No office rate
Use 47765 when the operative report identifies a hepatic duct as the source of the intestinal anastomosis. This code is for the common bile duct.
On this page
CMS RVU26D · Effective 2026-10-01
47760 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2002.57
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 47760: Bile duct-to-bowel bypass
Reports surgical creation of a connection between the common bile duct and intestine to provide biliary drainage around an obstruction or damaged segment.
The surgeon creates an anastomosis between the common bile duct and intestine so bile can drain into the bowel. This may be performed for biliary obstruction or injury when the usual route of drainage cannot be maintained. General and hepatobiliary surgeons typically perform the operation in a hospital operating room; Medicare’s 2024 claims data show facility services for this code and none in the office setting.
Select the code when the operative report documents the common bile duct as the duct joined to the intestine. Record the duct and bowel anatomy, the reason for bypass, and the completed anastomosis; a connection from a hepatic duct or the gallbladder is distinguished by its source anatomy. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47760
- 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 RVU37.36 · 60%
- Practice expense (office) RVU15.43 · 25%
- Malpractice RVU9.42 · 15%
243
Medicare services in 2024 · #4157 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.
47760 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Use 47780 for a bile duct-to-duodenum connection. This code describes a choledochoenterostomy without that specific duodenal anatomy.
No office rate
Code 47720 uses the gallbladder to establish drainage into bowel; this code uses the common bile duct.
The same code, a different location
How does Merced compare?
47760 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
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
Madera
California · 47760
Office
Unavailable
Facility
$2002.57
No comparable office rate is available.
Modesto
California · 47760
Office
Unavailable
Facility
$2002.57
No comparable office rate is available.
Napa
California · 47760
Office
Unavailable
Facility
$2165.57
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47760
Office
Unavailable
Facility
$2087.99
No comparable office rate is available.
Redding
California · 47760
Office
Unavailable
Facility
$2002.57
No comparable office rate is available.
Rest Of California
California · 47760
Office
Unavailable
Facility
$2002.57
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47760
Office
Unavailable
Facility
$2103.56
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47760
Office
Unavailable
Facility
$2060.81
No comparable office rate is available.
Salinas
California · 47760
Office
Unavailable
Facility
$2052.51
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47760
Office
Unavailable
Facility
$2072.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47760
Office
Unavailable
Facility
$2237.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47760
Office
Unavailable
Facility
$2226.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47760
Office
Unavailable
Facility
$2296.94
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47760
Office
Unavailable
Facility
$2253.20
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47760
Office
Unavailable
Facility
$2024.73
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47760
Office
Unavailable
Facility
$2068.89
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47760
Office
Unavailable
Facility
$2052.37
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47760
Office
Unavailable
Facility
$2086.82
No comparable office rate is available.
Stockton
California · 47760
Office
Unavailable
Facility
$2002.57
No comparable office rate is available.
Vallejo
California · 47760
Office
Unavailable
Facility
$2150.16
No comparable office rate is available.
Visalia
California · 47760
Office
Unavailable
Facility
$2002.57
No comparable office rate is available.
Yuba City
California · 47760
Office
Unavailable
Facility
$2002.57
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47760
Office
Unavailable
Facility
$2272.55
No comparable office rate is available.
Miami
Florida · 47760
Office
Unavailable
Facility
$2580.08
No comparable office rate is available.
Chicago
Illinois · 47760
Office
Unavailable
Facility
$2496.64
No comparable office rate is available.
Manhattan
New York · 47760
Office
Unavailable
Facility
$2425.60
No comparable office rate is available.
Alaska*
Alaska · 47760
Office
Unavailable
Facility
$2594.03
No comparable office rate is available.
Alabama
Alabama · 47760
Office
Unavailable
Facility
$1876.90
No comparable office rate is available.
Arkansas
Arkansas · 47760
Office
Unavailable
Facility
$1852.60
No comparable office rate is available.
Arizona
Arizona · 47760
Office
Unavailable
Facility
$2016.59
No comparable office rate is available.
Colorado
Colorado · 47760
Office
Unavailable
Facility
$2056.92
No comparable office rate is available.
Connecticut
Connecticut · 47760
Office
Unavailable
Facility
$2208.58
No comparable office rate is available.
Delaware
Delaware · 47760
Office
Unavailable
Facility
$2046.15
No comparable office rate is available.
Fort Lauderdale
Florida · 47760
Office
Unavailable
Facility
$2338.80
No comparable office rate is available.
Rest Of Florida
Florida · 47760
Office
Unavailable
Facility
$2213.46
No comparable office rate is available.
