No office rate
Both involve a gallbladder-to-bowel connection. Select based on the full operative configuration documented and the specific descriptor for the service performed.
On this page
CMS RVU26D · Effective 2026-10-01
47740 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1199.35
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 47740: Gallbladder-to-bowel bypass anastomosis
Reports a surgical connection between the gallbladder and intestine to reroute bile, commonly when a distal biliary obstruction requires operative bypass.
The surgeon creates an anastomosis between the gallbladder and intestine so bile can drain around an obstruction. This may be considered when the gallbladder can serve as the drainage conduit, such as in selected patients with distal biliary obstruction. The operation is generally performed by a general or hepatobiliary surgeon in a hospital operating room. The operative report should identify the structures joined and describe the reconstruction performed.
Choose this code from the documented operative configuration, not merely from the diagnosis or the fact that bile drainage was restored. Distinguish it from procedures joining the bile duct or hepatic ducts directly to bowel, and review related gallbladder-to-bowel codes against the full operative details. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 for this anatomy. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47740
- 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 RVU20.70 · 56%
- Practice expense (office) RVU10.85 · 29%
- Malpractice RVU5.53 · 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.
47740 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
This code concerns a gallbladder-to-intestine anastomosis; 47760 is for a connection from the bile duct to bowel.
No office rate
Use this code for a gallbladder-to-intestine reconstruction. Code 47765 concerns joining liver ducts to bowel.
The same code, a different location
How does Redding compare?
47740 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 47740
Office
Unavailable
Facility
$1199.35
No comparable office rate is available.
Merced
California · 47740
Office
Unavailable
Facility
$1199.35
No comparable office rate is available.
Modesto
California · 47740
Office
Unavailable
Facility
$1199.35
No comparable office rate is available.
Napa
California · 47740
Office
Unavailable
Facility
$1306.43
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47740
Office
Unavailable
Facility
$1254.19
No comparable office rate is available.
Rest Of California
California · 47740
Office
Unavailable
Facility
$1199.35
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47740
Office
Unavailable
Facility
$1258.59
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47740
Office
Unavailable
Facility
$1236.76
No comparable office rate is available.
Salinas
California · 47740
Office
Unavailable
Facility
$1231.86
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47740
Office
Unavailable
Facility
$1245.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47740
Office
Unavailable
Facility
$1352.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47740
Office
Unavailable
Facility
$1346.57
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47740
Office
Unavailable
Facility
$1389.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47740
Office
Unavailable
Facility
$1363.36
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47740
Office
Unavailable
Facility
$1214.93
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47740
Office
Unavailable
Facility
$1245.24
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47740
Office
Unavailable
Facility
$1232.32
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47740
Office
Unavailable
Facility
$1256.17
No comparable office rate is available.
Stockton
California · 47740
Office
Unavailable
Facility
$1199.35
No comparable office rate is available.
Vallejo
California · 47740
Office
Unavailable
Facility
$1297.38
No comparable office rate is available.
Visalia
California · 47740
Office
Unavailable
Facility
$1199.35
No comparable office rate is available.
Yuba City
California · 47740
Office
Unavailable
Facility
$1199.35
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47740
Office
Unavailable
Facility
$1361.22
No comparable office rate is available.
Miami
Florida · 47740
Office
Unavailable
Facility
$1535.78
No comparable office rate is available.
Chicago
Illinois · 47740
Office
Unavailable
Facility
$1484.35
No comparable office rate is available.
Manhattan
New York · 47740
Office
Unavailable
Facility
$1449.70
No comparable office rate is available.
Alaska*
Alaska · 47740
Office
Unavailable
Facility
$1524.83
No comparable office rate is available.
Alabama
Alabama · 47740
Office
Unavailable
Facility
$1113.04
No comparable office rate is available.
Arkansas
Arkansas · 47740
Office
Unavailable
Facility
$1097.82
No comparable office rate is available.
Arizona
Arizona · 47740
Office
Unavailable
Facility
$1200.67
No comparable office rate is available.
Colorado
Colorado · 47740
Office
Unavailable
Facility
$1229.54
No comparable office rate is available.
Connecticut
Connecticut · 47740
Office
Unavailable
Facility
$1319.03
No comparable office rate is available.
Delaware
Delaware · 47740
Office
Unavailable
Facility
$1218.96
No comparable office rate is available.
Fort Lauderdale
Florida · 47740
Office
Unavailable
Facility
$1392.46
No comparable office rate is available.
