No office rate
Choose 47400 for an incision into a duct within the liver. Code 47420 concerns an extrahepatic bile duct.
On this page
CMS RVU26D · Effective 2026-10-01
47400 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1915.27
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 47400: Intrahepatic bile duct incision
Reports an operative incision into an intrahepatic bile duct to explore, drain, or remove a calculus during hepatobiliary surgery.
This code represents an operative incision into a bile duct within the liver, typically to investigate or treat an intrahepatic duct problem such as a calculus or obstruction. A general or hepatobiliary surgeon performs the procedure in an operating room, commonly during open abdominal surgery. The operative report should identify the duct entered and describe the purpose and work performed, such as exploration, drainage, or calculus removal.
Choose this code when the incision is in an intrahepatic duct, rather than the extrahepatic bile duct or gallbladder. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and applies a 50% reduction to the others. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this service.
CMS billing rules for 47400
- 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 RVU35.45 · 59%
- Practice expense (office) RVU14.74 · 25%
- Malpractice RVU9.49 · 16%
20
Medicare services in 2024 · #5923 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.
47400 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Code 47425 addresses an extrahepatic bile duct procedure; 47400 is selected when the operative incision is intrahepatic.
No office rate
Code 47460 is directed at the biliary sphincter. Use 47400 when the surgeon incises an intrahepatic duct instead.
The same code, a different location
How does El Centro compare?
47400 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 47400
Office
Unavailable
Facility
$1913.68
No comparable office rate is available.
Modesto
California · 47400
Office
Unavailable
Facility
$1913.68
No comparable office rate is available.
Napa
California · 47400
Office
Unavailable
Facility
$2068.57
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47400
Office
Unavailable
Facility
$1996.62
No comparable office rate is available.
Redding
California · 47400
Office
Unavailable
Facility
$1913.68
No comparable office rate is available.
Rest Of California
California · 47400
Office
Unavailable
Facility
$1913.68
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47400
Office
Unavailable
Facility
$2015.35
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47400
Office
Unavailable
Facility
$1969.17
No comparable office rate is available.
Salinas
California · 47400
Office
Unavailable
Facility
$1961.28
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47400
Office
Unavailable
Facility
$1980.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47400
Office
Unavailable
Facility
$2136.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47400
Office
Unavailable
Facility
$2125.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47400
Office
Unavailable
Facility
$2194.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47400
Office
Unavailable
Facility
$2150.09
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47400
Office
Unavailable
Facility
$1934.85
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47400
Office
Unavailable
Facility
$1977.01
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47400
Office
Unavailable
Facility
$1961.17
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47400
Office
Unavailable
Facility
$1994.06
No comparable office rate is available.
Stockton
California · 47400
Office
Unavailable
Facility
$1913.68
No comparable office rate is available.
Vallejo
California · 47400
Office
Unavailable
Facility
$2053.04
No comparable office rate is available.
Visalia
California · 47400
Office
Unavailable
Facility
$1913.68
No comparable office rate is available.
Yuba City
California · 47400
Office
Unavailable
Facility
$1913.68
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47400
Office
Unavailable
Facility
$2180.76
No comparable office rate is available.
Miami
Florida · 47400
Office
Unavailable
Facility
$2498.21
No comparable office rate is available.
Chicago
Illinois · 47400
Office
Unavailable
Facility
$2414.60
No comparable office rate is available.
Manhattan
New York · 47400
Office
Unavailable
Facility
$2334.65
No comparable office rate is available.
Alaska*
Alaska · 47400
Office
Unavailable
Facility
$2475.08
No comparable office rate is available.
Alabama
Alabama · 47400
Office
Unavailable
Facility
$1794.26
No comparable office rate is available.
Arkansas
Arkansas · 47400
Office
Unavailable
Facility
$1770.21
No comparable office rate is available.
Arizona
Arizona · 47400
Office
Unavailable
Facility
$1932.46
No comparable office rate is available.
Colorado
Colorado · 47400
Office
Unavailable
Facility
$1969.67
No comparable office rate is available.
Connecticut
Connecticut · 47400
Office
Unavailable
Facility
$2121.52
No comparable office rate is available.
Delaware
Delaware · 47400
Office
Unavailable
Facility
$1961.36
No comparable office rate is available.
Fort Lauderdale
Florida · 47400
Office
Unavailable
Facility
$2255.88
No comparable office rate is available.
