No office rate
Both involve extrahepatic biliary ducts and the gastrointestinal tract. Use 47765 when intestinal transposition is part of the reconstruction; 47760 describes the related anastomosis without it.
On this page
CMS RVU26D · Effective 2026-10-01
47765 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2856.80
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 47765: Extrahepatic biliary-enteric bypass with intestinal transposition
Reports an extrahepatic bile duct-to-intestine connection with intestinal transposition, typically used to restore bile drainage when the usual route is obstructed or disrupted.
This operation creates a route for bile from an extrahepatic duct into the gastrointestinal tract, using a transposed segment of intestine, commonly as a Roux-en-Y limb. A hepatobiliary or general surgeon may perform it for selected biliary obstruction, injury, or reconstruction when the affected duct and operative plan call for this type of bypass. The operative report should identify the duct used, the intestinal segment and reconstruction, and the completed anastomosis.
Select this code when the documented operation includes extrahepatic duct-to-bowel anastomosis with intestinal transposition; a direct anastomosis or an intrahepatic duct connection points to a different family code. This is major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47765
- 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 RVU50.89 · 61%
- Practice expense (office) RVU19.10 · 23%
- Malpractice RVU13.64 · 16%
75
Medicare services in 2024 · #5103 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.
47765 compared with similar codes
Office rates for Vallejo, from the same CMS release.
No office rate
47780 involves intrahepatic ducts, whereas 47765 is for an extrahepatic duct connection with intestinal transposition.
No office rate
47720 connects the common bile duct directly to intestine. Select 47765 when the operation instead uses the extrahepatic biliary reconstruction with intestinal transposition.
No office rate
47721 describes a common bile duct-to-intestine Roux-en-Y reconstruction; 47765 represents the extrahepatic duct reconstruction with intestinal transposition.
The same code, a different location
How does Vallejo compare?
47765 across payment areas
Same release and payment basis · bars start at $0
Vallejo · 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 · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Merced
California · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Modesto
California · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Napa
California · 47765
Office
Unavailable
Facility
$2879.12
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47765
Office
Unavailable
Facility
$2785.26
No comparable office rate is available.
Redding
California · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Rest Of California
California · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47765
Office
Unavailable
Facility
$2818.19
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47765
Office
Unavailable
Facility
$2747.10
No comparable office rate is available.
Salinas
California · 47765
Office
Unavailable
Facility
$2736.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47765
Office
Unavailable
Facility
$2760.69
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47765
Office
Unavailable
Facility
$2969.88
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47765
Office
Unavailable
Facility
$2954.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47765
Office
Unavailable
Facility
$3050.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47765
Office
Unavailable
Facility
$2987.55
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47765
Office
Unavailable
Facility
$2699.50
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47765
Office
Unavailable
Facility
$2754.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47765
Office
Unavailable
Facility
$2735.42
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47765
Office
Unavailable
Facility
$2778.37
No comparable office rate is available.
Stockton
California · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Visalia
California · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Yuba City
California · 47765
Office
Unavailable
Facility
$2672.06
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47765
Office
Unavailable
Facility
$3050.14
No comparable office rate is available.
Miami
Florida · 47765
Office
Unavailable
Facility
$3516.07
No comparable office rate is available.
Chicago
Illinois · 47765
Office
Unavailable
Facility
$3398.39
No comparable office rate is available.
Manhattan
New York · 47765
Office
Unavailable
Facility
$3272.43
No comparable office rate is available.
Alaska*
Alaska · 47765
Office
Unavailable
Facility
$3480.11
No comparable office rate is available.
Alabama
Alabama · 47765
Office
Unavailable
Facility
$2515.85
No comparable office rate is available.
Arkansas
Arkansas · 47765
Office
Unavailable
Facility
$2482.40
No comparable office rate is available.
Arizona
Arizona · 47765
Office
Unavailable
Facility
$2707.94
No comparable office rate is available.
Colorado
Colorado · 47765
Office
Unavailable
Facility
$2754.77
No comparable office rate is available.
Connecticut
Connecticut · 47765
Office
Unavailable
Facility
$2972.11
No comparable office rate is available.
Delaware
Delaware · 47765
Office
Unavailable
Facility
$2748.15
No comparable office rate is available.
Fort Lauderdale
Florida · 47765
Office
Unavailable
Facility
$3169.73
No comparable office rate is available.
