No office rate
47800 covers reconstruction of the duct; 47801 covers placement of bile duct support. Distinguish the ductal rebuilding from a separately documented support-placement service.
On this page
CMS RVU26D · Effective 2026-10-01
47800 Bile duct reconstruction Medicare reimbursement rates in Missouri
Reports operative reconstruction of an extrahepatic bile duct to restore biliary continuity, such as after duct injury or a significant benign narrowing. Compare 47800 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 47800 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
$1403.11–$1444.93
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 47800 pays more and less in Missouri
Hepatobiliary surgery
About 47800: Extrahepatic bile duct reconstruction
Reports operative reconstruction of an extrahepatic bile duct to restore biliary continuity, such as after duct injury or a significant benign narrowing.
This major hepatobiliary operation rebuilds the extrahepatic bile duct to restore bile flow when the duct has a defect or cannot function normally. A hepatobiliary or general surgeon performs it in the operating room, often after an injury from prior surgery or for a complex benign narrowing. Reconstruction may require joining ductal structures or creating a route for bile drainage, depending on the anatomy and operative findings.
Report 47800 for the reconstruction itself, supported by the operative report’s description of the ductal defect, anatomy, and work performed. It has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
CMS billing rules for 47800
- 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 RVU25.52 · 58%
- Practice expense (office) RVU11.93 · 27%
- Malpractice RVU6.37 · 15%
130
Medicare services in 2024 · #4670 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.
47800 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Use 47760 for bile duct repair when the operative work is repair; 47800 represents reconstruction of the duct.
No office rate
47740 identifies a choledochoenterostomy using a Roux-en-Y configuration. 47800 is the broader reconstruction service rather than that specifically described anastomosis.
Compare 47800 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
$1434.43
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1444.93
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1403.11
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47800 billing questions
How is reconstruction different from bile duct support placement?
47800 reports rebuilding the extrahepatic duct or its continuity. 47801 concerns placement of bile duct support; use it only when that placement is separately performed and documented.
What documentation supports 47800?
The operative report should identify the ductal defect or abnormality, relevant anatomy, and the reconstruction performed to restore biliary continuity or drainage.
Does the 90-day global include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 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.
5,72347765,,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
5,72447780,,Fuse bile ducts and bowel,A,,41.26,16.56,NA,16.56,,10.55,68.37,68.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72547785,,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