Rest Of Florida
Florida · 47400
Office
Unavailable
Facility
$2131.14
No comparable office rate is available.
Atlanta
Georgia · 47400
Office
Unavailable
Facility
$2068.51
No comparable office rate is available.
Rest Of Georgia
Georgia · 47400
Office
Unavailable
Facility
$2001.05
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47400
Office
Unavailable
Facility
$1927.37
No comparable office rate is available.
Iowa
Iowa · 47400
Office
Unavailable
Facility
$1760.38
No comparable office rate is available.
Idaho
Idaho · 47400
Office
Unavailable
Facility
$1786.93
No comparable office rate is available.
East St. Louis
Illinois · 47400
Office
Unavailable
Facility
$2275.39
No comparable office rate is available.
Rest Of Illinois
Illinois · 47400
Office
Unavailable
Facility
$2128.99
No comparable office rate is available.
Suburban Chicago
Illinois · 47400
Office
Unavailable
Facility
$2259.65
No comparable office rate is available.
Indiana
Indiana · 47400
Office
Unavailable
Facility
$1794.50
No comparable office rate is available.
Kansas
Kansas · 47400
Office
Unavailable
Facility
$1788.88
No comparable office rate is available.
Kentucky
Kentucky · 47400
Office
Unavailable
Facility
$1911.77
No comparable office rate is available.
New Orleans
Louisiana · 47400
Office
Unavailable
Facility
$2007.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47400
Office
Unavailable
Facility
$1923.43
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47400
Office
Unavailable
Facility
$2102.56
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47400
Office
Unavailable
Facility
$1974.06
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47400
Office
Unavailable
Facility
$2123.37
No comparable office rate is available.
Rest Of Maryland
Maryland · 47400
Office
Unavailable
Facility
$1985.12
No comparable office rate is available.
Rest Of Maine
Maine · 47400
Office
Unavailable
Facility
$1834.16
No comparable office rate is available.
Southern Maine
Maine · 47400
Office
Unavailable
Facility
$1871.97
No comparable office rate is available.
Detroit
Michigan · 47400
Office
Unavailable
Facility
$2193.58
No comparable office rate is available.
Rest Of Michigan
Michigan · 47400
Office
Unavailable
Facility
$1991.42
No comparable office rate is available.
Minnesota
Minnesota · 47400
Office
Unavailable
Facility
$1784.49
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47400
Office
Unavailable
Facility
$1956.04
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47400
Office
Unavailable
Facility
$1970.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 47400
Office
Unavailable
Facility
$1917.18
No comparable office rate is available.
Mississippi
Mississippi · 47400
Office
Unavailable
Facility
$1842.20
No comparable office rate is available.
Montana**
Montana · 47400
Office
Unavailable
Facility
$1992.73
No comparable office rate is available.
North Carolina
North Carolina · 47400
Office
Unavailable
Facility
$1845.95
No comparable office rate is available.
North Dakota**
North Dakota · 47400
Office
Unavailable
Facility
$1805.08
No comparable office rate is available.
Nebraska
Nebraska · 47400
Office
Unavailable
Facility
$1758.30
No comparable office rate is available.
New Hampshire
New Hampshire · 47400
Office
Unavailable
Facility
$1973.93
No comparable office rate is available.
Northern Nj
New Jersey · 47400
Office
Unavailable
Facility
$2168.29
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47400
Office
Unavailable
Facility
$2116.77
No comparable office rate is available.
New Mexico
New Mexico · 47400
Office
Unavailable
Facility
$2016.21
No comparable office rate is available.
Nevada**
Nevada · 47400
Office
Unavailable
Facility
$1940.92
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47400
Office
Unavailable
Facility
$2433.84
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47400
Office
Unavailable
Facility
$2159.98
No comparable office rate is available.
Queens
New York · 47400
Office
Unavailable
Facility
$2298.85
No comparable office rate is available.
Rest Of New York
New York · 47400
Office
Unavailable
Facility
$1874.61
No comparable office rate is available.
Ohio
Ohio · 47400
Office
Unavailable
Facility
$1953.07
No comparable office rate is available.
Oklahoma
Oklahoma · 47400
Office
Unavailable
Facility
$1870.00
No comparable office rate is available.
Portland
Oregon · 47400
Office
Unavailable
Facility
$1985.81
No comparable office rate is available.
