No office rate
Choose 47801 for support placement during reconstruction; 47800 represents the extrahepatic bile duct reconstruction itself.
On this page
CMS RVU26D · Effective 2026-10-01
47801 Bile duct support Medicare reimbursement rates in Rhode Island
Reports placement of a T-tube or other support in the extrahepatic bile duct as part of surgical reconstruction of that duct. Compare 47801 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 47801 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
$1044.26
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.
Hepatobiliary surgery
About 47801: Bile duct support placement during reconstruction
Reports placement of a T-tube or other support in the extrahepatic bile duct as part of surgical reconstruction of that duct.
This service covers placing a support, such as a T-tube or stent, in the extrahepatic bile duct during surgical reconstruction. It is performed by a surgeon, commonly a general or hepatobiliary surgeon, in an operating room. The operative report should identify the reconstruction and describe the support placed and its position in the duct.
Report this code for the support-placement service during reconstruction; code 47800 describes reconstruction of the extrahepatic bile duct itself. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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. Do not use modifier 50 for bilateral reporting. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47801
- 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 RVU17.16 · 55%
- Practice expense (office) RVU9.72 · 31%
- Malpractice RVU4.19 · 13%
84
Medicare services in 2024 · #5007 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.
47801 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code describes an anastomosis between extrahepatic bile ducts and the gastrointestinal tract, not placement of a support during reconstruction.
No office rate
This code is for suturing a bile duct injury. Code 47801 concerns support placement during reconstruction of the extrahepatic bile duct.
Compare 47801 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$1044.26
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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 47801 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,727
- Code
- 47801
- Physician work
- 17.16
- Practice expense
- 9.72
- Malpractice
- 4.19
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.16 | × 1.019 | 17.4860 |
| Practice expense | 9.72 | × 1.033 | 10.0408 |
| Malpractice | 4.19 | × 0.892 | 3.7375 |
| Total RVUs | 31.2643 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1044.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.16 | 1.019 |
| Practice expense | 9.72 | 1.033 |
| Malpractice | 4.19 | 0.892 |
(17.16 × 1.019 + 9.72 × 1.033 + 4.19 × 0.892) × $33.4009 = $1044.26
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.
47801 billing questions
How does 47801 differ from 47800?
47801 represents placement of support in the bile duct during reconstruction. Code 47800 represents reconstruction of the extrahepatic bile duct itself.
What documentation supports reporting 47801?
The operative report should establish that reconstruction was performed and identify the support placed and its location in the extrahepatic bile duct.
Can 47801 be reported with 47800?
The codes describe distinct parts of the operation: reconstruction and placement of support during that reconstruction. Report each service when the operative documentation supports both.
Can modifier 50 be used for bilateral reporting?
No. The descriptor and anatomy make modifier 50 inappropriate for this service.
What global period applies to 47801?
It has a 90-day global period, which 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 other procedures are paid at 50%.
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.
5,72447780,,Fuse bile ducts and bowel,A,,41.26,16.56,NA,16.56,,10.55,68.37,68.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72547785,,Fuse bile ducts and bowel,A,,54.79,20.17,NA,20.17,,14.03,88.99,88.99,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72647800,,Reconstruction of bile ducts,A,,25.52,11.93,NA,11.93,,6.37,43.82,43.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72747801,,Placement bile duct support,A,,17.16,9.72,NA,9.72,,4.19,31.07,31.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72847900,,Suture bile duct injury,A,,21.88,11.13,NA,11.13,,5.85,38.86,38.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72947999,,Unlisted px biliary tract,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,73048000,,Drainage of abdomen,A,,31.15,12.82,NA,12.82,,8.33,52.30,52.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537