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CPT 47780 Fee Schedule

Last Verified: November 2025

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.

Anastomos Roux-En-Y Exthep Ducts+Gi
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Digestive System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

11 - Office

Common Modifiers

None

82 - Assistant surgeon - no qualified resident

22 - Increased Procedural Services

Complexity LevelHigh
CMS$2,403.35 Physician Fee Schedule

National average reimbursement for CPT 47780 by major payers:

bcbs

$2,918.65

uhc

$3,201.78

aetna

$3,513.56

cigna

$3,929.99

Preview provider-level rates for...
For billing codeCPT 47780
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 47780

United
47780$7400.001477846145 - INDIANA UNIVERSITY HEALTH SAXONY SURGERY CENTER LLC, SAXONY SURGERY CENTER352072586INAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$1028.001972886190 - SUMMIT AMBULATORY SURGICAL CENTER, LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$403.001902095417 - PERIMETER SURGICAL CENTER INC260698992 - (OH) PERIMETER SURGICAL CENTER INCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$1049.001063099190 - ASCENSION SAINT THOMAS LEBANON SURGERY CENTER LLC, LEBANON SURGERY CENTER862679471TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$1215.001528479664 - HHC SOUTHINGTON SURGERY CENTER, LLC, CHESHIRE SURGERY CENTER465500829 - (CT) HHC SOUTHINGTON SURGERY CENTER, LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$4893.001407165772 - MEMORIAL HERMANN SURGERY CENTER WOODLANDS PARKWAY, LLC, MEMORIAL HERMANN SURGERY CENTER WOODLANDS PARKWAY273520409TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$850.001821036534 - PARKWAY SURGERY CENTER, LLC204127100 - (MD) PARKWAY SURGERY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$434.001477876696 - KEY BISCAYNE SURGERY CENTER LLC271725488 - (FL) KEY BISCAYNE SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$1504.001386190957 - HOLLY SPRINGS SURGERY CENTER, LLC473460976 - (NC) HOLLY SPRINGS SURGERY CENTER LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$430.001407954365 - ASC-TCG, LLC, TRI-COUNTY CENTER FOR ENDOSCOPY & SURGERY43692535 - (MI) ASC - TCG LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$360.001497895676 - DEKALB GASTROENTEROLOGY ASSOCIATES III, LLC, DEKALB ENDOSCOPY CENTER582316075 - (GA) DEKALB GASTROENTEROLOGY ASSOCIATES III LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$643.001164833687 - INTERVENTIONAL PAIN MANAGEMENT LLC452192531 - (IN) INTERVENTIONAL PAIN MANAGEMENT LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$1416.001558580910 - ORANGE CITY SURGICAL LLC, ADVENTHEALTH SURGERY CENTER BLUE SPRINGS208105013 - (FL) ORANGE CITY SURGICAL, LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$1082.001164561064 - HUNTERDON CENTER FOR SURGERY, LLC, SURGERY TODAY223401213 - (NJ) HUNTERDON CENTER FOR SURGERY, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
47780$850.001255797726 - BLOOMFIELD ASC LLC474758895 - (CT) BLOOMFIELD ASC, LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 47780 vs. Other Surgical Procedures on the Digestive System Codes

The CPT 47780 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 47780 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.

CodeComplexityDescription
47760-CPTHighAnastomosis Exthepat Ducts+Gi Tract
47765-CPTHighAnastomosis,Direct Intrahepatic Duct/G.I
47780-CPTHighAnastomos Roux-En-Y Exthep Ducts+Gi
47785-CPTHighAnastomosis, Roux-En-Y, Of Ntraheptic Biliary Ducts & Gstrontstnl Trct

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47780. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 47780 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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