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 Biliary bypass Medicare reimbursement rates in Colorado
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. Compare 47765 office and facility rates across CMS payment localities in Colorado.
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 47765 in Colorado?
Colorado 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
$2754.77
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
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 Colorado, 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.
Compare 47765 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
Colorado →
Office / nonfacility
Unavailable
Facility
$2754.77
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Colorado.
PPRRVU2026_Oct_nonQPP.csv
5,723
- Code
- 47765
- Physician work
- 50.89
- Practice expense
- 19.10
- Malpractice
- 13.64
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 50.89 | × 1.012 | 51.5007 |
| Practice expense | 19.10 | × 1.064 | 20.3224 |
| Malpractice | 13.64 | × 0.781 | 10.6528 |
| Total RVUs | 82.4759 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$2754.77
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 50.89 | 1.012 |
| Practice expense | 19.1 | 1.064 |
| Malpractice | 13.64 | 0.781 |
(50.89 × 1.012 + 19.1 × 1.064 + 13.64 × 0.781) × $33.4009 = $2754.77
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.
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
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899