No office rate
Choose 47563 when intraoperative cholangiography accompanies laparoscopic gallbladder removal; 47562 describes removal without that duct imaging.
On this page
CMS RVU26D · Effective 2026-10-01
47562 Laparoscopic cholecystectomy Medicare reimbursement rates in Missouri
Reports laparoscopic removal of the gallbladder when the operation does not include intraoperative cholangiography or common bile duct exploration. Compare 47562 office and facility rates across CMS payment localities in Missouri.
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 47562 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$601.79–$622.44
3 of 3 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.
Where 47562 pays more and less in Missouri
General surgery
About 47562: Laparoscopic gallbladder removal without duct work
Reports laparoscopic removal of the gallbladder when the operation does not include intraoperative cholangiography or common bile duct exploration.
A surgeon removes the gallbladder through laparoscopic ports, typically for symptomatic gallstones or gallbladder inflammation. The operation is commonly performed in a hospital or ambulatory surgery setting. This code describes the laparoscopic removal without the additional duct imaging or common bile duct exploration represented by related cholecystectomy codes.
Select the code based on the operative report: it should support the laparoscopic approach and gallbladder removal, and establish whether cholangiography or duct exploration was performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this single-gallbladder operation. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 47562
- 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 RVU10.21 · 54%
- Practice expense (office) RVU6.04 · 32%
- Malpractice RVU2.67 · 14%
91.6K
Medicare services in 2024 · #586 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.
47562 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Choose 47564 when common bile duct exploration is performed with laparoscopic cholecystectomy. For laparoscopic removal without duct exploration, use 47562.
No office rate
47600 describes open gallbladder removal. Use 47562 when the gallbladder is removed laparoscopically.
Compare 47562 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$617.59
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$622.44
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$601.79
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47562 billing questions
How do I distinguish this from 47563?
Use 47562 for laparoscopic gallbladder removal without intraoperative cholangiography. When cholangiography is performed during the operation, compare the case with 47563.
When is 47564 the better code?
Use 47564 when the laparoscopic cholecystectomy includes common bile duct exploration. The operative report should document the duct exploration.
Is modifier 50 appropriate?
No. This operation removes a single gallbladder, so modifier 50 is not appropriate.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeons are paid only with 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.
5,70047554,,Biliary endoscopy thru skin,A,,8.82,1.80,NA,1.80,,1.25,11.87,11.87,0,000,0.00,0.00,0.00,3,0,1,1,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70147555,,Biliary endoscopy thru skin,A,,7.36,0.68,NA,0.68,,0.96,9.00,9.00,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70247556,,Biliary endoscopy thru skin,A,,8.34,0.77,NA,0.77,,1.09,10.20,10.20,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70347562,,Laparoscopic cholecystectomy,A,,10.21,6.04,NA,6.04,,2.67,18.92,18.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70447563,,Laparo cholecystectomy/graph,A,,11.18,6.37,NA,6.37,,2.94,20.49,20.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70547564,,Laparo cholecystectomy/explr,A,,17.55,9.63,NA,9.63,,4.60,31.78,31.78,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70647570,,Laparo cholecystoenterostomy,A,,12.25,6.52,NA,6.52,,3.27,22.04,22.04,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00