No office rate
47490 describes percutaneous cholecystostomy. 47480 is the operative gallbladder incision used for exploration, drainage, or calculus removal.
On this page
CMS RVU26D · Effective 2026-10-01
47480 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$824.54
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 47480: Open gallbladder incision with exploration or drainage
Report this open gallbladder incision when the surgeon explores the gallbladder, drains it, or removes a calculus without removing the organ.
A surgeon makes an operative incision into the gallbladder to explore its interior, drain its contents, or remove a calculus. This is a gallbladder-preserving procedure, not removal of the gallbladder. General surgeons typically perform it in an operating room when the chosen treatment calls for direct access to the gallbladder rather than cholecystectomy or percutaneous drainage.
Report the service when the operative record supports the incision and the exploration, drainage, or calculus removal performed. Distinguish it from a bile-duct incision by documenting that the gallbladder itself was entered. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 47480
- 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 RVU12.92 · 52%
- Practice expense (office) RVU8.98 · 36%
- Malpractice RVU3.18 · 13%
116
Medicare services in 2024 · #4765 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.
47480 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
47420 involves incision of the bile duct, not the gallbladder. Identify the structure entered in the operative report.
No office rate
47562 is laparoscopic removal of the gallbladder. 47480 involves incision and work within the gallbladder without removing the organ.
No office rate
47600 is open removal of the gallbladder; 47480 is an incision procedure that preserves the gallbladder.
The same code, a different location
How does Modesto compare?
47480 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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 · 47480
Office
Unavailable
Facility
$824.54
No comparable office rate is available.
Merced
California · 47480
Office
Unavailable
Facility
$824.54
No comparable office rate is available.
Napa
California · 47480
Office
Unavailable
Facility
$908.00
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47480
Office
Unavailable
Facility
$864.32
No comparable office rate is available.
Redding
California · 47480
Office
Unavailable
Facility
$824.54
No comparable office rate is available.
Rest Of California
California · 47480
Office
Unavailable
Facility
$824.54
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47480
Office
Unavailable
Facility
$858.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47480
Office
Unavailable
Facility
$852.84
No comparable office rate is available.
Salinas
California · 47480
Office
Unavailable
Facility
$849.48
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47480
Office
Unavailable
Facility
$860.78
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47480
Office
Unavailable
Facility
$944.20
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47480
Office
Unavailable
Facility
$940.59
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47480
Office
Unavailable
Facility
$968.45
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47480
Office
Unavailable
Facility
$953.69
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47480
Office
Unavailable
Facility
$837.44
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47480
Office
Unavailable
Facility
$861.96
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47480
Office
Unavailable
Facility
$850.28
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47480
Office
Unavailable
Facility
$869.74
No comparable office rate is available.
Stockton
California · 47480
Office
Unavailable
Facility
$824.54
No comparable office rate is available.
Vallejo
California · 47480
Office
Unavailable
Facility
$902.80
No comparable office rate is available.
Visalia
California · 47480
Office
Unavailable
Facility
$824.54
No comparable office rate is available.
Yuba City
California · 47480
Office
Unavailable
Facility
$824.54
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47480
Office
Unavailable
Facility
$926.39
No comparable office rate is available.
Miami
Florida · 47480
Office
Unavailable
Facility
$1012.39
No comparable office rate is available.
Chicago
Illinois · 47480
Office
Unavailable
Facility
$979.76
No comparable office rate is available.
Manhattan
New York · 47480
Office
Unavailable
Facility
$976.15
No comparable office rate is available.
Alaska*
Alaska · 47480
Office
Unavailable
Facility
$1025.27
No comparable office rate is available.
Alabama
Alabama · 47480
Office
Unavailable
Facility
$754.10
No comparable office rate is available.
Arkansas
Arkansas · 47480
Office
Unavailable
Facility
$743.89
No comparable office rate is available.
Arizona
Arizona · 47480
Office
Unavailable
Facility
$813.10
No comparable office rate is available.
Colorado
Colorado · 47480
Office
Unavailable
Facility
$838.81
No comparable office rate is available.
Connecticut
Connecticut · 47480
Office
Unavailable
Facility
$891.73
No comparable office rate is available.
Delaware
Delaware · 47480
Office
Unavailable
Facility
$825.53
No comparable office rate is available.
Fort Lauderdale
Florida · 47480
Office
Unavailable
Facility
$927.42
No comparable office rate is available.
Rest Of Florida
Florida · 47480
Office
Unavailable
Facility
$877.92
No comparable office rate is available.
