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See a sample rate comparisonCPT 47800 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.
Reconstr Plstic Of Extrahepatic Biliary Ducts W/ End-To-End, Reconstruction Plastic Of Extrahepatic Biliary Ducts With End-To-End
| 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 | 58 - Staged or related procedure during postoperative period None 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47800 |
| Medicaid Fee Schedule | View Medicaid rates for 47800 |
National average reimbursement for CPT 47800 by major payers:
$1,942.53
$2,093.31
$2,163.73
$2,486.19
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CPT 47800
5 of 25 sample ratesHigher to lower in this preview
Jersey Shore Hospital
Geisinger Jersey Shore Hospital
$6,419.00Published rateSurgery Center Of Kalamazoo LLC
$1,881.00Published rateTallahassee Neurosugery Pain Management LLC, Tallahassee Memorial Center For Pain Management
Tallahassee Neurosugery Pain Management LLC
$960.00Published rateAlliance Surgery Center At Johns Creek LLC
$523.00Published rateOliver Street Dermatology Asc LLC, Dermatology Surgery Center
Oliver Street Dermatology Asc LLC
$95.00Published rate
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See a sample payer proposalCPT 47800 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47800 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 47800 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 |
|---|---|---|
| 47715-CPT | High | Excision Of Choledochal Cyst |
| 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. |
| 47740-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. |
| 47800-CPT | High | Reconstr Plstic Of Extrahepatic Biliary Ducts W/ End-To-End, Reconstruction Plastic Of Extrahepatic Biliary Ducts With End-To-End |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47800 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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