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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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.
| 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 22 - Increased Procedural Services GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47610 |
| Medicaid Fee Schedule | View Medicaid rates for 47610 |
National average reimbursement for CPT 47610 by major payers:

$1,533.55

$1,668.14

$1,735.95

$1,990.57
Choose a payer to see a sample of rates for CPT 47610.
Baycare Aurora Kaukauna Surgery Center LLC
Kirby Surgical Center
Surgcenter Of Glen Burnie, LLC
Western Washington Endoscopy Centers LLC
Ak Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 47610 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47610 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 47610 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 |
|---|---|---|
| 47600-CPT | High | Surgery To Remove Gallbladder, Surgery To Remove The Gallbladder Through A Cut In The Abdomen. Used Primarily When The Organ Is Overly Inflamed Or Enlarged With Gall Stones. |
| 47605-CPT | High | Cholecystectomy W Cholangiography |
| 47610-CPT | High | Surgery To Remove Gallbladder, Surgical Removal Of The Gallbladder. The Procedure Includes An Exploration Of The Bile Duct. |
| 47612-CPT | High | Cholecystectomy W/ Explora Of Common Duct; W/ Choledochoentero, Cholecystectomy With Exploration Of Common Duct; With Choledochoentero |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47610 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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