
Reports open incision of the common bile duct to extract a calculus when operative treatment requires direct access to the duct.
Code 47425 represents open choledochotomy to remove a calculus from the common bile duct. The surgeon exposes the extrahepatic duct, incises its wall, and extracts the stone. The procedure is performed by a surgeon in an operating room when open duct surgery is needed for stone removal. It is distinct from an incision of the gallbladder or duct exploration without calculus removal.
Report the code when the operative note supports an incision into the bile duct and extraction of a calculus; documentation should identify the duct and describe the removal. Do not separately report overlapping duct work when a combined cholecystectomy and common-duct procedure describes the operation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this single-duct service. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 47425
- 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 RVU21.75 · 57%
- Practice expense (office) RVU10.89 · 28%
- Malpractice RVU5.82 · 15%
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.
47425 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
Code 47610 describes an open cholecystectomy combined with common-duct exploration. Code 47425 describes open duct incision with calculus removal, not the combined gallbladder operation.
No office rate
Code 47564 is for laparoscopic cholecystectomy with common-duct exploration. Code 47425 represents open choledochotomy with calculus extraction.
No office rate
Code 43264 is used for endoscopic biliary calculus removal during ERCP; 47425 is for open surgical removal through a bile-duct incision.
The same code, a different location
How does Chico compare?
47425 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 47425
Office
Unavailable
Facility
$1241.67
No comparable office rate is available.
Modesto
California · 47425
Office
Unavailable
Facility
$1241.67
No comparable office rate is available.
Napa
California · 47425
Office
Unavailable
Facility
$1350.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47425
Office
Unavailable
Facility
$1297.85
No comparable office rate is available.
Redding
California · 47425
Office
Unavailable
Facility
$1241.67
No comparable office rate is available.
Rest Of California
California · 47425
Office
Unavailable
Facility
$1241.67
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47425
Office
Unavailable
Facility
$1304.02
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47425
Office
Unavailable
Facility
$1279.84
No comparable office rate is available.
Salinas
California · 47425
Office
Unavailable
Facility
$1274.75
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47425
Office
Unavailable
Facility
$1288.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47425
Office
Unavailable
Facility
$1397.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47425
Office
Unavailable
Facility
$1390.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47425
Office
Unavailable
Facility
$1435.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47425
Office
Unavailable
Facility
$1408.06
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47425
Office
Unavailable
Facility
$1257.31
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47425
Office
Unavailable
Facility
$1287.86
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47425
Office
Unavailable
Facility
$1275.12
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47425
Office
Unavailable
Facility
$1299.13
No comparable office rate is available.
Stockton
California · 47425
Office
Unavailable
Facility
$1241.67
No comparable office rate is available.
Vallejo
California · 47425
Office
Unavailable
Facility
$1340.87
No comparable office rate is available.
Visalia
California · 47425
Office
Unavailable
Facility
$1241.67
No comparable office rate is available.
Yuba City
California · 47425
Office
Unavailable
Facility
$1241.67
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47425
Office
Unavailable
Facility
$1410.54
No comparable office rate is available.
Miami
Florida · 47425
Office
Unavailable
Facility
$1596.74
No comparable office rate is available.
Chicago
Illinois · 47425
Office
Unavailable
Facility
$1543.24
No comparable office rate is available.
Manhattan
New York · 47425
Office
Unavailable
Facility
$1503.93
No comparable office rate is available.
Alaska*
Alaska · 47425
Office
Unavailable
Facility
$1584.19
No comparable office rate is available.
Alabama
Alabama · 47425
Office
Unavailable
Facility
$1154.76
No comparable office rate is available.
Arkansas
Arkansas · 47425
Office
Unavailable
Facility
$1139.03
No comparable office rate is available.
Arizona
Arizona · 47425
Office
Unavailable
Facility
$1245.33
No comparable office rate is available.
Colorado
Colorado · 47425
Office
Unavailable
Facility
$1274.02
No comparable office rate is available.
Connecticut
Connecticut · 47425
Office
Unavailable
Facility
$1367.96
No comparable office rate is available.
Delaware
Delaware · 47425
Office
Unavailable
Facility
$1264.23
No comparable office rate is available.
Fort Lauderdale
Florida · 47425
Office
Unavailable
Facility
$1446.40
No comparable office rate is available.
Rest Of Florida
Florida · 47425
Office
Unavailable
Facility
$1366.37
No comparable office rate is available.
Atlanta
Georgia · 47425
Office
Unavailable
Facility
$1331.67
No comparable office rate is available.
