No office rate
Use 47712 for a tumor involving bile ducts within the liver; 47711 describes excision of an extrahepatic bile duct tumor.
On this page
CMS RVU26D · Effective 2026-10-01
47712 Bile duct excision Medicare reimbursement rates in California
Reports operative removal of a tumor involving bile ducts within the liver, with the intrahepatic location distinguishing it from extrahepatic bile duct tumor excision. Compare 47712 office and facility rates across CMS payment localities in California.
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 47712 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1779.62–$2041.24
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $261.62 per service.
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.
Where 47712 pays more and less in California
Hepatobiliary surgery
About 47712: Intrahepatic bile duct tumor excision
Reports operative removal of a tumor involving bile ducts within the liver, with the intrahepatic location distinguishing it from extrahepatic bile duct tumor excision.
This code describes surgery to remove a tumor arising in bile ducts within the liver. A hepatobiliary or general surgeon typically performs the procedure in an operating room, often in a hospital setting, when the operative plan includes excision of the intrahepatic duct tumor. The operative report should identify the tumor’s location and describe the ductal tissue removed.
Select this code for an intrahepatic tumor, rather than the extrahepatic tumor service represented by 47711. Documentation should establish the intrahepatic site and the excision performed. The service 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 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 inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47712
- 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 RVU32.88 · 59%
- Practice expense (office) RVU13.80 · 25%
- Malpractice RVU8.80 · 16%
48
Medicare services in 2024 · #5379 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.
47712 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
47715 is for bile duct cyst excision. Choose 47712 when the treated lesion is a tumor involving intrahepatic ducts.
47700
No office rateBile duct exploration
47700 describes bile duct exploration. It is not the tumor-excision service when the operation removes an intrahepatic duct tumor.
No office rate
47701 describes bile duct revision, not removal of an intrahepatic bile duct tumor.
Compare 47712 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $1803.27 |
| Chico | Office Unavailable | Facility $1779.62 |
| El Centro | Office Unavailable | Facility $1781.09 |
| Fresno | Office Unavailable | Facility $1779.62 |
| Hanford-Corcoran | Office Unavailable | Facility $1779.62 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1883.70 |
| Madera | Office Unavailable | Facility $1779.62 |
| Merced | Office Unavailable | Facility $1779.62 |
| Modesto | Office Unavailable | Facility $1779.62 |
| Napa | Office Unavailable | Facility $1924.23 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1856.91 |
| Redding | Office Unavailable | Facility $1779.62 |
| Rest Of California | Office Unavailable | Facility $1779.62 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1873.89 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1831.37 |
| Salinas | Office Unavailable | Facility $1824.03 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1841.75 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1987.38 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1977.39 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $2041.24 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $2000.38 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1799.44 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1838.86 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1823.96 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1854.74 |
| Stockton | Office Unavailable | Facility $1779.62 |
| Vallejo | Office Unavailable | Facility $1909.83 |
| Visalia | Office Unavailable | Facility $1779.62 |
| Yuba City | Office Unavailable | Facility $1779.62 |
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47712 billing questions
How does 47712 differ from 47711?
47712 is for tumor excision involving bile ducts within the liver. 47711 is the corresponding service for an extrahepatic bile duct tumor.
Can modifier 50 be reported?
No. The anatomy and service descriptor make modifier 50 inappropriate for this procedure.
What documentation supports 47712?
The operative report should identify the tumor as involving intrahepatic bile ducts and describe the excision performed. A diagnosis alone does not establish which ductal site was treated.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period. The code does not represent a separate postoperative visit during that period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and 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.
5,71347700,,Exploration of bile ducts,A,,16.09,9.80,NA,9.80,,4.30,30.19,30.19,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71447701,,Bile duct revision,A,,28.01,13.02,NA,13.02,,7.48,48.51,48.51,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71547711,,Excision of bile duct tumor,A,,25.25,11.75,NA,11.75,,6.33,43.33,43.33,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71647712,,Excision of bile duct tumor,A,,32.88,13.80,NA,13.80,,8.80,55.48,55.48,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71747715,,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