Rest Of Oregon
Oregon · 47400
Office
Unavailable
Facility
$1897.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47400
Office
Unavailable
Facility
$2096.04
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47400
Office
Unavailable
Facility
$1935.56
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47400
Office
Unavailable
Facility
$1994.03
No comparable office rate is available.
Rhode Island
Rhode Island · 47400
Office
Unavailable
Facility
$1997.88
No comparable office rate is available.
South Carolina
South Carolina · 47400
Office
Unavailable
Facility
$1908.40
No comparable office rate is available.
South Dakota**
South Dakota · 47400
Office
Unavailable
Facility
$1782.89
No comparable office rate is available.
Tennessee
Tennessee · 47400
Office
Unavailable
Facility
$1801.80
No comparable office rate is available.
Austin
Texas · 47400
Office
Unavailable
Facility
$1988.15
No comparable office rate is available.
Beaumont
Texas · 47400
Office
Unavailable
Facility
$1926.55
No comparable office rate is available.
Brazoria
Texas · 47400
Office
Unavailable
Facility
$1928.67
No comparable office rate is available.
Dallas
Texas · 47400
Office
Unavailable
Facility
$1957.04
No comparable office rate is available.
Fort Worth
Texas · 47400
Office
Unavailable
Facility
$1956.24
No comparable office rate is available.
Galveston
Texas · 47400
Office
Unavailable
Facility
$1944.87
No comparable office rate is available.
Houston
Texas · 47400
Office
Unavailable
Facility
$2118.57
No comparable office rate is available.
Rest Of Texas
Texas · 47400
Office
Unavailable
Facility
$1937.51
No comparable office rate is available.
Utah
Utah · 47400
Office
Unavailable
Facility
$1931.49
No comparable office rate is available.
Virginia
Virginia · 47400
Office
Unavailable
Facility
$1891.81
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47400
Office
Unavailable
Facility
$1994.03
No comparable office rate is available.
Vermont
Vermont · 47400
Office
Unavailable
Facility
$1831.86
No comparable office rate is available.
Rest Of Washington
Washington · 47400
Office
Unavailable
Facility
$1959.10
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47400
Office
Unavailable
Facility
$2106.32
No comparable office rate is available.
Wisconsin
Wisconsin · 47400
Office
Unavailable
Facility
$1753.34
No comparable office rate is available.
West Virginia
West Virginia · 47400
Office
Unavailable
Facility
$2065.49
No comparable office rate is available.
Wyoming**
Wyoming · 47400
Office
Unavailable
Facility
$1910.95
No comparable office rate is available.
See how rates vary across the country
47400 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 47400 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2106.80
$1915.27 × 110% = $2106.80
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 47400 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,677
- Code
- 47400
- Physician work
- 35.45
- Practice expense
- 14.74
- Malpractice
- 9.49
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 35.45 | × 1.017 | 36.0526 |
| Practice expense | 14.74 | × 1.096 | 16.1550 |
| Malpractice | 9.49 | × 0.541 | 5.1341 |
| Total RVUs | 57.3418 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1915.27
Open 47400 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 35.45 | 1.017 |
| Practice expense | 14.74 | 1.096 |
| Malpractice | 9.49 | 0.541 |
(35.45 × 1.017 + 14.74 × 1.096 + 9.49 × 0.541) × $33.4009 = $1915.27
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
47400 · 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 | $1915.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $1915.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $1915.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $1915.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $2032.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $2032.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $2032.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $2032.77 | RVU25A |
47400 billing questions
How does 47400 differ from 47420 or 47425?
Use 47400 when the operative incision is into an intrahepatic duct. Codes 47420 and 47425 concern an extrahepatic bile duct; the operative purpose and work distinguish those codes from one another.
When is 47400 preferable to a gallbladder incision code?
The target anatomy controls: 47400 concerns a duct within the liver, while 47480 and 47490 concern an incision involving the gallbladder.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How does Medicare handle 47400 with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
What documentation supports reporting 47400?
The operative report should specify that the surgeon entered an intrahepatic duct and describe the operative objective and work, such as exploration, drainage, or calculus removal.
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.
5,67447383,,Perq abltj lvr cryoablation,A,,8.66,164.56,,2.29,,1.12,174.34,12.07,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67547384,,Abltj ire liver 1+ tum perq,A,,9.41,2.17,NA,2.17,,1.12,12.70,12.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664