No office rate
Choose 47701 when the operation removes extrahepatic bile duct and reconstructs the biliary pathway. Choose 47900 for repair of an injury by closure or ligation.
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CMS RVU26D · Effective 2026-10-01
47900 Bile duct repair Medicare reimbursement rates in Kentucky
Reports operative closure or ligation of an injured bile duct, such as an injury encountered during cholecystectomy or another abdominal operation. Compare 47900 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 47900 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
$1240.09
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 47900: Surgical repair of bile duct injury
Reports operative closure or ligation of an injured bile duct, such as an injury encountered during cholecystectomy or another abdominal operation.
47900 represents operative closure of an injured bile duct, with ligation when that is part of the surgeon’s treatment. It describes repair of an injury rather than planned removal of a diseased duct or creation of a new biliary-enteric route. General, hepatobiliary, or transplant surgeons may perform the repair during an abdominal operation. An injury encountered during cholecystectomy is a typical context; the operative record should establish that an actual duct injury was repaired, not merely that routine dissection occurred.
Select the code based on the work performed. Document the injured duct and site, the nature of the injury, and the closure or ligation performed; explain any different reconstructive approach when used. This major-surgery code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, CMS pays the highest-valued procedure in full and other procedures at 50%. Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code’s anatomy and descriptor.
CMS billing rules for 47900
- 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 RVU21.88 · 56%
- Practice expense (office) RVU11.13 · 29%
- Malpractice RVU5.85 · 15%
86
Medicare services in 2024 · #4990 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.
47900 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
47562 describes laparoscopic gallbladder removal. It does not describe repair of a bile duct injury that occurs during that operation.
47999
No office rateUnlisted px biliary tract
47999 is for a biliary tract procedure without a specific CPT code. Use 47900 when the documented service is repair of a bile duct injury by closure or ligation.
Compare 47900 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
$1240.09
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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 47900 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,728
- Code
- 47900
- Physician work
- 21.88
- Practice expense
- 11.13
- Malpractice
- 5.85
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.88 | × 1.000 | 21.8800 |
| Practice expense | 11.13 | × 0.889 | 9.8946 |
| Malpractice | 5.85 | × 0.915 | 5.3527 |
| Total RVUs | 37.1273 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1240.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.88 | 1 |
| Practice expense | 11.13 | 0.889 |
| Malpractice | 5.85 | 0.915 |
(21.88 × 1 + 11.13 × 0.889 + 5.85 × 0.915) × $33.4009 = $1240.09
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.
47900 billing questions
Can 47900 be reported with a cholecystectomy?
It may be reported in the same session when an actual bile duct injury is repaired. The operative note should describe the injury and the repair, not only routine duct dissection.
How is 47900 different from bile duct excision with reconstruction?
Use 47900 for repair of an injury by closure or ligation. A procedure involving excision of extrahepatic bile duct with reconstruction is represented by 47701.
Should modifier 50 be added for a bile duct injury?
No. CMS identifies bilateral adjustment as inappropriate for this code’s anatomy and descriptor.
What documentation supports reporting 47900?
Record the duct and injury site, the injury’s nature, and the repair or ligation performed. If the surgeon performs a different reconstruction or excision, document that work clearly.
What postoperative period is included?
The code has a 90-day global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
CMS permits assistant-at-surgery payment for this code. 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.
5,72547785,,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
5,72647800,,Reconstruction of bile ducts,A,,25.52,11.93,NA,11.93,,6.37,43.82,43.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72747801,,Placement bile duct support,A,,17.16,9.72,NA,9.72,,4.19,31.07,31.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72847900,,Suture bile duct injury,A,,21.88,11.13,NA,11.13,,5.85,38.86,38.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72947999,,Unlisted px biliary tract,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73048000,,Drainage of abdomen,A,,31.15,12.82,NA,12.82,,8.33,52.30,52.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73148001,,Placement of drain pancreas,A,,38.70,14.66,NA,14.66,,10.37,63.73,63.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,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