Rest Of Florida
Florida · 47765
Office
Unavailable
Facility
$2994.41
No comparable office rate is available.
Atlanta
Georgia · 47765
Office
Unavailable
Facility
$2900.20
No comparable office rate is available.
Rest Of Georgia
Georgia · 47765
Office
Unavailable
Facility
$2811.89
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47765
Office
Unavailable
Facility
$2688.91
No comparable office rate is available.
Iowa
Iowa · 47765
Office
Unavailable
Facility
$2464.37
No comparable office rate is available.
Idaho
Idaho · 47765
Office
Unavailable
Facility
$2502.19
No comparable office rate is available.
East St. Louis
Illinois · 47765
Office
Unavailable
Facility
$3204.25
No comparable office rate is available.
Rest Of Illinois
Illinois · 47765
Office
Unavailable
Facility
$2994.31
No comparable office rate is available.
Suburban Chicago
Illinois · 47765
Office
Unavailable
Facility
$3174.15
No comparable office rate is available.
Indiana
Indiana · 47765
Office
Unavailable
Facility
$2512.57
No comparable office rate is available.
Kansas
Kansas · 47765
Office
Unavailable
Facility
$2506.10
No comparable office rate is available.
Kentucky
Kentucky · 47765
Office
Unavailable
Facility
$2683.78
No comparable office rate is available.
New Orleans
Louisiana · 47765
Office
Unavailable
Facility
$2817.64
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47765
Office
Unavailable
Facility
$2700.82
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47765
Office
Unavailable
Facility
$2936.66
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47765
Office
Unavailable
Facility
$2761.84
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47765
Office
Unavailable
Facility
$2975.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 47765
Office
Unavailable
Facility
$2780.61
No comparable office rate is available.
Rest Of Maine
Maine · 47765
Office
Unavailable
Facility
$2570.07
No comparable office rate is available.
Southern Maine
Maine · 47765
Office
Unavailable
Facility
$2619.46
No comparable office rate is available.
Detroit
Michigan · 47765
Office
Unavailable
Facility
$3083.52
No comparable office rate is available.
Rest Of Michigan
Michigan · 47765
Office
Unavailable
Facility
$2796.59
No comparable office rate is available.
Minnesota
Minnesota · 47765
Office
Unavailable
Facility
$2491.08
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47765
Office
Unavailable
Facility
$2743.92
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47765
Office
Unavailable
Facility
$2763.61
No comparable office rate is available.
Rest Of Missouri
Missouri · 47765
Office
Unavailable
Facility
$2693.43
No comparable office rate is available.
Mississippi
Mississippi · 47765
Office
Unavailable
Facility
$2585.73
No comparable office rate is available.
Montana**
Montana · 47765
Office
Unavailable
Facility
$2792.41
No comparable office rate is available.
North Carolina
North Carolina · 47765
Office
Unavailable
Facility
$2586.11
No comparable office rate is available.
North Dakota**
North Dakota · 47765
Office
Unavailable
Facility
$2522.70
No comparable office rate is available.
Nebraska
Nebraska · 47765
Office
Unavailable
Facility
$2460.82
No comparable office rate is available.
New Hampshire
New Hampshire · 47765
Office
Unavailable
Facility
$2762.52
No comparable office rate is available.
Northern Nj
New Jersey · 47765
Office
Unavailable
Facility
$3033.46
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47765
Office
Unavailable
Facility
$2964.19
No comparable office rate is available.
New Mexico
New Mexico · 47765
Office
Unavailable
Facility
$2831.94
No comparable office rate is available.
Nevada**
Nevada · 47765
Office
Unavailable
Facility
$2717.87
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47765
Office
Unavailable
Facility
$3413.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47765
Office
Unavailable
Facility
$3026.09
No comparable office rate is available.
Queens
New York · 47765
Office
Unavailable
Facility
$3219.58
No comparable office rate is available.
Rest Of New York
New York · 47765
Office
Unavailable
Facility
$2626.11
No comparable office rate is available.
Ohio
Ohio · 47765
Office
Unavailable
Facility
$2741.46
No comparable office rate is available.
Oklahoma
Oklahoma · 47765
Office
Unavailable
Facility
$2623.46
No comparable office rate is available.
Portland
Oregon · 47765
Office
Unavailable
Facility
$2774.70
No comparable office rate is available.
