Billing code 47701: Bile duct revisionMedicare rate & RVUs in Ohio
Revision of a previously created bile duct anastomosis without reconstruction, typically to address a narrowed, leaking, or dysfunctional surgical connection.
CMS doesn’t publish an office rate for 47701 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 47701 covers
47701 describes operative revision of an existing bile duct anastomosis while retaining the existing connection rather than creating a reconstruction. A surgeon may revise a narrowed or otherwise dysfunctional biliary-enteric junction after prior biliary surgery. The work is performed in an operating room and involves surgically correcting the anastomosis, not simply inspecting the bile duct. The operative report should identify the prior connection and the revision performed.
Choose this code when the surgeon revises the existing anastomosis without reconstruction; use the related reconstruction code when the operative work includes reconstruction. Document the indication, anatomy, surgical changes, and whether reconstruction was performed. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this anastomosis. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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.
47701 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,584.44 |
How the 47701 rate is calculated
Each of 47701’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 · 47701
RVUs × geographic indexes × conversion factor
Work28.01
28.01 RVUs× 1.000 GPCI
Practice expense13.02
13.02 RVUs× 1.000 GPCI
Malpractice7.48
7.48 RVUs× 1.000 GPCI
Adjusted RVUs
48.5100
Conversion factor
$33.4009
Medicare rate
$1,620.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47701
47701 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47701
Bile duct revision
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 47701
Bile duct revision
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
47701 without 51 · national facility
$1,620.28
Bile duct revision
47701-51 · Second procedure: 50%
$810.14
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%).
47701 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 47700Bile duct exploration
- 47700 describes exploration of the bile ducts. It is not the code for operative revision of a prior anastomosis.
- 47760Biliary bypass
- 47760 describes creating a connection between extrahepatic bile ducts and the gastrointestinal tract; 47701 revises an existing connection without reconstruction.
- 47765Biliary bypass
- 47765 describes creating a connection between liver ducts and the gastrointestinal tract, rather than revising an existing bile duct anastomosis.
47701 billing questions
How is 47701 distinguished from 47702?
Use 47701 for revision of the existing bile duct anastomosis without reconstruction. When the operative work includes reconstruction, consider 47702 instead.
Does 47701 include the related postoperative visits?
Yes. Its 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for a bilateral revision?
No. Modifier 50 is inappropriate for revision of a bile duct anastomosis; the service is not a paired bilateral procedure.
When may an assistant-at-surgery be reported?
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeon and team-surgery billing are not permitted for this code.
What documentation supports reporting 47701?
Document the preexisting anastomosis, the reason it required revision, the operative work performed, and whether reconstruction was performed.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, with the other procedures paid at 50% when performed in the same session.
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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