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See a sample rate comparisonCPT 47720 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 58 - Staged or related procedure during postoperative period 22 - Increased Procedural Services 51 - Multiple procedures 78 - Return to OR - related procedure TC - Technical component XS - Separate Structure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47720 |
| Medicaid Fee Schedule | View Medicaid rates for 47720 |
National average reimbursement for CPT 47720 by major payers:
$1,326.80
$1,523.93
$1,584.03
$1,870.84
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CPT 47720
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$4,530.00Published rateRiverside Park Surgicenter LLC
$1,064.00Published rateGypsy Lane Endoscopy Suites, Inc.
Gypsy Lane Endoscopy Suites Inc
$609.00Published ratePlattsburgh Asc LLC, Cataract Cetner For The Adirondacks
Plattsburgh Asc LLC
$413.00Published rateLakeland Fl Endoscopy Asc LLC, Surgery Center Of Lakeland Hills Boulevard
Lakeland Fl Endoscopy Asc LLC
$50.00Published rate
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See a sample payer proposalCPT 47720 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47720 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 47720 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. |
| 47721-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47720 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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