No office rate
Both address bile duct tumor excision. Choose 47711 when the duct is repaired primarily; choose 47712 when the documented reconstruction matches its descriptor.
On this page
CMS RVU26D · Effective 2026-10-01
47711 Bile duct excision Medicare reimbursement rates in Tennessee
Reports surgical removal of a bile duct tumor when the duct is repaired primarily, rather than reconstructed as described by a related code. Compare 47711 office and facility rates across CMS payment localities in Tennessee.
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 47711 in Tennessee?
Tennessee 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
$1313.66
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Digestive surgery
About 47711: Bile duct tumor excision with primary repair
Reports surgical removal of a bile duct tumor when the duct is repaired primarily, rather than reconstructed as described by a related code.
A surgeon removes a tumor arising in the bile duct, typically during an abdominal operation for a suspected or confirmed biliary neoplasm. The service addresses excision of the duct tumor and primary repair of the duct; it is distinct from removing a bile duct cyst or performing a biliary-enteric drainage procedure. Hepatobiliary and general surgeons commonly perform this work in a hospital operating room.
Select this code when the operative report supports tumor excision with primary repair, and distinguish it from 47712 when the documented operation includes the reconstruction specified by that code. The report should identify the tumor, the duct segment treated, the excision, and how the duct was repaired. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47711
- 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 RVU25.25 · 58%
- Practice expense (office) RVU11.75 · 27%
- Malpractice RVU6.33 · 15%
210
Medicare services in 2024 · #4277 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.
47711 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
This code addresses excision of a bile duct cyst. Use 47711 for a tumor, not a cystic lesion.
47700
No office rateBile duct exploration
This code describes bile duct exploration, not removal of a bile duct tumor with primary repair.
No office rate
This code describes a bile duct-to-bowel anastomosis. It is distinct from excising a tumor and primarily repairing the duct.
Compare 47711 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$1313.66
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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 47711 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
5,715
- Code
- 47711
- Physician work
- 25.25
- Practice expense
- 11.75
- Malpractice
- 6.33
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.25 | × 1.000 | 25.2500 |
| Practice expense | 11.75 | × 0.909 | 10.6807 |
| Malpractice | 6.33 | × 0.537 | 3.3992 |
| Total RVUs | 39.3300 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1313.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.25 | 1 |
| Practice expense | 11.75 | 0.909 |
| Malpractice | 6.33 | 0.537 |
(25.25 × 1 + 11.75 × 0.909 + 6.33 × 0.537) × $33.4009 = $1313.66
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.
47711 billing questions
How is 47711 distinguished from 47712?
Use 47711 for bile duct tumor excision with primary repair. Use 47712 when the operative service matches that code's specified reconstruction.
Can modifier 50 be reported for a tumor on one side of the bile duct?
No. The anatomy and service do not support bilateral reporting, so modifier 50 is inappropriate.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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 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.
5,71247620,,Removal of gallbladder,A,,22.49,9.90,NA,9.90,,6.02,38.41,38.41,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71347700,,Exploration of bile ducts,A,,16.09,9.80,NA,9.80,,4.30,30.19,30.19,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71447701,,Bile duct revision,A,,28.01,13.02,NA,13.02,,7.48,48.51,48.51,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71547711,,Excision of bile duct tumor,A,,25.25,11.75,NA,11.75,,6.33,43.33,43.33,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71647712,,Excision of bile duct tumor,A,,32.88,13.80,NA,13.80,,8.80,55.48,55.48,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71747715,,Excision of bile duct cyst,A,,21.01,10.92,NA,10.92,,5.61,37.54,37.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,71847720,,Fuse gallbladder & bowel,A,,17.88,10.16,NA,10.16,,4.78,32.82,32.82,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780