No office rate
Both address an extrahepatic biliary-enteric connection. Use 47780 when the operative report documents the Roux-en-Y configuration; 47760 represents the related service without that distinction.
On this page
CMS RVU26D · Effective 2026-10-01
47780 Biliary reconstruction Medicare reimbursement rates in Utah
Reports reconstruction connecting an extrahepatic bile duct to the gastrointestinal tract using a Roux-en-Y configuration, typically for biliary obstruction or duct injury. Compare 47780 office and facility rates across CMS payment localities in Utah.
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 47780 in Utah?
Utah 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
$2214.49
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Biliary surgery
About 47780: Extrahepatic biliary Roux-en-Y anastomosis
Reports reconstruction connecting an extrahepatic bile duct to the gastrointestinal tract using a Roux-en-Y configuration, typically for biliary obstruction or duct injury.
This operation joins an extrahepatic bile duct to the gastrointestinal tract in a Roux-en-Y reconstruction, commonly connecting the duct to a jejunal limb to restore bile drainage. A hepatobiliary or general surgeon typically performs it in the operating room when the duct requires definitive reconstruction, such as after injury, excision, or treatment of an obstructing condition. The operative report should identify the duct and bowel used and describe the Roux-en-Y configuration.
Report the code when the documented reconstruction matches the extrahepatic duct and Roux-en-Y service, rather than a simpler biliary-enteric anastomosis or an anastomosis involving intrahepatic ducts. The code has a 90-day global period, which 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. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 47780
- 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 RVU41.26 · 60%
- Practice expense (office) RVU16.56 · 24%
- Malpractice RVU10.55 · 15%
433
Medicare services in 2024 · #3670 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.
47780 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
47765 involves intrahepatic ducts rather than the extrahepatic duct anatomy covered by 47780. Let the documented site of the duct connection guide selection.
No office rate
47701 is for revising a biliary anastomosis that already exists. 47780 reports the specified Roux-en-Y reconstruction, not revision alone.
Compare 47780 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
Utah →
Office / nonfacility
Unavailable
Facility
$2214.49
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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 47780 in Utah.
PPRRVU2026_Oct_nonQPP.csv
5,724
- Code
- 47780
- Physician work
- 41.26
- Practice expense
- 16.56
- Malpractice
- 10.55
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 41.26 | × 1.000 | 41.2600 |
| Practice expense | 16.56 | × 0.940 | 15.5664 |
| Malpractice | 10.55 | × 0.898 | 9.4739 |
| Total RVUs | 66.3003 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$2214.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 41.26 | 1 |
| Practice expense | 16.56 | 0.94 |
| Malpractice | 10.55 | 0.898 |
(41.26 × 1 + 16.56 × 0.94 + 10.55 × 0.898) × $33.4009 = $2214.49
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.
47780 billing questions
How does this differ from 47760?
47780 is for the extrahepatic biliary-enteric reconstruction with a Roux-en-Y configuration. Use 47760 when the documented anastomosis does not meet that specific reconstruction description.
When is 47765 a better fit?
47765 describes an anastomosis involving intrahepatic bile ducts and the gastrointestinal tract. Select based on the duct anatomy documented in the operative report.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
5,72147741,,Fuse gallbladder & bowel,A,,23.60,11.55,NA,11.55,,6.31,41.46,41.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72247760,,Fuse bile ducts and bowel,A,,37.36,15.43,NA,15.43,,9.42,62.21,62.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72347765,,Fuse liver ducts & bowel,A,,50.89,19.10,NA,19.10,,13.64,83.63,83.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,72447780,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985