No office rate
Use 47562 for laparoscopic gallbladder removal without cholangiography; 47563 includes cholangiography performed during the operation.
On this page
CMS RVU26D · Effective 2026-10-01
47563 Laparoscopic cholecystectomy Medicare reimbursement rates in Hawaii
Reports laparoscopic gallbladder removal with intraoperative cholangiography, commonly used to assess biliary anatomy or check for common bile duct stones. Compare 47563 office and facility rates across CMS payment localities in Hawaii.
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 47563 in Hawaii?
Hawaii 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
$672.19
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 47563: Laparoscopic cholecystectomy with cholangiography
Reports laparoscopic gallbladder removal with intraoperative cholangiography, commonly used to assess biliary anatomy or check for common bile duct stones.
A surgeon removes the gallbladder through laparoscopic ports and performs cholangiography during the operation, commonly by introducing contrast through the cystic duct to image the biliary tree. This approach is used for conditions such as symptomatic gallstones or cholecystitis when the surgeon also evaluates duct anatomy or possible common bile duct stones. The procedure is typically performed in a hospital operating room or ambulatory surgery center.
Report 47563 when the laparoscopic gallbladder removal includes cholangiography; use 47562 when cholangiography is not performed. Documentation should support the laparoscopic approach, gallbladder removal, and the cholangiographic study. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this single-gallbladder procedure. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 47563
- 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 RVU11.18 · 55%
- Practice expense (office) RVU6.37 · 31%
- Malpractice RVU2.94 · 14%
36.5K
Medicare services in 2024 · #904 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.
47563 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Use 47564 when the laparoscopic operation includes common bile duct exploration. Cholangiography with gallbladder removal, without that exploration, is reported with 47563.
47579
No office rateUnlisted laps px biliary trc
47579 is an unlisted code for a laparoscopic biliary procedure not represented by a specific code. Use 47563 when the documented service is laparoscopic gallbladder removal with cholangiography.
Compare 47563 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$672.19
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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 47563 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
5,704
- Code
- 47563
- Physician work
- 11.18
- Practice expense
- 6.37
- Malpractice
- 2.94
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.18 | × 1.000 | 11.1800 |
| Practice expense | 6.37 | × 1.137 | 7.2427 |
| Malpractice | 2.94 | × 0.579 | 1.7023 |
| Total RVUs | 20.1249 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$672.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.18 | 1 |
| Practice expense | 6.37 | 1.137 |
| Malpractice | 2.94 | 0.579 |
(11.18 × 1 + 6.37 × 1.137 + 2.94 × 0.579) × $33.4009 = $672.19
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.
47563 billing questions
When should I report 47563 instead of 47562?
Report 47563 when the surgeon performs cholangiography during laparoscopic gallbladder removal. Use 47562 when the gallbladder is removed laparoscopically without cholangiography.
How does 47563 differ from 47564?
47563 includes cholangiography with laparoscopic gallbladder removal. 47564 is the pertinent code when the operation also includes exploration of the common bile duct.
What documentation supports 47563?
The operative report should establish the laparoscopic gallbladder removal and document that intraoperative cholangiography was performed. A stated intention to obtain a cholangiogram, without documentation that it was performed, does not support this combination code.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this single-gallbladder procedure.
How does Medicare handle other procedures performed in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and other procedures at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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.
5,70147555,,Biliary endoscopy thru skin,A,,7.36,0.68,NA,0.68,,0.96,9.00,9.00,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70247556,,Biliary endoscopy thru skin,A,,8.34,0.77,NA,0.77,,1.09,10.20,10.20,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70347562,,Laparoscopic cholecystectomy,A,,10.21,6.04,NA,6.04,,2.67,18.92,18.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70447563,,Laparo cholecystectomy/graph,A,,11.18,6.37,NA,6.37,,2.94,20.49,20.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70547564,,Laparo cholecystectomy/explr,A,,17.55,9.63,NA,9.63,,4.60,31.78,31.78,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70647570,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014