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See a sample rate comparisonCPT 47460 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Intestine Repair Surgery, Surgical Procedure To Provide Permanent Drainage Of The Biliary Or Pancreatic Ducts. The Procedure May Include Removal Of Stones.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 99 - Other POS |
| Common Modifiers | None GC - Service performed by resident under supervision 53 - Discontinued procedure 58 - Staged or related procedure during postoperative period UB 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47460 |
| Medicaid Fee Schedule | View Medicaid rates for 47460 |
National average reimbursement for CPT 47460 by major payers:
$1,511.65
$1,685.25
$1,743.21
$2,016.65
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CPT 47460
5 of 25 sample ratesHigher to lower in this preview
Nextmed Laser, LLC
$5,500.00Published rateNorthfield Surgical Center LLC, Northfield Surgical Center
Northfield Surgical Center LLC
$1,306.00Published rateSdg Castle Rock Endoscopy Center
Sdg Castle Rock Endoscopy Center, LLC
$779.00Published rateWeir Asc, LLC, Southwest Eye Surgery Center
Weir Asc LLC
$461.00Published rateLake Bluff Il Endoscopy Asc LLC, North Shore Endoscopy
Lake Bluff Il Endoscopy Asc LLC
$109.00Published rate
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See a sample payer proposalCPT 47460 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47460 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 47460 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 47400-CPT | High | Hepaticotomy Or Hepaticostomy W/ Explora Drain Or Remval, Hepaticotomy Or Hepaticostomy With Exploration Drainage Or Removal O |
| 47420-CPT | High | Incision Of Bile Duct, Choledochotomy Or Choledochostomy With Exploration Drainage Or Removal Of Calculus With Or Without Cholecystotomy Without Transduodenal Sphincterotomy Or Sphincteroplasty |
| 47460-CPT | High | Intestine Repair Surgery, Surgical Procedure To Provide Permanent Drainage Of The Biliary Or Pancreatic Ducts. The Procedure May Include Removal Of Stones. |
| 47480-CPT | High | Cholecystotomy Or Cholecystost, Cholecystotomy Or Cholecystostomy Open With Exploration Drainage Or Removal Of Calculus (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47460. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47460 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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