47700
No office rateBile duct exploration
47700 describes exploration of the bile ducts. Choose 47715 when the operation includes removal of a bile duct cyst.
On this page
CMS RVU26D · Effective 2026-10-01
47715 Bile duct surgery Medicare reimbursement rates in Nevada
Reports operative removal of a bile duct cyst, commonly a choledochal cyst, when the surgeon documents excision of the cyst rather than exploration alone. Compare 47715 office and facility rates across CMS payment localities in Nevada.
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 47715 in Nevada?
Nevada 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
$1222.94
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Biliary surgery
About 47715: Bile duct cyst excision
Reports operative removal of a bile duct cyst, commonly a choledochal cyst, when the surgeon documents excision of the cyst rather than exploration alone.
This code is for an operation to remove a cyst arising from the bile duct, including a choledochal cyst. A general or hepatobiliary surgeon typically performs the procedure in an operating room, often for a cystic bile duct abnormality requiring definitive treatment. The operative report should identify the cyst, its location and extent, and the work performed to remove it. It should also describe any reconstruction of bile drainage performed as part of the operation.
Report the code when the documented service is excision of a bile duct cyst, not merely inspection of the ducts or removal of a bile duct tumor. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 50% 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 47715
- 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 RVU21.01 · 56%
- Practice expense (office) RVU10.92 · 29%
- Malpractice RVU5.61 · 15%
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.
47715 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
47711 is for excision of a bile duct tumor, not a cyst. Base code selection on the lesion documented in the operative report.
No office rate
47712 also describes bile duct tumor excision. It is not the cyst-excision code; distinguish the services by the documented lesion and operative work.
Compare 47715 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$1222.94
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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 47715 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
5,717
- Code
- 47715
- Physician work
- 21.01
- Practice expense
- 10.92
- Malpractice
- 5.61
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.01 | × 1.000 | 21.0100 |
| Practice expense | 10.92 | × 1.001 | 10.9309 |
| Malpractice | 5.61 | × 0.833 | 4.6731 |
| Total RVUs | 36.6140 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$1222.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.01 | 1 |
| Practice expense | 10.92 | 1.001 |
| Malpractice | 5.61 | 0.833 |
(21.01 × 1 + 10.92 × 1.001 + 5.61 × 0.833) × $33.4009 = $1222.94
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.
47715 billing questions
When should this code be chosen over bile duct exploration?
Use this code when the surgeon removes a bile duct cyst. Exploration alone, without cyst excision, is a different service.
How does cyst excision differ from bile duct tumor excision?
The operative diagnosis and findings distinguish a cystic lesion from a bile duct tumor. The tumor excision codes are not substitutes when the documented lesion is a cyst.
Should modifier 50 be appended?
No. The CMS payment rule identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
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?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure 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.
5,71447701,,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
5,71547711,,Excision of bile duct tumor,A,,25.25,11.75,NA,11.75,,6.33,43.33,43.33,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71647712,,Excision of bile duct tumor,A,,32.88,13.80,NA,13.80,,8.80,55.48,55.48,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71747715,,Excision of bile duct cyst,A,,21.01,10.92,NA,10.92,,5.61,37.54,37.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71847720,,Fuse gallbladder & bowel,A,,17.88,10.16,NA,10.16,,4.78,32.82,32.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71947721,,Fuse upper gi structures,A,,21.44,11.03,NA,11.03,,5.73,38.20,38.20,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72047740,,Fuse gallbladder & bowel,A,,20.70,10.85,NA,10.85,,5.53,37.08,37.08,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097