Rest Of Florida
Florida · 47740
Office
Unavailable
Facility
$1315.47
No comparable office rate is available.
Atlanta
Georgia · 47740
Office
Unavailable
Facility
$1283.50
No comparable office rate is available.
Rest Of Georgia
Georgia · 47740
Office
Unavailable
Facility
$1234.83
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47740
Office
Unavailable
Facility
$1210.39
No comparable office rate is available.
Iowa
Iowa · 47740
Office
Unavailable
Facility
$1096.32
No comparable office rate is available.
Idaho
Idaho · 47740
Office
Unavailable
Facility
$1112.17
No comparable office rate is available.
East St. Louis
Illinois · 47740
Office
Unavailable
Facility
$1396.81
No comparable office rate is available.
Rest Of Illinois
Illinois · 47740
Office
Unavailable
Facility
$1310.97
No comparable office rate is available.
Suburban Chicago
Illinois · 47740
Office
Unavailable
Facility
$1395.72
No comparable office rate is available.
Indiana
Indiana · 47740
Office
Unavailable
Facility
$1117.11
No comparable office rate is available.
Kansas
Kansas · 47740
Office
Unavailable
Facility
$1112.10
No comparable office rate is available.
Kentucky
Kentucky · 47740
Office
Unavailable
Facility
$1182.58
No comparable office rate is available.
New Orleans
Louisiana · 47740
Office
Unavailable
Facility
$1242.24
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47740
Office
Unavailable
Facility
$1189.07
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47740
Office
Unavailable
Facility
$1316.84
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47740
Office
Unavailable
Facility
$1231.28
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47740
Office
Unavailable
Facility
$1319.80
No comparable office rate is available.
Rest Of Maryland
Maryland · 47740
Office
Unavailable
Facility
$1234.62
No comparable office rate is available.
Rest Of Maine
Maine · 47740
Office
Unavailable
Facility
$1139.69
No comparable office rate is available.
Southern Maine
Maine · 47740
Office
Unavailable
Facility
$1167.09
No comparable office rate is available.
Detroit
Michigan · 47740
Office
Unavailable
Facility
$1352.53
No comparable office rate is available.
Rest Of Michigan
Michigan · 47740
Office
Unavailable
Facility
$1230.80
No comparable office rate is available.
Minnesota
Minnesota · 47740
Office
Unavailable
Facility
$1118.98
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47740
Office
Unavailable
Facility
$1212.15
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47740
Office
Unavailable
Facility
$1221.48
No comparable office rate is available.
Rest Of Missouri
Missouri · 47740
Office
Unavailable
Facility
$1183.69
No comparable office rate is available.
Mississippi
Mississippi · 47740
Office
Unavailable
Facility
$1139.92
No comparable office rate is available.
Montana**
Montana · 47740
Office
Unavailable
Facility
$1238.14
No comparable office rate is available.
North Carolina
North Carolina · 47740
Office
Unavailable
Facility
$1147.55
No comparable office rate is available.
North Dakota**
North Dakota · 47740
Office
Unavailable
Facility
$1128.79
No comparable office rate is available.
Nebraska
Nebraska · 47740
Office
Unavailable
Facility
$1095.71
No comparable office rate is available.
New Hampshire
New Hampshire · 47740
Office
Unavailable
Facility
$1230.28
No comparable office rate is available.
Northern Nj
New Jersey · 47740
Office
Unavailable
Facility
$1352.61
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47740
Office
Unavailable
Facility
$1317.42
No comparable office rate is available.
New Mexico
New Mexico · 47740
Office
Unavailable
Facility
$1245.55
No comparable office rate is available.
Nevada**
Nevada · 47740
Office
Unavailable
Facility
$1208.02
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47740
Office
Unavailable
Facility
$1509.54
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47740
Office
Unavailable
Facility
$1342.83
No comparable office rate is available.
Queens
New York · 47740
Office
Unavailable
Facility
$1430.35
No comparable office rate is available.
Rest Of New York
New York · 47740
Office
Unavailable
Facility
$1165.53
No comparable office rate is available.
Ohio
Ohio · 47740
Office
Unavailable
Facility
$1208.45
No comparable office rate is available.
Oklahoma
Oklahoma · 47740
Office
Unavailable
Facility
$1158.54
No comparable office rate is available.
Portland
Oregon · 47740
Office
Unavailable
Facility
$1242.51
No comparable office rate is available.