Atlanta
Georgia · 47760
Office
Unavailable
Facility
$2153.10
No comparable office rate is available.
Rest Of Georgia
Georgia · 47760
Office
Unavailable
Facility
$2082.62
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47760
Office
Unavailable
Facility
$2016.01
No comparable office rate is available.
Iowa
Iowa · 47760
Office
Unavailable
Facility
$1844.34
No comparable office rate is available.
Idaho
Idaho · 47760
Office
Unavailable
Facility
$1870.83
No comparable office rate is available.
East St. Louis
Illinois · 47760
Office
Unavailable
Facility
$2355.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 47760
Office
Unavailable
Facility
$2210.17
No comparable office rate is available.
Suburban Chicago
Illinois · 47760
Office
Unavailable
Facility
$2343.42
No comparable office rate is available.
Indiana
Indiana · 47760
Office
Unavailable
Facility
$1878.52
No comparable office rate is available.
Kansas
Kansas · 47760
Office
Unavailable
Facility
$1872.33
No comparable office rate is available.
Kentucky
Kentucky · 47760
Office
Unavailable
Facility
$1993.92
No comparable office rate is available.
New Orleans
Louisiana · 47760
Office
Unavailable
Facility
$2090.25
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47760
Office
Unavailable
Facility
$2005.39
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47760
Office
Unavailable
Facility
$2194.41
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47760
Office
Unavailable
Facility
$2061.28
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47760
Office
Unavailable
Facility
$2210.03
No comparable office rate is available.
Rest Of Maryland
Maryland · 47760
Office
Unavailable
Facility
$2070.73
No comparable office rate is available.
Rest Of Maine
Maine · 47760
Office
Unavailable
Facility
$1917.71
No comparable office rate is available.
Southern Maine
Maine · 47760
Office
Unavailable
Facility
$1957.13
No comparable office rate is available.
Detroit
Michigan · 47760
Office
Unavailable
Facility
$2275.67
No comparable office rate is available.
Rest Of Michigan
Michigan · 47760
Office
Unavailable
Facility
$2073.62
No comparable office rate is available.
Minnesota
Minnesota · 47760
Office
Unavailable
Facility
$1871.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47760
Office
Unavailable
Facility
$2039.20
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47760
Office
Unavailable
Facility
$2053.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 47760
Office
Unavailable
Facility
$1998.57
No comparable office rate is available.
Mississippi
Mississippi · 47760
Office
Unavailable
Facility
$1924.11
No comparable office rate is available.
Montana**
Montana · 47760
Office
Unavailable
Facility
$2077.24
No comparable office rate is available.
North Carolina
North Carolina · 47760
Office
Unavailable
Facility
$1929.76
No comparable office rate is available.
North Dakota**
North Dakota · 47760
Office
Unavailable
Facility
$1890.98
No comparable office rate is available.
Nebraska
Nebraska · 47760
Office
Unavailable
Facility
$1842.48
No comparable office rate is available.
New Hampshire
New Hampshire · 47760
Office
Unavailable
Facility
$2059.67
No comparable office rate is available.
Northern Nj
New Jersey · 47760
Office
Unavailable
Facility
$2260.34
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47760
Office
Unavailable
Facility
$2205.72
No comparable office rate is available.
New Mexico
New Mexico · 47760
Office
Unavailable
Facility
$2098.34
No comparable office rate is available.
Nevada**
Nevada · 47760
Office
Unavailable
Facility
$2025.84
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47760
Office
Unavailable
Facility
$2524.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47760
Office
Unavailable
Facility
$2249.06
No comparable office rate is available.
Queens
New York · 47760
Office
Unavailable
Facility
$2390.60
No comparable office rate is available.
Rest Of New York
New York · 47760
Office
Unavailable
Facility
$1958.65
No comparable office rate is available.
Ohio
Ohio · 47760
Office
Unavailable
Facility
$2035.55
No comparable office rate is available.
Oklahoma
Oklahoma · 47760
Office
Unavailable
Facility
$1952.56
No comparable office rate is available.
Portland
Oregon · 47760
Office
Unavailable
Facility
$2074.50
No comparable office rate is available.
Rest Of Oregon
Oregon · 47760
Office
Unavailable
Facility
$1982.36
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47760
Office
Unavailable
Facility
$2182.19
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47760
Office
Unavailable
Facility
$2018.30
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47760
Office
Unavailable
Facility
$2078.82
No comparable office rate is available.
Rhode Island
Rhode Island · 47760
Office
Unavailable
Facility
$2084.61
No comparable office rate is available.