Atlanta
Georgia · 47480
Office
Unavailable
Facility
$865.14
No comparable office rate is available.
Rest Of Georgia
Georgia · 47480
Office
Unavailable
Facility
$825.69
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47480
Office
Unavailable
Facility
$834.07
No comparable office rate is available.
Iowa
Iowa · 47480
Office
Unavailable
Facility
$748.15
No comparable office rate is available.
Idaho
Idaho · 47480
Office
Unavailable
Facility
$757.72
No comparable office rate is available.
East St. Louis
Illinois · 47480
Office
Unavailable
Facility
$921.40
No comparable office rate is available.
Rest Of Illinois
Illinois · 47480
Office
Unavailable
Facility
$871.40
No comparable office rate is available.
Suburban Chicago
Illinois · 47480
Office
Unavailable
Facility
$930.81
No comparable office rate is available.
Indiana
Indiana · 47480
Office
Unavailable
Facility
$761.20
No comparable office rate is available.
Kansas
Kansas · 47480
Office
Unavailable
Facility
$756.22
No comparable office rate is available.
Kentucky
Kentucky · 47480
Office
Unavailable
Facility
$795.37
No comparable office rate is available.
New Orleans
Louisiana · 47480
Office
Unavailable
Facility
$834.44
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47480
Office
Unavailable
Facility
$798.74
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47480
Office
Unavailable
Facility
$901.89
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47480
Office
Unavailable
Facility
$838.93
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47480
Office
Unavailable
Facility
$891.67
No comparable office rate is available.
Rest Of Maryland
Maryland · 47480
Office
Unavailable
Facility
$836.90
No comparable office rate is available.
Rest Of Maine
Maine · 47480
Office
Unavailable
Facility
$773.55
No comparable office rate is available.
Southern Maine
Maine · 47480
Office
Unavailable
Facility
$795.80
No comparable office rate is available.
Detroit
Michigan · 47480
Office
Unavailable
Facility
$900.06
No comparable office rate is available.
Rest Of Michigan
Michigan · 47480
Office
Unavailable
Facility
$825.30
No comparable office rate is available.
Minnesota
Minnesota · 47480
Office
Unavailable
Facility
$771.62
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47480
Office
Unavailable
Facility
$816.96
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47480
Office
Unavailable
Facility
$823.51
No comparable office rate is available.
Rest Of Missouri
Missouri · 47480
Office
Unavailable
Facility
$793.54
No comparable office rate is available.
Mississippi
Mississippi · 47480
Office
Unavailable
Facility
$768.28
No comparable office rate is available.
Montana**
Montana · 47480
Office
Unavailable
Facility
$837.48
No comparable office rate is available.
North Carolina
North Carolina · 47480
Office
Unavailable
Facility
$779.26
No comparable office rate is available.
North Dakota**
North Dakota · 47480
Office
Unavailable
Facility
$774.60
No comparable office rate is available.
Nebraska
Nebraska · 47480
Office
Unavailable
Facility
$748.53
No comparable office rate is available.
New Hampshire
New Hampshire · 47480
Office
Unavailable
Facility
$836.72
No comparable office rate is available.
Northern Nj
New Jersey · 47480
Office
Unavailable
Facility
$920.09
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47480
Office
Unavailable
Facility
$892.85
No comparable office rate is available.
New Mexico
New Mexico · 47480
Office
Unavailable
Facility
$834.15
No comparable office rate is available.
Nevada**
Nevada · 47480
Office
Unavailable
Facility
$820.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47480
Office
Unavailable
Facility
$1013.03
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47480
Office
Unavailable
Facility
$907.91
No comparable office rate is available.
Queens
New York · 47480
Office
Unavailable
Facility
$966.85
No comparable office rate is available.
Rest Of New York
New York · 47480
Office
Unavailable
Facility
$791.15
No comparable office rate is available.
Ohio
Ohio · 47480
Office
Unavailable
Facility
$812.45
No comparable office rate is available.
Oklahoma
Oklahoma · 47480
Office
Unavailable
Facility
$781.92
No comparable office rate is available.
Portland
Oregon · 47480
Office
Unavailable
Facility
$850.70
No comparable office rate is available.
Rest Of Oregon
Oregon · 47480
Office
Unavailable
Facility
$804.95
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47480
Office
Unavailable
Facility
$878.26
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47480
Office
Unavailable
Facility
$807.26
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47480
Office
Unavailable
Facility
$839.40
No comparable office rate is available.
Rhode Island
Rhode Island · 47480
Office
Unavailable
Facility
$844.32
No comparable office rate is available.
