No office rate
Both describe open gallbladder removal, but 47605 includes cholangiography. Use 47600 when that imaging is not performed.
On this page
CMS RVU26D · Effective 2026-10-01
47600 Gallbladder removal Medicare reimbursement rates in New Jersey
Reports open removal of the gallbladder without cholangiography, commonly for symptomatic gallstones or gallbladder inflammation when an open approach is performed. Compare 47600 office and facility rates across CMS payment localities in New Jersey.
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 47600 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1074.46–$1103.46
2 of 2 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.
General surgery
About 47600: Open gallbladder removal without cholangiography
Reports open removal of the gallbladder without cholangiography, commonly for symptomatic gallstones or gallbladder inflammation when an open approach is performed.
This code represents open surgical removal of the gallbladder through an abdominal incision, without cholangiography. General surgeons commonly perform it in a hospital operating room for conditions such as symptomatic gallstones or acute or chronic cholecystitis. The operative approach, rather than the diagnosis alone, distinguishes this service from laparoscopic gallbladder removal.
Report the code when the operative documentation supports open gallbladder removal and does not describe the additional services represented by codes for cholangiography or common-duct exploration. The note should identify the approach and the work performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is not appropriate for removal of the single gallbladder. Assistant-at-surgery payment may be available; co-surgeon claims require supporting documentation, and team surgery is not permitted.
CMS billing rules for 47600
- 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 RVU17.04 · 56%
- Practice expense (office) RVU8.86 · 29%
- Malpractice RVU4.35 · 14%
5.3K
Medicare services in 2024 · #1832 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.
47600 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
47610 includes common-duct exploration in addition to gallbladder removal. Use 47600 when the documented operation does not include duct exploration.
No office rate
47562 describes a laparoscopic approach without cholangiography; 47600 describes an open approach without cholangiography.
No office rate
47563 is the laparoscopic option when cholangiography is performed. For an open operation with cholangiography, compare 47605.
Compare 47600 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1103.46
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1074.46
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47600 billing questions
How is 47600 distinguished from laparoscopic cholecystectomy?
47600 is for open removal through an abdominal incision. For a laparoscopic approach, use the code that matches the laparoscopic work performed.
When should 47605 be considered instead?
Use 47605 when the open gallbladder operation includes cholangiography. The operative report should document that imaging service.
Does 47600 include common-duct exploration?
No. If the surgeon explores the common bile duct, choose the code that represents the documented exploration and any additional duct procedure.
Can modifier 50 be reported?
No. The gallbladder is a single organ, so modifier 50 is not appropriate for this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,70547564,,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
5,70747579,,Unlisted laps px biliary trc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70847600,,Cholecystectomy,A,,17.04,8.86,NA,8.86,,4.35,30.25,30.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70947605,,Cholecystectomy w/cholang,A,,18.02,9.10,NA,9.10,,4.66,31.78,31.78,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71047610,,Removal of gallbladder,A,,20.40,9.44,NA,9.44,,5.30,35.14,35.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71147612,,Removal of gallbladder,A,,20.68,9.46,NA,9.46,,5.53,35.67,35.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00