South Carolina
South Carolina · 47760
Office
Unavailable
Facility
$1991.51
No comparable office rate is available.
South Dakota**
South Dakota · 47760
Office
Unavailable
Facility
$1868.95
No comparable office rate is available.
Tennessee
Tennessee · 47760
Office
Unavailable
Facility
$1885.29
No comparable office rate is available.
Austin
Texas · 47760
Office
Unavailable
Facility
$2074.39
No comparable office rate is available.
Beaumont
Texas · 47760
Office
Unavailable
Facility
$2009.15
No comparable office rate is available.
Brazoria
Texas · 47760
Office
Unavailable
Facility
$2013.99
No comparable office rate is available.
Dallas
Texas · 47760
Office
Unavailable
Facility
$2042.36
No comparable office rate is available.
Fort Worth
Texas · 47760
Office
Unavailable
Facility
$2041.30
No comparable office rate is available.
Galveston
Texas · 47760
Office
Unavailable
Facility
$2030.13
No comparable office rate is available.
Houston
Texas · 47760
Office
Unavailable
Facility
$2202.55
No comparable office rate is available.
Rest Of Texas
Texas · 47760
Office
Unavailable
Facility
$2021.07
No comparable office rate is available.
Utah
Utah · 47760
Office
Unavailable
Facility
$2014.85
No comparable office rate is available.
Virginia
Virginia · 47760
Office
Unavailable
Facility
$1976.61
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47760
Office
Unavailable
Facility
$2078.82
No comparable office rate is available.
Vermont
Vermont · 47760
Office
Unavailable
Facility
$1917.29
No comparable office rate is available.
Rest Of Washington
Washington · 47760
Office
Unavailable
Facility
$2046.21
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47760
Office
Unavailable
Facility
$2199.67
No comparable office rate is available.
Wisconsin
Wisconsin · 47760
Office
Unavailable
Facility
$1838.50
No comparable office rate is available.
West Virginia
West Virginia · 47760
Office
Unavailable
Facility
$2145.96
No comparable office rate is available.
Wyoming**
Wyoming · 47760
Office
Unavailable
Facility
$1996.06
No comparable office rate is available.
See how rates vary across the country
47760 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 47760 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2202.83
$2002.57 × 110% = $2202.83
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 47760 in Merced.
PPRRVU2026_Oct_nonQPP.csv
5,722
- Code
- 47760
- Physician work
- 37.36
- Practice expense
- 15.43
- Malpractice
- 9.42
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.36 | × 1.017 | 37.9951 |
| Practice expense | 15.43 | × 1.096 | 16.9113 |
| Malpractice | 9.42 | × 0.536 | 5.0491 |
| Total RVUs | 59.9555 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$2002.57
Open 47760 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 37.36 | 1.017 |
| Practice expense | 15.43 | 1.096 |
| Malpractice | 9.42 | 0.536 |
(37.36 × 1.017 + 15.43 × 1.096 + 9.42 × 0.536) × $33.4009 = $2002.57
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
47760 · 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 | $2002.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $2002.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $2002.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $2002.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $2128.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $2128.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $2128.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $2128.75 | RVU25A |
47760 billing questions
How is this code distinguished from a hepaticojejunostomy?
Use the documented anastomosis anatomy: this code is for a connection from the common bile duct to intestine. A connection originating from a hepatic duct is represented by the hepaticojejunostomy code, 47765.
Is this code appropriate for a bile duct-to-duodenum connection?
Code 47780 describes the bile duct-to-duodenum procedure. Use this code when the documented procedure is a choledochoenterostomy other than that specifically identified anatomy.
Can modifier 50 be used for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. The operative report should support the bypass and the anatomy involved.
How are other procedures performed in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
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.
5,71947721,,Fuse upper gi structures,A,,21.44,11.03,NA,11.03,,5.73,38.20,38.20,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72047740,,Fuse gallbladder & bowel,A,,20.70,10.85,NA,10.85,,5.53,37.08,37.08,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72147741,,Fuse gallbladder & bowel,A,,23.60,11.55,NA,11.55,,6.31,41.46,41.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72247760,,Fuse bile ducts and bowel,A,,37.36,15.43,NA,15.43,,9.42,62.21,62.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72347765,,Fuse liver ducts & bowel,A,,50.89,19.10,NA,19.10,,13.64,83.63,83.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72447780,,Fuse bile ducts and bowel,A,,41.26,16.56,NA,16.56,,10.55,68.37,68.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72547785,,Fuse bile ducts and bowel,A,,54.79,20.17,NA,20.17,,14.03,88.99,88.99,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623