Billing code 47605: CholecystectomyMedicare rate & RVUs in Ohio
Reports open gallbladder removal with intraoperative cholangiography, commonly performed to assess the bile ducts during surgery for gallbladder disease.
CMS doesn’t publish an office rate for 47605 in Ohio.
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 47605 covers
A surgeon uses this code for open removal of the gallbladder combined with intraoperative cholangiography, in which contrast is introduced into the biliary system and images are obtained to assess the ducts. It is commonly performed in a hospital operating room for gallbladder disease, including when the surgeon wants to evaluate the bile ducts during the operation.
Report 47605 when the operative service includes both open cholecystectomy and cholangiography; open removal without cholangiography is represented by a different code. The operative report should support the approach, gallbladder removal, and performance of the cholangiographic study. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single-organ procedure.
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.
47605 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,036.28 |
How the 47605 rate is calculated
Each of 47605’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 · 47605
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 18.02Practice expense 9.10Malpractice 4.66
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 47605
47605 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47605
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 · 47605
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
47605 without 51 · national facility
$1,061.48
Cholecystectomy
47605-51 · Second procedure: 50%
$530.74
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%).
47605 compared with similar codes
Compare codes
47605 vs 47600 vs 47563 vs 47562: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 47600Gallbladder removal
- Both describe open gallbladder removal; 47605 includes intraoperative cholangiography, while 47600 is for removal without it.
- 47563Laparoscopic cholecystectomy
- This code describes laparoscopic gallbladder removal with cholangiography. Use 47605 for the open approach with cholangiography.
- 47562Laparoscopic cholecystectomy
- This code describes laparoscopic gallbladder removal without cholangiography; 47605 is open surgery and includes the study.
47605 billing questions
How does 47605 differ from 47600?
47605 includes intraoperative cholangiography with open gallbladder removal. Use 47600 for open removal without the cholangiographic study.
Can 47605 be used for laparoscopic surgery?
No. For laparoscopic gallbladder removal with intraoperative cholangiography, the corresponding code is 47563.
What documentation supports reporting 47605?
The operative report should identify the open approach and document both gallbladder removal and the intraoperative cholangiographic study.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the others.
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.
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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