Rest Of Oregon
Oregon · 47740
Office
Unavailable
Facility
$1182.20
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47740
Office
Unavailable
Facility
$1301.46
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47740
Office
Unavailable
Facility
$1198.63
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47740
Office
Unavailable
Facility
$1239.72
No comparable office rate is available.
Rhode Island
Rhode Island · 47740
Office
Unavailable
Facility
$1243.65
No comparable office rate is available.
South Carolina
South Carolina · 47740
Office
Unavailable
Facility
$1183.26
No comparable office rate is available.
South Dakota**
South Dakota · 47740
Office
Unavailable
Facility
$1115.86
No comparable office rate is available.
Tennessee
Tennessee · 47740
Office
Unavailable
Facility
$1120.01
No comparable office rate is available.
Austin
Texas · 47740
Office
Unavailable
Facility
$1239.85
No comparable office rate is available.
Beaumont
Texas · 47740
Office
Unavailable
Facility
$1192.78
No comparable office rate is available.
Brazoria
Texas · 47740
Office
Unavailable
Facility
$1200.14
No comparable office rate is available.
Dallas
Texas · 47740
Office
Unavailable
Facility
$1217.05
No comparable office rate is available.
Fort Worth
Texas · 47740
Office
Unavailable
Facility
$1215.83
No comparable office rate is available.
Galveston
Texas · 47740
Office
Unavailable
Facility
$1209.73
No comparable office rate is available.
Houston
Texas · 47740
Office
Unavailable
Facility
$1310.95
No comparable office rate is available.
Rest Of Texas
Texas · 47740
Office
Unavailable
Facility
$1202.11
No comparable office rate is available.
Utah
Utah · 47740
Office
Unavailable
Facility
$1197.92
No comparable office rate is available.
Virginia
Virginia · 47740
Office
Unavailable
Facility
$1178.04
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47740
Office
Unavailable
Facility
$1239.72
No comparable office rate is available.
Vermont
Vermont · 47740
Office
Unavailable
Facility
$1143.64
No comparable office rate is available.
Rest Of Washington
Washington · 47740
Office
Unavailable
Facility
$1222.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47740
Office
Unavailable
Facility
$1321.54
No comparable office rate is available.
Wisconsin
Wisconsin · 47740
Office
Unavailable
Facility
$1095.47
No comparable office rate is available.
West Virginia
West Virginia · 47740
Office
Unavailable
Facility
$1270.64
No comparable office rate is available.
Wyoming**
Wyoming · 47740
Office
Unavailable
Facility
$1190.48
No comparable office rate is available.
See how rates vary across the country
47740 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 47740 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1319.28
$1199.35 × 110% = $1319.28
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 47740 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,720
- Code
- 47740
- Physician work
- 20.70
- Practice expense
- 10.85
- Malpractice
- 5.53
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.70 | × 1.017 | 21.0519 |
| Practice expense | 10.85 | × 1.096 | 11.8916 |
| Malpractice | 5.53 | × 0.536 | 2.9641 |
| Total RVUs | 35.9076 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1199.35
Open 47740 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.7 | 1.017 |
| Practice expense | 10.85 | 1.096 |
| Malpractice | 5.53 | 0.536 |
(20.7 × 1.017 + 10.85 × 1.096 + 5.53 × 0.536) × $33.4009 = $1199.35
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
47740 · 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 | $1199.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $1199.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $1199.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $1199.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $1253.05 | RVU25D |
| 2025-07-01 | Not available in this setting | $1253.05 | RVU25C |
| 2025-04-01 | Not available in this setting | $1253.05 | RVU25B |
| 2025-01-01 | Not available in this setting | $1253.05 | RVU25A |
47740 billing questions
What operative details support reporting this code?
The operative report should document that the surgeon connected the gallbladder to intestine and describe the reconstruction. The diagnosis alone does not establish which gallbladder-to-bowel code applies.
How does this differ from a bile-duct-to-bowel bypass?
This service uses the gallbladder as the structure joined to intestine. A bypass joining the bile duct or hepatic ducts directly to bowel is coded according to that anatomy instead.
Is modifier 50 appropriate?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor or anatomy.
How does the 90-day global period affect related care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
5,71747715,,Excision of bile duct cyst,A,,21.01,10.92,NA,10.92,,5.61,37.54,37.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71847720,,Fuse gallbladder & bowel,A,,17.88,10.16,NA,10.16,,4.78,32.82,32.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71947721,,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
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536