No office rate
Use 47765 when the operative report identifies a hepatic duct as the source of the intestinal anastomosis. This code is for the common bile duct.
On this page
CMS RVU26D · Effective 2026-10-01
47760 Biliary bypass Medicare reimbursement rates in Idaho
Reports surgical creation of a connection between the common bile duct and intestine to provide biliary drainage around an obstruction or damaged segment. Compare 47760 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 47760 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
$1870.83
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.
Biliary surgery
About 47760: Bile duct-to-bowel bypass
Reports surgical creation of a connection between the common bile duct and intestine to provide biliary drainage around an obstruction or damaged segment.
The surgeon creates an anastomosis between the common bile duct and intestine so bile can drain into the bowel. This may be performed for biliary obstruction or injury when the usual route of drainage cannot be maintained. General and hepatobiliary surgeons typically perform the operation in a hospital operating room; Medicare’s 2024 claims data show facility services for this code and none in the office setting.
Select the code when the operative report documents the common bile duct as the duct joined to the intestine. Record the duct and bowel anatomy, the reason for bypass, and the completed anastomosis; a connection from a hepatic duct or the gallbladder is distinguished by its source anatomy. The code 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 one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47760
- 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 RVU37.36 · 60%
- Practice expense (office) RVU15.43 · 25%
- Malpractice RVU9.42 · 15%
243
Medicare services in 2024 · #4157 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.
47760 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
Use 47780 for a bile duct-to-duodenum connection. This code describes a choledochoenterostomy without that specific duodenal anatomy.
No office rate
Code 47720 uses the gallbladder to establish drainage into bowel; this code uses the common bile duct.
Compare 47760 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
$1870.83
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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 47760 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
5,722
- Code
- 47760
- Physician work
- 37.36
- Practice expense
- 15.43
- Malpractice
- 9.42
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.36 | × 1.000 | 37.3600 |
| Practice expense | 15.43 | × 0.920 | 14.1956 |
| Malpractice | 9.42 | × 0.473 | 4.4557 |
| Total RVUs | 56.0113 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$1870.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 37.36 | 1 |
| Practice expense | 15.43 | 0.92 |
| Malpractice | 9.42 | 0.473 |
(37.36 × 1 + 15.43 × 0.92 + 9.42 × 0.473) × $33.4009 = $1870.83
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.
47760 billing questions
How is this code distinguished from a hepaticojejunostomy?
Use the documented anastomosis anatomy: this code is for a connection from the common bile duct to intestine. A connection originating from a hepatic duct is represented by the hepaticojejunostomy code, 47765.
Is this code appropriate for a bile duct-to-duodenum connection?
Code 47780 describes the bile duct-to-duodenum procedure. Use this code when the documented procedure is a choledochoenterostomy other than that specifically identified anatomy.
Can modifier 50 be used for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. The operative report should support the bypass and the anatomy involved.
How are other procedures performed in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
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.
5,71947721,,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
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
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