No office rate
Both describe open gallbladder removal; 47605 includes intraoperative cholangiography, while 47600 is for removal without it.
On this page
CMS RVU26D · Effective 2026-10-01
47605 Cholecystectomy Medicare reimbursement rates in Alaska
Reports open gallbladder removal with intraoperative cholangiography, commonly performed to assess the bile ducts during surgery for gallbladder disease. Compare 47605 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 47605 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1312.29
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
General surgery
About 47605: Open cholecystectomy with cholangiography
Reports open gallbladder removal with intraoperative cholangiography, commonly performed to assess the bile ducts during surgery for gallbladder disease.
A surgeon uses this code for open removal of the gallbladder combined with intraoperative cholangiography, in which contrast is introduced into the biliary system and images are obtained to assess the ducts. It is commonly performed in a hospital operating room for gallbladder disease, including when the surgeon wants to evaluate the bile ducts during the operation.
Report 47605 when the operative service includes both open cholecystectomy and cholangiography; open removal without cholangiography is represented by a different code. The operative report should support the approach, gallbladder removal, and performance of the cholangiographic study. CMS assigns 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 other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single-organ procedure.
CMS billing rules for 47605
- 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 RVU18.02 · 57%
- Practice expense (office) RVU9.10 · 29%
- Malpractice RVU4.66 · 15%
689
Medicare services in 2024 · #3279 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.
47605 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
This code describes laparoscopic gallbladder removal with cholangiography. Use 47605 for the open approach with cholangiography.
No office rate
This code describes laparoscopic gallbladder removal without cholangiography; 47605 is open surgery and includes the study.
Compare 47605 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$1312.29
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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 47605 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
5,709
- Code
- 47605
- Physician work
- 18.02
- Practice expense
- 9.10
- Malpractice
- 4.66
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.02 | × 1.500 | 27.0300 |
| Practice expense | 9.10 | × 1.065 | 9.6915 |
| Malpractice | 4.66 | × 0.551 | 2.5677 |
| Total RVUs | 39.2892 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$1312.29
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.02 | 1.5 |
| Practice expense | 9.1 | 1.065 |
| Malpractice | 4.66 | 0.551 |
(18.02 × 1.5 + 9.1 × 1.065 + 4.66 × 0.551) × $33.4009 = $1312.29
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.
47605 billing questions
How does 47605 differ from 47600?
47605 includes intraoperative cholangiography with open gallbladder removal. Use 47600 for open removal without the cholangiographic study.
Can 47605 be used for laparoscopic surgery?
No. For laparoscopic gallbladder removal with intraoperative cholangiography, the corresponding code is 47563.
What documentation supports reporting 47605?
The operative report should identify the open approach and document both gallbladder removal and the intraoperative cholangiographic study.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the others.
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.
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.
5,70647570,,Laparo cholecystoenterostomy,A,,12.25,6.52,NA,6.52,,3.27,22.04,22.04,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70747579,,Unlisted laps px biliary trc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70847600,,Cholecystectomy,A,,17.04,8.86,NA,8.86,,4.35,30.25,30.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70947605,,Cholecystectomy w/cholang,A,,18.02,9.10,NA,9.10,,4.66,31.78,31.78,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71047610,,Removal of gallbladder,A,,20.40,9.44,NA,9.44,,5.30,35.14,35.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71147612,,Removal of gallbladder,A,,20.68,9.46,NA,9.46,,5.53,35.67,35.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71247620,,Removal of gallbladder,A,,22.49,9.90,NA,9.90,,6.02,38.41,38.41,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609