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See a sample rate comparisonCPT 47785 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.
Anastomsis Roux-En-Y Of Intrahepatic Biliary Ducts & Gastrointe, Anastomosis Roux-En-Y Of Intrahepatic Biliary Ducts And Gastrointest
| Key Fact | Detail |
|---|---|
| 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 80 - Assistant surgeon 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47785 |
| Medicaid Fee Schedule | View Medicaid rates for 47785 |
National average reimbursement for CPT 47785 by major payers:
$3,975.53
$4,174.96
$4,490.68
$5,002.49
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CPT 47785
5 of 25 sample ratesHigher to lower in this preview
Meridian Medical Group PC, Meridian Endoscopy Center
$7,400.00Published rateNch Bonita Ambulatory Surgery Center, LLC
Nch Bonita Ambulatory Surgery Center LLC
$794.00Published rateWestern Washington Endoscopy Centers LLC, Waldron Endoscopy Center
Western Washington Endoscopy Centers LLC
$690.00Published rateOakhurst Endoscopy Asc LLC, Ocean Surgical Pavilion, Inc.
$508.00Published rateCalifornia Eye Clinic
$288.00Published rate
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See a sample payer proposalCPT 47785 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47785 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 47785 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 |
|---|---|---|
| 47760-CPT | High | Anastomsis Of Extrahepatic Biliary Ducts & Gastrointes Tract, Anastomosis Of Extrahepatic Biliary Ducts And Gastrointestinal Tract |
| 47765-CPT | High | Anastomosis,Direct Intrahepatic Duct/G.I |
| 47780-CPT | High | Anastomsis Roux-En-Y Of Extrahepatic Biliary Ducts & Gastrointe, Anastomosis Roux-En-Y Of Extrahepatic Biliary Ducts And Gastrointest |
| 47785-CPT | High | Anastomsis Roux-En-Y Of Intrahepatic Biliary Ducts & Gastrointe, Anastomosis Roux-En-Y Of Intrahepatic Biliary Ducts And Gastrointest |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47785. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47785 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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