Billing code 47563: Laparoscopic cholecystectomyMedicare rate & RVUs in Nevada
Reports laparoscopic gallbladder removal with intraoperative cholangiography, commonly used to assess biliary anatomy or check for common bile duct stones.
CMS doesn’t publish an office rate for 47563 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 47563 covers
A surgeon removes the gallbladder through laparoscopic ports and performs cholangiography during the operation, commonly by introducing contrast through the cystic duct to image the biliary tree. This approach is used for conditions such as symptomatic gallstones or cholecystitis when the surgeon also evaluates duct anatomy or possible common bile duct stones. The procedure is typically performed in a hospital operating room or ambulatory surgery center.
Report 47563 when the laparoscopic gallbladder removal includes cholangiography; use 47562 when cholangiography is not performed. Documentation should support the laparoscopic approach, gallbladder removal, and the cholangiographic study. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this single-gallbladder procedure. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
47563 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $668.20 |
How the 47563 rate is calculated
Each of 47563’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 47563
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 11.18Practice expense 6.37Malpractice 2.94
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 47563
47563 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47563
Laparoscopic cholecystectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 47563
Laparoscopic cholecystectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47563 without 51 · national facility
$684.38
Laparoscopic cholecystectomy
47563-51 · Second procedure: 50%
$342.19
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
47563 compared with similar codes
Compare codes
47563 vs 47562 vs 47564 vs 47579: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 47562Laparoscopic cholecystectomy
- Use 47562 for laparoscopic gallbladder removal without cholangiography; 47563 includes cholangiography performed during the operation.
- 47564Laparoscopic cholecystectomy
- Use 47564 when the laparoscopic operation includes common bile duct exploration. Cholangiography with gallbladder removal, without that exploration, is reported with 47563.
- 47579Unlisted laps px biliary trc
- 47579 is an unlisted code for a laparoscopic biliary procedure not represented by a specific code. Use 47563 when the documented service is laparoscopic gallbladder removal with cholangiography.
47563 billing questions
When should I report 47563 instead of 47562?
Report 47563 when the surgeon performs cholangiography during laparoscopic gallbladder removal. Use 47562 when the gallbladder is removed laparoscopically without cholangiography.
How does 47563 differ from 47564?
47563 includes cholangiography with laparoscopic gallbladder removal. 47564 is the pertinent code when the operation also includes exploration of the common bile duct.
What documentation supports 47563?
The operative report should establish the laparoscopic gallbladder removal and document that intraoperative cholangiography was performed. A stated intention to obtain a cholangiogram, without documentation that it was performed, does not support this combination code.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this single-gallbladder procedure.
How does Medicare handle other procedures performed in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and other procedures at 50%. The 90-day 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-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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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