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See a sample rate comparisonCPT 47564 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.
Laparoscopy Surg; Cholecystectomy W/ Explora Of Common Duct, Laparoscopy Surgical; Cholecystectomy With Exploration Of Common Duct
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47564 |
| Medicaid Fee Schedule | View Medicaid rates for 47564 |
National average reimbursement for CPT 47564 by major payers:
$1,306.14
$1,411.43
$1,520.27
$1,731.16
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CPT 47564
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$16,397.00Published rateAdvanced Medical Imaging Surgery Center, LLC
Advanced Medical Imaging Surgery Center LLC
$5,414.08Published rateBrentwood Surgery Center, LLC, Brentwood Surgery Center
$3,395.00Published ratePark Ventura Endoscopy Center, LLC, Digestive Health Center Of Allen
Park Ventura Endoscopy Center LLC
$1,829.00Published rateMercy Surgery Center LLC
$901.00Published rate
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See a sample payer proposalCPT 47564 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47564 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 47564 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 |
|---|---|---|
| 47562-CPT | Moderate | Laparoscopy; Cholecystectomy |
| 47563-CPT | Moderate | Laparoscopy; Cholecystectomy With Cholangiography |
| 47564-CPT | High | Laparoscopy Surg; Cholecystectomy W/ Explora Of Common Duct, Laparoscopy Surgical; Cholecystectomy With Exploration Of Common Duct |
| 47570-CPT | Moderate | Laparoscopy; Cholecystoenterostomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47564. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47564 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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