Find policies, billing codes, payers, states, and providers

CPT 47570: Laparoscopic Cholecystoenterostomy for Biliary Drainage

CPT code 47570 represents laparoscopic cholecystoenterostomy, a minimally invasive surgical procedure that connects the gallbladder directly to the small intestine to restore bile flow when common bile duct obstruction cannot be relieved. Nationally, this procedure is clinically important as a definitive or palliative biliary drainage option for patients who are not candidates for endoscopic or common duct interventions. It impacts surgical service lines, hospital resource utilization, and coding for complex biliary care.

Key payers referenced in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for CPT code 47570, typical sites of service, common billing considerations, and how this procedure is situated within surgical and gastroenterology care pathways. The publication summarizes relevant billing benchmarks where available, common modifier usage patterns provided in the input, and policy considerations affecting coverage and site-of-service decisions. Where specific data elements were not supplied in the input, the text notes that those items are not available.

This report is intended for coding professionals, surgical directors, revenue cycle staff, and payers seeking a clear, national-level summary of the procedure, its clinical role, and the billing context for CPT code 47570.

Customize your policy alerts

Sign up for cpt 47570 policy alerts

Get alerted when payer policies referencing 47570 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

CPT code 47570 describes a laparoscopic cholecystoenterostomy, a surgical procedure that creates a direct connection between the gallbladder and the small intestine to permit bile drainage when an obstruction of the common bile duct cannot be resolved. The procedure is performed using a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, allowing minimally invasive visualization and manipulation.

Service type: Surgical — Laparoscopic biliary drainage procedure

Typical site of service: Hospital operating room or ambulatory surgical center (inpatient or outpatient surgical setting)

Find policies, billing codes, payers, states, and providers

CPT 47570: Laparoscopic Cholecystoenterostomy for Biliary Drainage

Customize your policy alerts

Sign up for cpt 47570 policy alerts

Get alerted when payer policies referencing 47570 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

Service type: Surgical — Laparoscopic biliary drainage procedure

Typical site of service: Hospital operating room or ambulatory surgical center (inpatient or outpatient surgical setting)

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with obstructive jaundice due to an unresectable distal common bile duct obstruction (for example from malignancy) or impacted stone where endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful or not feasible. The patient presents with progressive jaundice, pruritus, elevated bilirubin and cholestatic liver enzymes, and intermittent right upper quadrant pain. Imaging (ultrasound, CT, or MRCP) demonstrates biliary dilation and an obstructing lesion. After multidisciplinary evaluation, the surgical team elects to perform a laparoscopic cholecystojejunostomy to decompress the biliary system by creating a direct anastomosis between the gallbladder and the small intestine.

The clinical workflow includes preoperative assessment (labs, coagulation profile, cross-sectional imaging), informed consent discussing risks such as bile leak and infection, perioperative antibiotics, laparoscopic access and inspection, mobilization of the gallbladder, creation of a cholecystojejunostomy (typically to a Roux limb of jejunum or directly to the duodenum/jejunum depending on anatomy), confirmation of bile drainage, hemostasis, and closure. Postoperative care includes monitoring bilirubin trend, pain control, early ambulation, diet advancement as tolerated, and surveillance for complications such as cholangitis, anastomotic leak, or bowel obstruction. Typical sites of service are the hospital operating room or ambulatory surgical center when clinically appropriate and safe for the patient.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased Procedural Services	For unusually high complexity, extended operative time, or significantly greater work than typical for `47570`.
`23`	Unusual Anesthesia	When general anesthesia is not used but the procedure is performed under local/regional anesthesia due to extenuating circumstances where additional anesthesia-related services were required.
`50`	Bilateral Procedure	If separate bilioenteric anastomoses are performed bilaterally (rare for this code); included for completeness when bilateral operative reporting applies.
`51`	Multiple Procedures	When `47570` is reported with other distinct procedures during the same operative session.
`52`	Reduced Services	When the procedure is attempted but not completed to full extent and a reduced service is reported.
`53`	Discontinued Procedure	When the procedure is terminated due to patient safety concerns prior to completion.
`62`	Two Surgeons	When two surgeons with different specialties work together as primary surgeons performing distinct portions of `47570`.
`63`	Procedure Performed on Infants Less than 4 kg	If the patient meets this weight threshold and the modifier is required by payer policy.
`78`	Unplanned Return to OR Following Initial Procedure	For a related return to the operating room for a complication of the original `47570` during the global period.
`79`	Unrelated Procedure or Service During the Postoperative Period	(Not in provided list) Data not available in the input.
`80`	Assistant Surgeon	When an assistant surgeon performs part of `47570`.
`81`	Minimum Assistant Surgeon	When a minimal-assistant level is documented for `47570`.
`62`	Two Surgeons	(Duplicate entry removed)

