No office rate
Both involve a gallbladder-to-bowel connection. Select based on the full operative configuration documented and the specific descriptor for the service performed.
On this page
CMS RVU26D · Effective 2026-10-01
47740 Biliary bypass Medicare reimbursement rates in Indiana
Reports a surgical connection between the gallbladder and intestine to reroute bile, commonly when a distal biliary obstruction requires operative bypass. Compare 47740 office and facility rates across CMS payment localities in Indiana.
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 47740 in Indiana?
Indiana 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
$1117.11
1 of 1 localities have a supported rate.
Payment area: Indiana
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 47740: Gallbladder-to-bowel bypass anastomosis
Reports a surgical connection between the gallbladder and intestine to reroute bile, commonly when a distal biliary obstruction requires operative bypass.
The surgeon creates an anastomosis between the gallbladder and intestine so bile can drain around an obstruction. This may be considered when the gallbladder can serve as the drainage conduit, such as in selected patients with distal biliary obstruction. The operation is generally performed by a general or hepatobiliary surgeon in a hospital operating room. The operative report should identify the structures joined and describe the reconstruction performed.
Choose this code from the documented operative configuration, not merely from the diagnosis or the fact that bile drainage was restored. Distinguish it from procedures joining the bile duct or hepatic ducts directly to bowel, and review related gallbladder-to-bowel codes against the full operative details. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47740
- 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 RVU20.70 · 56%
- Practice expense (office) RVU10.85 · 29%
- Malpractice RVU5.53 · 15%
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.
47740 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
This code concerns a gallbladder-to-intestine anastomosis; 47760 is for a connection from the bile duct to bowel.
No office rate
Use this code for a gallbladder-to-intestine reconstruction. Code 47765 concerns joining liver ducts to bowel.
Compare 47740 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
Indiana →
Office / nonfacility
Unavailable
Facility
$1117.11
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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 47740 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,720
- Code
- 47740
- Physician work
- 20.70
- Practice expense
- 10.85
- Malpractice
- 5.53
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.70 | × 1.000 | 20.7000 |
| Practice expense | 10.85 | × 0.927 | 10.0579 |
| Malpractice | 5.53 | × 0.486 | 2.6876 |
| Total RVUs | 33.4455 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1117.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.7 | 1 |
| Practice expense | 10.85 | 0.927 |
| Malpractice | 5.53 | 0.486 |
(20.7 × 1 + 10.85 × 0.927 + 5.53 × 0.486) × $33.4009 = $1117.11
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.
47740 billing questions
What operative details support reporting this code?
The operative report should document that the surgeon connected the gallbladder to intestine and describe the reconstruction. The diagnosis alone does not establish which gallbladder-to-bowel code applies.
How does this differ from a bile-duct-to-bowel bypass?
This service uses the gallbladder as the structure joined to intestine. A bypass joining the bile duct or hepatic ducts directly to bowel is coded according to that anatomy instead.
Is modifier 50 appropriate?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor or anatomy.
How does the 90-day global period affect related care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 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.
5,71747715,,Excision of bile duct cyst,A,,21.01,10.92,NA,10.92,,5.61,37.54,37.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71847720,,Fuse gallbladder & bowel,A,,17.88,10.16,NA,10.16,,4.78,32.82,32.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915