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See a sample rate comparisonCPT 47701 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.
Portoenterostomy (Eg, Kasai Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 82 - Assistant surgeon - no qualified resident 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47701 |
| Medicaid Fee Schedule | View Medicaid rates for 47701 |
National average reimbursement for CPT 47701 by major payers:
$2,182.31
$2,327.07
$2,406.95
$2,831.99
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CPT 47701
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$16,236.00Published rateFirst Hill Surgery Center LLC
$1,044.00Published rateOrthopedic Surgery Center Of Palm Beach County, LLC
Orthopedic Surgery Center Of Palm Beach County LLC
$840.00Published ratePsa Ambulatory Surgical Center Of South Austin, LLC
Psa Ambulatory Surgical Center Of South Austin LLC
$610.00Published rateEyecare Surgery Center, LLC
Eyecare Surgery Center LLC
$266.00Published rate
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See a sample payer proposalCPT 47701 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47701 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 47701 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 |
|---|---|---|
| 47700-CPT | High | Exploration For Congenital Atr, Exploration For Congenital Atresia Of Bile Ducts Withoutrepair With Or Without Liver Biopsy With Or Without Cholangiography |
| 47701-CPT | High | Portoenterostomy (Eg, Kasai Procedure) |
| 47711-CPT | High | Xcision Of Bile Duct Tumor W//W/O Primar Rpair Of Bile Du, Excision Of Bile Duct Tumor With Or Without Primary Repair Of Bile Du |
| 47715-CPT | High | Excision Of Choledochal Cyst |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47701. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47701 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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