Taxonomy Code	Specialty	Notes
207L00000X	General Surgery	Most common specialty performing laparoscopic cholecystojejunostomy procedures.
2080P0208X	Surgical Oncology	Performed when obstruction is malignant and requires oncologic surgical collaboration.
207XS0112X	Minimally Invasive Surgery	Surgeons specialized in laparoscopic and advanced minimally invasive biliary procedures.
207K00000X	Colon & Rectal Surgery	Occasionally involved if enteric reconstruction (jejunal anastomosis) is complex.
174400000X	Gastroenterology (Interventional)	May be involved in preoperative ERCP attempts or postoperative endoscopic interventions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`K83.1`	Obstruction of bile duct	Direct indication for biliary bypass when obstruction cannot be relieved endoscopically.
`C24.0`	Malignant neoplasm of extrahepatic bile duct	Malignant obstruction commonly necessitating palliative biliary-enteric drainage.
`K80.3`	Calculus of bile duct with cholangitis	Impacted stone with infection may require surgical drainage if ERCP fails.
`K83.0`	Cholestasis	Laboratory and clinical manifestation prompting decompressive procedure.
`K83.8`	Other specified diseases of biliary tract	Miscellaneous biliary pathologies causing obstruction or recurrent cholangitis.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`47562`	Laparoscopic cholecystectomy; with common duct exploration	Performed when cholecystectomy and exploration of the common bile duct are indicated instead of or prior to creating a biliary-enteric bypass.
`47563`	Laparoscopic cholecystectomy with cholangiography	Used when intraoperative cholangiography is performed to define biliary anatomy during procedures addressing obstruction.
`43260`	Endoscopic retrograde cholangiopancreatography (ERCP) with cholangiography	Commonly attempted preoperatively to relieve obstruction; may precede `47570` when ERCP is unsuccessful.
`47140`	Cholecystojejunostomy, open procedure	Open surgical alternative to `47570` when laparoscopy is contraindicated or conversion is required.
`43845`	Enterolysis, adhesiolysis (laparoscopic), small intestine	May be performed intraoperatively if adhesions prevent safe creation of the anastomosis.
`31575`	Laryngoscopy, direct, with tracheal intubation (for foreign body removal)	Data not available in the input.

CPT 47562: Laparoscopic Cholecystectomy (Gallbladder Removal)

CPT-47563-LAPAROSCOPIC-CHOLECYSTECTOMY-CHOLANGIOGRAPHY

CPT 47563: Laparoscopic Cholecystectomy with Intraoperative Cholangiography

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

CPT 47564: Laparoscopic Cholecystectomy with Common Bile Duct Exploration

CPT-47579-UNLISTED-LAPAROSCOPIC-BILIARY-PROCEDURE

CPT 47579: Unlisted Laparoscopic Procedure, Biliary Tract

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased Procedural Services	For unusually high complexity, extended operative time, or significantly greater work than typical for `47570`.
`23`	Unusual Anesthesia	When general anesthesia is not used but the procedure is performed under local/regional anesthesia due to extenuating circumstances where additional anesthesia-related services were required.
`50`	Bilateral Procedure	If separate bilioenteric anastomoses are performed bilaterally (rare for this code); included for completeness when bilateral operative reporting applies.
`51`	Multiple Procedures	When `47570` is reported with other distinct procedures during the same operative session.
`52`	Reduced Services	When the procedure is attempted but not completed to full extent and a reduced service is reported.
`53`	Discontinued Procedure	When the procedure is terminated due to patient safety concerns prior to completion.
`62`	Two Surgeons	When two surgeons with different specialties work together as primary surgeons performing distinct portions of `47570`.
`63`	Procedure Performed on Infants Less than 4 kg	If the patient meets this weight threshold and the modifier is required by payer policy.
`78`	Unplanned Return to OR Following Initial Procedure	For a related return to the operating room for a complication of the original `47570` during the global period.
`79`	Unrelated Procedure or Service During the Postoperative Period	(Not in provided list) Data not available in the input.
`80`	Assistant Surgeon	When an assistant surgeon performs part of `47570`.
`81`	Minimum Assistant Surgeon	When a minimal-assistant level is documented for `47570`.
`62`	Two Surgeons	(Duplicate entry removed)

