Bile duct exploration
47700 describes exploration of the bile ducts. It is not the code for operative revision of a prior anastomosis.
CMS RVU26D · Effective 2026-10-01
Revision of a previously created bile duct anastomosis without reconstruction, typically to address a narrowed, leaking, or dysfunctional surgical connection. Compare 47701 office and facility rates across CMS payment localities in Illinois.
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.
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
No supported rate
$1723.10–$1952.54
4 of 4 localities have a supported rate.
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
Revision of a previously created bile duct anastomosis without reconstruction, typically to address a narrowed, leaking, or dysfunctional surgical connection.
47701 describes operative revision of an existing bile duct anastomosis while retaining the existing connection rather than creating a reconstruction. A surgeon may revise a narrowed or otherwise dysfunctional biliary-enteric junction after prior biliary surgery. The work is performed in an operating room and involves surgically correcting the anastomosis, not simply inspecting the bile duct. The operative report should identify the prior connection and the revision performed.
Choose this code when the surgeon revises the existing anastomosis without reconstruction; use the related reconstruction code when the operative work includes reconstruction. Document the indication, anatomy, surgical changes, and whether reconstruction was performed. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this anastomosis. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
Office rates for Illinois, from the same CMS release.
Bile duct exploration
47700 describes exploration of the bile ducts. It is not the code for operative revision of a prior anastomosis.
47760 describes creating a connection between extrahepatic bile ducts and the gastrointestinal tract; 47701 revises an existing connection without reconstruction.
47765 describes creating a connection between liver ducts and the gastrointestinal tract, rather than revising an existing bile duct anastomosis.
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4 of 4 payment localities
Office / nonfacility
Unavailable
Facility
$1952.54
Office / nonfacility
Unavailable
Facility
$1838.82
Office / nonfacility
Unavailable
Facility
$1723.10
Office / nonfacility
Unavailable
Facility
$1831.44
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Use 47701 for revision of the existing bile duct anastomosis without reconstruction. When the operative work includes reconstruction, consider 47702 instead.
Yes. Its 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
No. Modifier 50 is inappropriate for revision of a bile duct anastomosis; the service is not a paired bilateral procedure.
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeon and team-surgery billing are not permitted for this code.
Document the preexisting anastomosis, the reason it required revision, the operative work performed, and whether reconstruction was performed.
The highest-valued procedure is paid in full, with the other procedures paid at 50% when performed in the same session.
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.