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See a sample rate comparisonCPT 47612 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.
Cholecystectomy W/ Explora Of Common Duct; W/ Choledochoentero, Cholecystectomy With Exploration Of Common Duct; With Choledochoentero
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None 80 - Assistant surgeon 51 - Multiple procedures 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47612 |
| Medicaid Fee Schedule | View Medicaid rates for 47612 |
National average reimbursement for CPT 47612 by major payers:
$1,532.74
$1,692.04
$1,753.89
$2,020.27
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CPT 47612
5 of 25 sample ratesHigher to lower in this preview
Bayside Ambulatory Center, LLC
$2,732.00Published rateGastroenterology Diagnostics Of Northern New Jersey, PA
Gastroenterology Diagnostics Of Northern New Jersey, P.A.
$1,306.00Published rateAdvanced Center For Surgery, The Advanced Center For Surgery
Advanced Center For Surgery
$983.00Published rateReno Orthopaedic Surgery Center LLC
$452.00Published rateSan Antonio Tx Endoscopy Asc Lp, San Antonio Gastroenterology Endoscopy Center North
San Antonio Tx Endoscopy Asc Lp
$138.00Published rate
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See a sample payer proposalCPT 47612 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47612 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 47612 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 47612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47612 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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