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See a sample rate comparisonCPT 47801 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.
Placement Choledochal Stent
| 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 | None 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47801 |
| Medicaid Fee Schedule | View Medicaid rates for 47801 |
National average reimbursement for CPT 47801 by major payers:
$1,435.88
$1,443.72
$1,505.81
$1,742.13
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CPT 47801
5 of 25 sample ratesHigher to lower in this preview
Greenville Surgery Center, LLC, Texas Health Surgery Center Dallas
Greenville Surgery Center LLC
$6,068.00Published rateEye Specialists Surgery Centers, LLC, Muncie Surgical Care Center
$1,591.00Published rateThe Eye Surgery Center Of The Carolinas Lp
$728.00Published rateCrescent View Surgery Center, LLC
$457.00Published rateCenter For Digestive Health LLC
$200.00Published rate
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See a sample payer proposalCPT 47801 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47801 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 47801 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) |
| 47712-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 |
| 47801-CPT | High | Placement Choledochal Stent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47801. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47801 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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