Billing code 47612: Gallbladder surgeryMedicare rate & RVUs in Oregon
Open gallbladder removal with common bile duct exploration and a biliary-enteric connection, reported when all three operative elements are performed.
CMS doesn’t publish an office rate for 47612 in Oregon.
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 47612 covers
47612 represents an open operation combining gallbladder removal, exploration of the common bile duct, and creation of a connection between the bile duct and intestine (choledochoenterostomy). General or hepatobiliary surgeons perform it in an operating room when the operation includes both duct exploration and biliary-enteric reconstruction. The reconstruction distinguishes this service from gallbladder removal or duct exploration alone.
Report one unit for the completed operation. The operative report should establish the open approach, gallbladder removal, common duct exploration, and the biliary-enteric reconstruction performed; the included cholecystectomy is not separately reported as another procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other 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 inappropriate. 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.
Where 47612 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,190.25 |
| Rest Of Oregon | Unavailable | $1,135.29 |
How the 47612 rate is calculated
Each of 47612’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 · 47612
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 20.68Practice expense 9.46Malpractice 5.53
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 47612
47612 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47612
Gallbladder surgery
| 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 · 47612
Gallbladder surgery
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
47612 without 51 · national facility
$1,191.41
Gallbladder surgery
47612-51 · Second procedure: 50%
$595.71
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%).
47612 compared with similar codes
Compare codes
47612 vs 47610 vs 47620 vs 47562: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 47610Gallbladder surgery
- Choose 47610 when the operation includes cholecystectomy and common duct exploration but not a biliary-enteric anastomosis. The added reconstruction distinguishes 47612.
- 47620Gallbladder surgery
- 47620 describes duct exploration with a transduodenal sphincter procedure. 47612 instead includes a biliary-enteric connection.
- 47562Laparoscopic cholecystectomy
- 47562 is laparoscopic gallbladder removal without the duct exploration and biliary-enteric reconstruction described by 47612.
47612 billing questions
How does 47612 differ from 47610?
47612 includes a biliary-enteric reconstruction after common duct exploration. 47610 describes duct exploration with cholecystectomy but without that reconstruction.
Should the gallbladder removal be reported separately?
No. Gallbladder removal is part of the operation represented by 47612; do not report it again as a separate cholecystectomy.
What documentation supports reporting 47612?
The operative report should document the open approach, cholecystectomy, common bile duct exploration, and the biliary-enteric connection created.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeons require 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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