Taxonomy Code	Specialty	Notes
207L00000X	General Surgery	Most common specialty performing laparoscopic cholecystojejunostomy procedures.
2080P0208X	Surgical Oncology	Performed when obstruction is malignant and requires oncologic surgical collaboration.
207XS0112X	Minimally Invasive Surgery	Surgeons specialized in laparoscopic and advanced minimally invasive biliary procedures.
207K00000X	Colon & Rectal Surgery	Occasionally involved if enteric reconstruction (jejunal anastomosis) is complex.
174400000X	Gastroenterology (Interventional)	May be involved in preoperative ERCP attempts or postoperative endoscopic interventions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`K83.1`	Obstruction of bile duct	Direct indication for biliary bypass when obstruction cannot be relieved endoscopically.
`C24.0`	Malignant neoplasm of extrahepatic bile duct	Malignant obstruction commonly necessitating palliative biliary-enteric drainage.
`K80.3`	Calculus of bile duct with cholangitis	Impacted stone with infection may require surgical drainage if ERCP fails.
`K83.0`	Cholestasis	Laboratory and clinical manifestation prompting decompressive procedure.
`K83.8`	Other specified diseases of biliary tract	Miscellaneous biliary pathologies causing obstruction or recurrent cholangitis.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`47562`	Laparoscopic cholecystectomy; with common duct exploration	Performed when cholecystectomy and exploration of the common bile duct are indicated instead of or prior to creating a biliary-enteric bypass.
`47563`	Laparoscopic cholecystectomy with cholangiography	Used when intraoperative cholangiography is performed to define biliary anatomy during procedures addressing obstruction.
`43260`	Endoscopic retrograde cholangiopancreatography (ERCP) with cholangiography	Commonly attempted preoperatively to relieve obstruction; may precede `47570` when ERCP is unsuccessful.
`47140`	Cholecystojejunostomy, open procedure	Open surgical alternative to `47570` when laparoscopy is contraindicated or conversion is required.
`43845`	Enterolysis, adhesiolysis (laparoscopic), small intestine	May be performed intraoperatively if adhesions prevent safe creation of the anastomosis.
`31575`	Laryngoscopy, direct, with tracheal intubation (for foreign body removal)	Data not available in the input.

CPT 47562: Laparoscopic Cholecystectomy (Gallbladder Removal)

CPT-47563-LAPAROSCOPIC-CHOLECYSTECTOMY-CHOLANGIOGRAPHY

CPT 47563: Laparoscopic Cholecystectomy with Intraoperative Cholangiography

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

CPT 47564: Laparoscopic Cholecystectomy with Common Bile Duct Exploration

CPT-47579-UNLISTED-LAPAROSCOPIC-BILIARY-PROCEDURE

CPT 47579: Unlisted Laparoscopic Procedure, Biliary Tract

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 47570: Laparoscopic Cholecystoenterostomy for Biliary Drainage

Sign up for cpt 47570 policy alerts

Billing Code Overview

Catch payer policy changes before they impact reimbursement

Catch payer policy changes before they impact reimbursement

OpenPayer

CPT 47570: Laparoscopic Cholecystoenterostomy for Biliary Drainage

Sign up for cpt 47570 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 47570: Laparoscopic Cholecystoenterostomy for Biliary Drainage

Sign up for cpt 47570 policy alerts

Billing Code Overview

CPT 47570: Laparoscopic Cholecystoenterostomy for Biliary Drainage

Sign up for cpt 47570 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical situation does CPT 47570 apply to?

Where is CPT 47570 typically performed?

Which modifiers are commonly associated with CPT 47570?

What related procedures or CPT codes should coders be aware of?

Which diagnoses and payers are associated with CPT 47570?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical situation does CPT 47570 apply to?

Where is CPT 47570 typically performed?

Which modifiers are commonly associated with CPT 47570?

What related procedures or CPT codes should coders be aware of?

Which diagnoses and payers are associated with CPT 47570?

References