Billing code 47711: Bile duct excisionMedicare rate & RVUs in Nevada
Reports surgical removal of a bile duct tumor when the duct is repaired primarily, rather than reconstructed as described by a related code.
CMS doesn’t publish an office rate for 47711 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 47711 covers
A surgeon removes a tumor arising in the bile duct, typically during an abdominal operation for a suspected or confirmed biliary neoplasm. The service addresses excision of the duct tumor and primary repair of the duct; it is distinct from removing a bile duct cyst or performing a biliary-enteric drainage procedure. Hepatobiliary and general surgeons commonly perform this work in a hospital operating room.
Select this code when the operative report supports tumor excision with primary repair, and distinguish it from 47712 when the documented operation includes the reconstruction specified by that code. The report should identify the tumor, the duct segment treated, the excision, and how the duct was repaired. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires 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.
47711 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,412.35 |
How the 47711 rate is calculated
Each of 47711’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 · 47711
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 25.25Practice expense 11.75Malpractice 6.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 47711
47711 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47711
Bile duct excision
| 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 · 47711
Bile duct excision
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
47711 without 51 · national facility
$1,447.26
Bile duct excision
47711-51 · Second procedure: 50%
$723.63
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%).
47711 compared with similar codes
Compare codes
47711 vs 47712 vs 47715 vs 47700 vs 47760: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 47712Bile duct excision
- Both address bile duct tumor excision. Choose 47711 when the duct is repaired primarily; choose 47712 when the documented reconstruction matches its descriptor.
- 47715Bile duct surgery
- This code addresses excision of a bile duct cyst. Use 47711 for a tumor, not a cystic lesion.
- 47700Bile duct exploration
- This code describes bile duct exploration, not removal of a bile duct tumor with primary repair.
- 47760Biliary bypass
- This code describes a bile duct-to-bowel anastomosis. It is distinct from excising a tumor and primarily repairing the duct.
47711 billing questions
How is 47711 distinguished from 47712?
Use 47711 for bile duct tumor excision with primary repair. Use 47712 when the operative service matches that code's specified reconstruction.
Can modifier 50 be reported for a tumor on one side of the bile duct?
No. The anatomy and service do not support bilateral reporting, so modifier 50 is inappropriate.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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 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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