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    v1.0.30
    OpenPayerBilling CodesLaparoscopic Procedures on the Biliary TractCPT cpt-47563-laparoscopic-cholecystectomy-cholangiography
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    CPT 47563: Laparoscopic Cholecystectomy with Cholangiography

    Medicare pays $691 and commercial payers pay $3668 on average nationally for this procedure.

    CPT code 47563 describes a laparoscopic cholecystectomy with intraoperative cholangiography, a minimally invasive surgical procedure in which the surgeon removes the gallbladder using a laparoscope and injects dye to visualize the biliary ducts with X‑ray; service type: laparoscopic surgical procedure; typical site of service: hospital operating room or ambulatory surgical center.

    For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.

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    National Reimbursement Benchmarks

    Medicare’s mean rate of $690.60 sits well below BUCA’s average commercial mean of $3,668.40, indicating a substantial gap between federal reimbursement and the commercial market average for CPT 47563. This spread highlights that commercial contracts, as represented by BUCA, reimburse roughly $2,977.80 more on average than Medicare, reflecting typical commercial–Medicare differentials for this service.

    Rate dispersion (P75−P25) is widest for Blue Cross Blue Shield at $4,339.20 (P75 $7,550.90 − P25 $3,211.80) and notably broad for UnitedHealth Group at $8,090.00? Wait — must compute correctly: UnitedHealth Group P75 $1,600.90 − P25 $791.90 = $809.00. Cigna’s dispersion is $807.60 (P75 $1,518.70 − P25 $748.10), Aetna’s is $760.10 (P75 $952.30 − P25 $169.20), BUCA’s is $2,817.00 (P75 $4,896.50 − P25 $2,079.50), and Medicare’s is $57.00 (P75 $722 − P25 $665). The tightest spread is Medicare at $57.00; the widest spread is Blue Cross Blue Shield at $4,339.20, indicating much greater variability in commercial payments for some payers compared with the Medicare locality range.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Clinical & Coding Specifications

    Clinical Context

    A 45-year-old female presents with several months of intermittent right upper quadrant abdominal pain, postprandial nausea, and documented gallstones on ultrasound. She experiences an acute episode of fever, marked RUQ tenderness, and leukocytosis consistent with acute cholecystitis. Imaging suggests cholelithiasis with possible cystic duct obstruction. The surgical team schedules a laparoscopic cholecystectomy with intraoperative cholangiography to evaluate the biliary tree and exclude retained common bile duct stones. The procedure is performed in an ambulatory surgery center or hospital operating room under general anesthesia. The workflow includes preoperative consent and timeout, induction of anesthesia, placement of laparoscopic ports, dissection of Calot's triangle, cannulation of the cystic duct, injection of contrast with real-time fluoroscopic imaging (intraoperative cholangiography), completion of gallbladder removal, inspection for bile leak or ductal injury, hemostasis, and closure. Postoperative recovery includes monitoring in PACU with discharge instructions for uncomplicated laparoscopic cases or admission if complications arise.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    74300Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretationDescribes radiologic supervision and interpretation for intraoperative cholangiography often performed concurrently with 47563.

    Related Modifiers

    13 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    51Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    63Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
    66Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…

    Showing 1–10 of 13

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    208600000X
    208C00000X
    208D00000X
    363LN0005X
    193200000X
    374K00000X
    207QS0010X
    207PH0002X

    Related ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    K82.8Other specified diseases of gallbladder
    K80.10Calculus of gallbladder with chronic cholecystitis without obstruction
    K80.20Calculus of gallbladder without cholecystitis without obstruction
    K83.1Obstruction of bile duct
    K81.0Acute cholecystitis

    Related Payer Policy Updates

    Specialty: Anesthesiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Dental Anesthesia ServicesProvidence Health Plan2026-10-01
    Anesthesia Services for Interventional Pain Management Procedures in an AdultCigna2026-09-15
    General Anesthesia and Conscious Sedation ServicesUnitedHealthcare2026-09-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use DisordersPremera Bluecross2026-07-01
    Elective Inpatient Services (for Idaho Only)UnitedHealthcare2026-06-01
    Sites of Servicepriority health2026-06-01
    Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Servicesuniverahealthcare2026-05-21

    Related Codes

    CPT-47562-LAPAROSCOPIC-CHOLECYSTECTOMY-GALLBLADDER-REMOVAL

    CPT 47562: Laparoscopic Cholecystectomy (Gallbladder Removal)

    CPT-47564-LAPAROSCOPIC-CHOLECYSTECTOMY-COMMON-BILE-DUCT-EXPLORATION

    CPT 47564: Laparoscopic Cholecystectomy with Common Bile Duct Exploration

    CPT-47570-LAPAROSCOPIC-CHOLECYSTOENTEROSTOMY-BILIARY-DRAINAGE

    CPT 47570: Laparoscopic Cholecystoenterostomy for Biliary Drainage

    CPT-47579-UNLISTED-LAPAROSCOPIC-BILIARY-PROCEDURE

    CPT 47579: Laparoscopic Biliary Procedure, Unlisted

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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