No office rate
Use 47600 for open gallbladder removal without common duct exploration. The added duct exploration distinguishes 47610.
On this page
CMS RVU26D · Effective 2026-10-01
47610 Gallbladder surgery Medicare reimbursement rates in Idaho
Reports open gallbladder removal combined with exploration of the common bile duct, typically when stones or another obstruction require operative duct evaluation. Compare 47610 office and facility rates across CMS payment localities in Idaho.
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 47610 in Idaho?
Idaho 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
$1055.19
1 of 1 localities have a supported rate.
Payment area: Idaho
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 47610: Open cholecystectomy with duct exploration
Reports open gallbladder removal combined with exploration of the common bile duct, typically when stones or another obstruction require operative duct evaluation.
This code describes open removal of the gallbladder with surgical exploration of the common bile duct during the same operation. General surgeons commonly perform it in a hospital operating room when suspected or confirmed duct stones, such as choledocholithiasis, require direct operative evaluation or treatment in addition to cholecystectomy. It is distinct from gallbladder removal alone and from laparoscopic procedures.
Report it when the operative record supports both gallbladder removal and common duct exploration. Documentation should identify the reason for duct exploration and the work performed, such as opening or inspecting the duct and addressing an obstruction. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 47610
- 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 RVU20.40 · 58%
- Practice expense (office) RVU9.44 · 27%
- Malpractice RVU5.30 · 15%
317
Medicare services in 2024 · #3955 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.
47610 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
47605 includes cholangiography with open gallbladder removal; 47610 represents common duct exploration, not simply imaging of the ducts.
No office rate
47564 describes laparoscopic cholecystectomy with common bile duct exploration. Choose 47610 for the open approach when the documented work supports it.
Compare 47610 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
Idaho →
Office / nonfacility
Unavailable
Facility
$1055.19
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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 47610 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
5,710
- Code
- 47610
- Physician work
- 20.40
- Practice expense
- 9.44
- Malpractice
- 5.30
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.40 | × 1.000 | 20.4000 |
| Practice expense | 9.44 | × 0.920 | 8.6848 |
| Malpractice | 5.30 | × 0.473 | 2.5069 |
| Total RVUs | 31.5917 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$1055.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.4 | 1 |
| Practice expense | 9.44 | 0.92 |
| Malpractice | 5.3 | 0.473 |
(20.4 × 1 + 9.44 × 0.92 + 5.3 × 0.473) × $33.4009 = $1055.19
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.
47610 billing questions
How does this differ from 47600?
47600 describes open gallbladder removal without common duct exploration. Use 47610 when the operative service also includes exploration of the common bile duct.
Is this the code for laparoscopic duct exploration?
No. This code describes the open operation. For laparoscopic cholecystectomy with common bile duct exploration, consider 47564 when the documented procedure matches that service.
Does gallbladder removal alone support 47610?
No. The operative documentation must support common duct exploration in addition to gallbladder removal.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care. The code is treated as major surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same session.
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.
5,70747579,,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
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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772