Rest Of Georgia
Georgia · 47425
Office
Unavailable
Facility
$1282.64
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47425
Office
Unavailable
Facility
$1252.59
No comparable office rate is available.
Iowa
Iowa · 47425
Office
Unavailable
Facility
$1136.46
No comparable office rate is available.
Idaho
Idaho · 47425
Office
Unavailable
Facility
$1153.05
No comparable office rate is available.
East St. Louis
Illinois · 47425
Office
Unavailable
Facility
$1452.61
No comparable office rate is available.
Rest Of Illinois
Illinois · 47425
Office
Unavailable
Facility
$1362.40
No comparable office rate is available.
Suburban Chicago
Illinois · 47425
Office
Unavailable
Facility
$1449.58
No comparable office rate is available.
Indiana
Indiana · 47425
Office
Unavailable
Facility
$1158.13
No comparable office rate is available.
Kansas
Kansas · 47425
Office
Unavailable
Facility
$1153.26
No comparable office rate is available.
Kentucky
Kentucky · 47425
Office
Unavailable
Facility
$1227.70
No comparable office rate is available.
New Orleans
Louisiana · 47425
Office
Unavailable
Facility
$1289.58
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47425
Office
Unavailable
Facility
$1234.60
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47425
Office
Unavailable
Facility
$1363.57
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47425
Office
Unavailable
Facility
$1276.04
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47425
Office
Unavailable
Facility
$1368.85
No comparable office rate is available.
Rest Of Maryland
Maryland · 47425
Office
Unavailable
Facility
$1280.29
No comparable office rate is available.
Rest Of Maine
Maine · 47425
Office
Unavailable
Facility
$1182.02
No comparable office rate is available.
Southern Maine
Maine · 47425
Office
Unavailable
Facility
$1209.59
No comparable office rate is available.
Detroit
Michigan · 47425
Office
Unavailable
Facility
$1405.22
No comparable office rate is available.
Rest Of Michigan
Michigan · 47425
Office
Unavailable
Facility
$1278.03
No comparable office rate is available.
Minnesota
Minnesota · 47425
Office
Unavailable
Facility
$1158.29
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47425
Office
Unavailable
Facility
$1257.94
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47425
Office
Unavailable
Facility
$1267.53
No comparable office rate is available.
Rest Of Missouri
Missouri · 47425
Office
Unavailable
Facility
$1229.35
No comparable office rate is available.
Mississippi
Mississippi · 47425
Office
Unavailable
Facility
$1183.30
No comparable office rate is available.
Montana**
Montana · 47425
Office
Unavailable
Facility
$1284.21
No comparable office rate is available.
North Carolina
North Carolina · 47425
Office
Unavailable
Facility
$1190.05
No comparable office rate is available.
North Dakota**
North Dakota · 47425
Office
Unavailable
Facility
$1169.13
No comparable office rate is available.
Nebraska
Nebraska · 47425
Office
Unavailable
Facility
$1135.68
No comparable office rate is available.
New Hampshire
New Hampshire · 47425
Office
Unavailable
Facility
$1275.21
No comparable office rate is available.
Northern Nj
New Jersey · 47425
Office
Unavailable
Facility
$1401.78
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47425
Office
Unavailable
Facility
$1365.98
No comparable office rate is available.
New Mexico
New Mexico · 47425
Office
Unavailable
Facility
$1293.48
No comparable office rate is available.
Nevada**
Nevada · 47425
Office
Unavailable
Facility
$1252.50
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47425
Office
Unavailable
Facility
$1566.43
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47425
Office
Unavailable
Facility
$1392.67
No comparable office rate is available.
Queens
New York · 47425
Office
Unavailable
Facility
$1483.21
No comparable office rate is available.
Rest Of New York
New York · 47425
Office
Unavailable
Facility
$1208.68
No comparable office rate is available.
Ohio
Ohio · 47425
Office
Unavailable
Facility
$1254.51
No comparable office rate is available.
Oklahoma
Oklahoma · 47425
Office
Unavailable
Facility
$1202.33
No comparable office rate is available.
Portland
Oregon · 47425
Office
Unavailable
Facility
$1286.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 47425
Office
Unavailable
Facility
$1225.41
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47425
Office
Unavailable
Facility
$1350.11
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47425
Office
Unavailable
Facility
$1244.08
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47425
Office
Unavailable
Facility
$1285.68
No comparable office rate is available.
Rhode Island
Rhode Island · 47425
Office
Unavailable
Facility
$1289.41
No comparable office rate is available.
South Carolina
South Carolina · 47425
Office
Unavailable
Facility
$1227.80
No comparable office rate is available.
