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CMS RVU26D · Effective 2026-10-01

47570 Biliary bypass Medicare reimbursement rates in Rhode Island

Reports laparoscopic creation of a gallbladder-to-intestine drainage route to bypass biliary obstruction while retaining the gallbladder. Compare 47570 office and facility rates across CMS payment localities in Rhode Island.

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 47570 in Rhode Island?

Rhode Island 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

$739.32

1 of 1 localities have a supported rate.

Payment area: Rhode Island

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.

Find 47570 in your payment locality →

Laparoscopic biliary surgery

About 47570: Laparoscopic gallbladder-to-intestine bypass

Reports laparoscopic creation of a gallbladder-to-intestine drainage route to bypass biliary obstruction while retaining the gallbladder.

This operation uses laparoscopic access to connect the gallbladder to a segment of intestine, creating a route for bile to drain around an obstruction in its usual outflow pathway. A general or hepatobiliary surgeon may perform it when the gallbladder and cystic duct can provide a usable source of drainage. It is an uncommon reconstructive operation, generally performed in an operating room under general anesthesia; the gallbladder remains part of the bypass.

Select this code for the laparoscopic bypass, not for removal of the gallbladder. The operative report should identify the indication, laparoscopic approach, intestinal connection, and anatomy supporting the bypass. Medicare assigns a 90-day global period, including 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 others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 47570

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 RVU12.25 · 56%
  • Practice expense (office) RVU6.52 · 30%
  • Malpractice RVU3.27 · 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.

47570 compared with similar codes

Office rates for Rhode Island, from the same CMS release.

47562

Laparoscopic cholecystectomy

Without cholangiography or exploration

No office rate

This code describes laparoscopic gallbladder removal. Choose 47570 for a laparoscopic gallbladder-to-intestine drainage bypass that retains the gallbladder.

47563

Laparoscopic cholecystectomy

With cholangiography

No office rate

This code describes laparoscopic gallbladder removal with cholangiography. It is not the bypass operation reported with 47570.

47564

Laparoscopic cholecystectomy

With common duct exploration

No office rate

This code describes laparoscopic gallbladder removal with common bile duct exploration. Use 47570 when the laparoscopic procedure instead creates a gallbladder-to-intestine drainage route.

47700

Bile duct exploration

No office rate

This is the open approach to a gallbladder-to-intestine bypass; 47570 is for the laparoscopic approach.

Compare 47570 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

Office and facility base rates · shared scale starting at $0

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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 47570 in Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

5,706

Code
47570
Physician work
12.25
Practice expense
6.52
Malpractice
3.27

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Facility calculation for 47570 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work12.25× 1.01912.4827
Practice expense6.52× 1.0336.7352
Malpractice3.27× 0.8922.9168
Total RVUs22.1347
Conversion factor× 33.4009

Facility rate, Rhode Island$739.32

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work12.251.019
Practice expense6.521.033
Malpractice3.270.892

(12.25 × 1.019 + 6.52 × 1.033 + 3.27 × 0.892) × $33.4009 = $739.32

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.

47570 billing questions

How does this differ from laparoscopic cholecystectomy?

This code is for creating a drainage connection between the gallbladder and intestine while retaining the gallbladder. Laparoscopic cholecystectomy codes describe gallbladder removal.

What should the operative report document?

Document the biliary indication, laparoscopic technique, gallbladder and intestinal anatomy, and the connection created. The record should make clear that the operation establishes a bypass rather than removing the gallbladder.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. 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 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.

RVUs for 47570PPRRVU2026_Oct_nonQPP.csv, line 5,706 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet