No office rate
47600 describes cholecystectomy alone. Choose 47620 when the surgeon also explores the common duct and creates a choledochoenterostomy.
On this page
CMS RVU26D · Effective 2026-10-01
47620 Gallbladder surgery Medicare reimbursement rates in Kentucky
Reports gallbladder removal combined with common bile duct exploration and creation of a drainage connection to the intestine. Compare 47620 office and facility rates across CMS payment localities in Kentucky.
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 47620 in Kentucky?
Kentucky 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
$1229.13
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Hepatobiliary surgery
About 47620: Cholecystectomy with duct exploration and bypass
Reports gallbladder removal combined with common bile duct exploration and creation of a drainage connection to the intestine.
This open operation removes the gallbladder, explores the common bile duct, and creates a connection between the bile duct and intestine to provide drainage. General or hepatobiliary surgeons may perform it for complex biliary disease, such as duct obstruction or a stricture requiring a bypass, in a hospital operating room. The operative report should establish that all three parts of the procedure were performed; gallbladder removal or duct exploration alone does not describe this service.
Report the combined procedure when the documented work includes cholecystectomy, common duct exploration, and choledochoenterostomy. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47620
- 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 RVU22.49 · 59%
- Practice expense (office) RVU9.90 · 26%
- Malpractice RVU6.02 · 16%
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.
47620 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
47605 adds cholangiography to cholecystectomy. It does not describe the duct exploration and enteric bypass combination reported with 47620.
No office rate
47610 includes common duct exploration with cholecystectomy. 47620 additionally requires a choledochoenterostomy.
No office rate
47612 describes duct exploration with cholecystectomy and cholangiography. 47620 is distinguished by the choledochoenterostomy.
Compare 47620 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$1229.13
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 47620 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,712
- Code
- 47620
- Physician work
- 22.49
- Practice expense
- 9.90
- Malpractice
- 6.02
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.49 | × 1.000 | 22.4900 |
| Practice expense | 9.90 | × 0.889 | 8.8011 |
| Malpractice | 6.02 | × 0.915 | 5.5083 |
| Total RVUs | 36.7994 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1229.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.49 | 1 |
| Practice expense | 9.9 | 0.889 |
| Malpractice | 6.02 | 0.915 |
(22.49 × 1 + 9.9 × 0.889 + 6.02 × 0.915) × $33.4009 = $1229.13
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.
47620 billing questions
When is 47620 appropriate instead of 47610?
Use 47620 when the operation includes a choledochoenterostomy in addition to gallbladder removal and common duct exploration. 47610 describes duct exploration with cholecystectomy without that bypass.
Does this code include gallbladder removal and duct exploration?
Yes. The reported service combines cholecystectomy, exploration of the common bile duct, and a choledochoenterostomy; the operative report should document each part.
Should modifier 50 be appended?
No. Bilateral adjustment is inappropriate for this code and the anatomy described.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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.
5,70947605,,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
5,71447701,,Bile duct revision,A,,28.01,13.02,NA,13.02,,7.48,48.51,48.51,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71547711,,Excision of bile duct tumor,A,,25.25,11.75,NA,11.75,,6.33,43.33,43.33,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631