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See a sample rate comparisonCPT 47900 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.
Suture Of Extrahepatic Biliary Duct For Pre-Exist Njury (Sepa, Suture Of Extrahepatic Biliary Duct For Pre-Existing Injury (Separate
| 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 78 - Return to OR - related procedure GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47900 |
| Medicaid Fee Schedule | View Medicaid rates for 47900 |
National average reimbursement for CPT 47900 by major payers:
$1,674.52
$1,816.08
$1,922.06
$2,179.83
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CPT 47900
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$5,554.00Published rateVanguard Asc, LLC, Vanguard Surgical Center
$1,369.00Published rateBlue Ridge Day Surgery Center, Lp, Blue Ridge Day Surgery Center
Blue Ridge Day Surgery Center Lp
$1,003.00Published rateClifton Park Asc LLC, Orthony Surgical Suites
Clifton Park Asc LLC
$700.00Published rateMedical And Dental Center Of Nevada LLC
$463.00Published rate
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See a sample payer proposalCPT 47900 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47900 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 47900 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 |
| 47711-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 |
| 47900-CPT | High | Suture Of Extrahepatic Biliary Duct For Pre-Exist Njury (Sepa, Suture Of Extrahepatic Biliary Duct For Pre-Existing Injury (Separate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47900 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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