South Dakota**
South Dakota · 47425
Office
Unavailable
Facility
$1155.52
No comparable office rate is available.
Tennessee
Tennessee · 47425
Office
Unavailable
Facility
$1161.49
No comparable office rate is available.
Austin
Texas · 47425
Office
Unavailable
Facility
$1284.99
No comparable office rate is available.
Beaumont
Texas · 47425
Office
Unavailable
Facility
$1238.06
No comparable office rate is available.
Brazoria
Texas · 47425
Office
Unavailable
Facility
$1244.37
No comparable office rate is available.
Dallas
Texas · 47425
Office
Unavailable
Facility
$1262.08
No comparable office rate is available.
Fort Worth
Texas · 47425
Office
Unavailable
Facility
$1260.97
No comparable office rate is available.
Galveston
Texas · 47425
Office
Unavailable
Facility
$1254.43
No comparable office rate is available.
Houston
Texas · 47425
Office
Unavailable
Facility
$1360.96
No comparable office rate is available.
Rest Of Texas
Texas · 47425
Office
Unavailable
Facility
$1247.19
No comparable office rate is available.
Utah
Utah · 47425
Office
Unavailable
Facility
$1242.95
No comparable office rate is available.
Virginia
Virginia · 47425
Office
Unavailable
Facility
$1221.26
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47425
Office
Unavailable
Facility
$1285.68
No comparable office rate is available.
Vermont
Vermont · 47425
Office
Unavailable
Facility
$1184.93
No comparable office rate is available.
Rest Of Washington
Washington · 47425
Office
Unavailable
Facility
$1266.86
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47425
Office
Unavailable
Facility
$1367.92
No comparable office rate is available.
Wisconsin
Wisconsin · 47425
Office
Unavailable
Facility
$1134.80
No comparable office rate is available.
West Virginia
West Virginia · 47425
Office
Unavailable
Facility
$1320.73
No comparable office rate is available.
Wyoming**
Wyoming · 47425
Office
Unavailable
Facility
$1234.06
No comparable office rate is available.
See how rates vary across the country
47425 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 47425 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1365.84
$1241.67 × 110% = $1365.84
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 47425 in Chico.
PPRRVU2026_Oct_nonQPP.csv
5,679
- Code
- 47425
- Physician work
- 21.75
- Practice expense
- 10.89
- Malpractice
- 5.82
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.75 | × 1.017 | 22.1197 |
| Practice expense | 10.89 | × 1.096 | 11.9354 |
| Malpractice | 5.82 | × 0.536 | 3.1195 |
| Total RVUs | 37.1747 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1241.67
Open 47425 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.75 | 1.017 |
| Practice expense | 10.89 | 1.096 |
| Malpractice | 5.82 | 0.536 |
(21.75 × 1.017 + 10.89 × 1.096 + 5.82 × 0.536) × $33.4009 = $1241.67
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
47425 · 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 | $1241.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $1241.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $1241.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $1241.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $1301.14 | RVU25D |
| 2025-07-01 | Not available in this setting | $1301.14 | RVU25C |
| 2025-04-01 | Not available in this setting | $1301.14 | RVU25B |
| 2025-01-01 | Not available in this setting | $1301.14 | RVU25A |
47425 billing questions
How does 47425 differ from 47420?
Use 47425 when the surgeon incises the common bile duct and removes a calculus. Code 47420 describes duct exploration without calculus removal as the defining service.
Can 47425 be reported with a cholecystectomy?
A cholecystectomy may occur during the same operation, but do not separately report duct work that is included in a combined cholecystectomy and common-duct procedure code.
Is modifier 50 appropriate?
No. This is a single bile-duct service, not a bilateral procedure; modifier 50 is inappropriate.
What documentation supports 47425?
The operative report should establish that the surgeon made an incision in the bile duct and removed a calculus. Duct exploration alone does not support this code.
How are assistants and co-surgeons handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment 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.
5,67647399,,Unlisted procedure liver,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67747400,,Incision of liver duct,A,,35.45,14.74,NA,14.74,,9.49,59.68,59.68,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67847420,,Incision of bile duct,A,,21.48,10.23,NA,10.23,,5.38,37.09,37.09,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67947425,,Incision of bile duct,A,,21.75,10.89,NA,10.89,,5.82,38.46,38.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68047460,,Incise bile duct sphincter,A,,20.01,10.46,NA,10.46,,5.34,35.81,35.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68147480,,Incision of gallbladder,A,,12.92,8.98,NA,8.98,,3.18,25.08,25.08,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68247490,,Incision of gallbladder,A,,4.64,3.80,NA,3.80,,0.49,8.93,8.93,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536