South Carolina
South Carolina · 47480
Office
Unavailable
Facility
$798.97
No comparable office rate is available.
South Dakota**
South Dakota · 47480
Office
Unavailable
Facility
$767.17
No comparable office rate is available.
Tennessee
Tennessee · 47480
Office
Unavailable
Facility
$761.22
No comparable office rate is available.
Austin
Texas · 47480
Office
Unavailable
Facility
$843.85
No comparable office rate is available.
Beaumont
Texas · 47480
Office
Unavailable
Facility
$803.16
No comparable office rate is available.
Brazoria
Texas · 47480
Office
Unavailable
Facility
$815.08
No comparable office rate is available.
Dallas
Texas · 47480
Office
Unavailable
Facility
$825.30
No comparable office rate is available.
Fort Worth
Texas · 47480
Office
Unavailable
Facility
$823.68
No comparable office rate is available.
Galveston
Texas · 47480
Office
Unavailable
Facility
$820.78
No comparable office rate is available.
Houston
Texas · 47480
Office
Unavailable
Facility
$878.98
No comparable office rate is available.
Rest Of Texas
Texas · 47480
Office
Unavailable
Facility
$812.09
No comparable office rate is available.
Utah
Utah · 47480
Office
Unavailable
Facility
$808.86
No comparable office rate is available.
Virginia
Virginia · 47480
Office
Unavailable
Facility
$801.37
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47480
Office
Unavailable
Facility
$839.40
No comparable office rate is available.
Vermont
Vermont · 47480
Office
Unavailable
Facility
$782.23
No comparable office rate is available.
Rest Of Washington
Washington · 47480
Office
Unavailable
Facility
$833.82
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47480
Office
Unavailable
Facility
$907.92
No comparable office rate is available.
Wisconsin
Wisconsin · 47480
Office
Unavailable
Facility
$751.60
No comparable office rate is available.
West Virginia
West Virginia · 47480
Office
Unavailable
Facility
$844.18
No comparable office rate is available.
Wyoming**
Wyoming · 47480
Office
Unavailable
Facility
$810.08
No comparable office rate is available.
See how rates vary across the country
47480 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 47480 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$906.99
$824.54 × 110% = $906.99
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 47480 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,681
- Code
- 47480
- Physician work
- 12.92
- Practice expense
- 8.98
- Malpractice
- 3.18
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.92 | × 1.017 | 13.1396 |
| Practice expense | 8.98 | × 1.096 | 9.8421 |
| Malpractice | 3.18 | × 0.536 | 1.7045 |
| Total RVUs | 24.6862 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$824.54
Open 47480 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.92 | 1.017 |
| Practice expense | 8.98 | 1.096 |
| Malpractice | 3.18 | 0.536 |
(12.92 × 1.017 + 8.98 × 1.096 + 3.18 × 0.536) × $33.4009 = $824.54
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
47480 · 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 | $824.54 | RVU26D |
| 2026-07-01 | Not available in this setting | $824.54 | RVU26C |
| 2026-04-01 | Not available in this setting | $824.54 | RVU26B |
| 2026-01-01 | Not available in this setting | $824.54 | RVU26A |
| 2025-10-01 | Not available in this setting | $851.59 | RVU25D |
| 2025-07-01 | Not available in this setting | $851.59 | RVU25C |
| 2025-04-01 | Not available in this setting | $851.59 | RVU25B |
| 2025-01-01 | Not available in this setting | $851.59 | RVU25A |
47480 billing questions
How is 47480 different from percutaneous cholecystostomy?
47480 describes an operative incision into the gallbladder for exploration, drainage, or calculus removal. Use 47490 for percutaneous cholecystostomy.
Does 47480 include removal of the gallbladder?
No. It describes incision and work within the gallbladder, not cholecystectomy. A laparoscopic or open gallbladder removal is reported with the applicable cholecystectomy code.
How can I distinguish this from a bile-duct incision?
The operative note should identify which structure was opened. 47480 is for the gallbladder; 47420 concerns incision of the bile duct.
What documentation supports 47480?
Document the gallbladder incision, the operative approach, and whether the surgeon explored, drained, or removed a calculus from the gallbladder.
Can modifier 50 be used, and what are the assistant rules?
Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,67847420,,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
5,68347531,,Injection for cholangiogram,A,,1.27,10.52,,0.44,,0.14,11.93,1.85,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68447532,,Injection for cholangiogram,A,,4.14,19.60,,0.84,,0.49,24.23,5.47,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536