Rest Of Oregon
Oregon · 47765
Office
Unavailable
Facility
$2655.46
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47765
Office
Unavailable
Facility
$2938.00
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47765
Office
Unavailable
Facility
$2715.95
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47765
Office
Unavailable
Facility
$2793.50
No comparable office rate is available.
Rhode Island
Rhode Island · 47765
Office
Unavailable
Facility
$2797.46
No comparable office rate is available.
South Carolina
South Carolina · 47765
Office
Unavailable
Facility
$2676.49
No comparable office rate is available.
South Dakota**
South Dakota · 47765
Office
Unavailable
Facility
$2490.81
No comparable office rate is available.
Tennessee
Tennessee · 47765
Office
Unavailable
Facility
$2524.33
No comparable office rate is available.
Austin
Texas · 47765
Office
Unavailable
Facility
$2781.78
No comparable office rate is available.
Beaumont
Texas · 47765
Office
Unavailable
Facility
$2703.55
No comparable office rate is available.
Brazoria
Texas · 47765
Office
Unavailable
Facility
$2700.94
No comparable office rate is available.
Dallas
Texas · 47765
Office
Unavailable
Facility
$2741.37
No comparable office rate is available.
Fort Worth
Texas · 47765
Office
Unavailable
Facility
$2740.91
No comparable office rate is available.
Galveston
Texas · 47765
Office
Unavailable
Facility
$2724.09
No comparable office rate is available.
Houston
Texas · 47765
Office
Unavailable
Facility
$2973.75
No comparable office rate is available.
Rest Of Texas
Texas · 47765
Office
Unavailable
Facility
$2716.59
No comparable office rate is available.
Utah
Utah · 47765
Office
Unavailable
Facility
$2708.57
No comparable office rate is available.
Virginia
Virginia · 47765
Office
Unavailable
Facility
$2648.53
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47765
Office
Unavailable
Facility
$2793.50
No comparable office rate is available.
Vermont
Vermont · 47765
Office
Unavailable
Facility
$2561.88
No comparable office rate is available.
Rest Of Washington
Washington · 47765
Office
Unavailable
Facility
$2740.34
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47765
Office
Unavailable
Facility
$2939.75
No comparable office rate is available.
Wisconsin
Wisconsin · 47765
Office
Unavailable
Facility
$2451.26
No comparable office rate is available.
West Virginia
West Virginia · 47765
Office
Unavailable
Facility
$2906.10
No comparable office rate is available.
Wyoming**
Wyoming · 47765
Office
Unavailable
Facility
$2674.86
No comparable office rate is available.
See how rates vary across the country
47765 · 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?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 47765 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$3142.48
$2856.80 × 110% = $3142.48
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 47765 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
5,723
- Code
- 47765
- Physician work
- 50.89
- Practice expense
- 19.10
- Malpractice
- 13.64
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 50.89 | × 1.063 | 54.0961 |
| Practice expense | 19.10 | × 1.318 | 25.1738 |
| Malpractice | 13.64 | × 0.459 | 6.2608 |
| Total RVUs | 85.5306 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$2856.80
Open 47765 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 50.89 | 1.063 |
| Practice expense | 19.1 | 1.318 |
| Malpractice | 13.64 | 0.459 |
(50.89 × 1.063 + 19.1 × 1.318 + 13.64 × 0.459) × $33.4009 = $2856.80
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
47765 · 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 | $2856.80 | RVU26D |
| 2026-07-01 | Not available in this setting | $2856.80 | RVU26C |
| 2026-04-01 | Not available in this setting | $2856.80 | RVU26B |
| 2026-01-01 | Not available in this setting | $2856.80 | RVU26A |
| 2025-10-01 | Not available in this setting | $3064.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $3064.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $3064.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $3064.42 | RVU25A |
47765 billing questions
How does this differ from 47760?
47765 includes intestinal transposition in the extrahepatic duct-to-gastrointestinal tract reconstruction. Use 47760 for the related anastomosis without that transposition.
When would 47780 or 47785 be more appropriate?
Those codes describe connections involving intrahepatic ducts. Choose the code that matches the duct location and reconstruction documented in the operative report.
Is modifier 50 appropriate?
No. The anatomy and service are not reported as bilateral, so modifier 50 is inappropriate.
What is included in the global period?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 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.
5,72047740,,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
5,72647800,,Reconstruction of bile ducts,A,,25.52,11.93,NA,11.93,,6.37,43.82,43.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536