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See a sample rate comparisonCPT 47620 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 With Explorati, Cholecystectomy With Exploration Of Common Duct Withtransduodenal Sphincterotomy Or Sphincteroplasty With Or Without Cholangiography
| 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 GC - Service performed by resident under supervision 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47620 |
| Medicaid Fee Schedule | View Medicaid rates for 47620 |
National average reimbursement for CPT 47620 by major payers:
$1,757.30
$1,830.12
$1,893.93
$2,180.62
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CPT 47620
5 of 25 sample ratesHigher to lower in this preview
Bismarck Sinus Center
$2,329.00Published rateResurgens Surgery Center LLC
$1,028.00Published rateRiverside Ambulatory Surgery Center, LLC
$681.00Published rateLhz Limited Ptr, Saint Clare Surgery Center
Lhz Limited Ptr
$450.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 47620 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47620 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 47620 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 |
|---|---|---|
| 47620-CPT | High | Cholecystectomy With Explorati, Cholecystectomy With Exploration Of Common Duct Withtransduodenal Sphincterotomy Or Sphincteroplasty With Or Without Cholangiography |
| 47700-CPT | High | Exploration For Congenital Atr, Exploration For Congenital Atresia Of Bile Ducts Withoutrepair With Or Without Liver Biopsy With Or Without Cholangiography |
| 47720-CPT | High | Connect Bowel To Gallbladder, Surgery To Create A Connection Between The Gallbladder And A Man-Made Anus Or Through An Opening In The Abdominal Wall. |
| 47801-CPT | High | Placement Choledochal Stent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47620 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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