No office rate
Choose 47610 when the operation includes cholecystectomy and common duct exploration but not a biliary-enteric anastomosis. The added reconstruction distinguishes 47612.
On this page
CMS RVU26D · Effective 2026-10-01
47612 Gallbladder surgery Medicare reimbursement rates in Minnesota
Open gallbladder removal with common bile duct exploration and a biliary-enteric connection, reported when all three operative elements are performed. Compare 47612 office and facility rates across CMS payment localities in Minnesota.
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 47612 in Minnesota?
Minnesota 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
$1070.54
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 47612: Open cholecystectomy with biliary-enteric anastomosis
Open gallbladder removal with common bile duct exploration and a biliary-enteric connection, reported when all three operative elements are performed.
47612 represents an open operation combining gallbladder removal, exploration of the common bile duct, and creation of a connection between the bile duct and intestine (choledochoenterostomy). General or hepatobiliary surgeons perform it in an operating room when the operation includes both duct exploration and biliary-enteric reconstruction. The reconstruction distinguishes this service from gallbladder removal or duct exploration alone.
Report one unit for the completed operation. The operative report should establish the open approach, gallbladder removal, common duct exploration, and the biliary-enteric reconstruction performed; the included cholecystectomy is not separately reported as another procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure 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 47612
- 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 RVU20.68 · 58%
- Practice expense (office) RVU9.46 · 27%
- Malpractice RVU5.53 · 16%
33
Medicare services in 2024 · #5600 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.
47612 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
47620 describes duct exploration with a transduodenal sphincter procedure. 47612 instead includes a biliary-enteric connection.
No office rate
47562 is laparoscopic gallbladder removal without the duct exploration and biliary-enteric reconstruction described by 47612.
Compare 47612 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$1070.54
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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 47612 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
5,711
- Code
- 47612
- Physician work
- 20.68
- Practice expense
- 9.46
- Malpractice
- 5.53
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.68 | × 1.000 | 20.6800 |
| Practice expense | 9.46 | × 1.029 | 9.7343 |
| Malpractice | 5.53 | × 0.296 | 1.6369 |
| Total RVUs | 32.0512 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$1070.54
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.68 | 1 |
| Practice expense | 9.46 | 1.029 |
| Malpractice | 5.53 | 0.296 |
(20.68 × 1 + 9.46 × 1.029 + 5.53 × 0.296) × $33.4009 = $1070.54
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.
47612 billing questions
How does 47612 differ from 47610?
47612 includes a biliary-enteric reconstruction after common duct exploration. 47610 describes duct exploration with cholecystectomy but without that reconstruction.
Should the gallbladder removal be reported separately?
No. Gallbladder removal is part of the operation represented by 47612; do not report it again as a separate cholecystectomy.
What documentation supports reporting 47612?
The operative report should document the open approach, cholecystectomy, common bile duct exploration, and the biliary-enteric connection created.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeons require supporting documentation, and 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.
5,70847600,,Cholecystectomy,A,,17.04,8.86,NA,8.86,,4.35,30.25,30.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70947605,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002