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CPT 47605: Cholecystectomy with Intraoperative Cholangiography
CPT code 47605 denotes a cholecystectomy with intraoperative cholangiography — removal of the gallbladder with dye injection and X-ray visualization of the biliary ducts. This procedure is a common operative treatment for gallbladder disease, including symptomatic gallstones and acute or chronic cholecystitis, and carries national significance due to its volume, perioperative resource needs, and implications for surgical quality and imaging utilization. Payers routinely assess coverage and coding for this service because of cost, facility fees, and imaging components.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical framing of the procedure, standard sites of service, and payer scope. The publication provides benchmarking context, typical billing components, and policy or coverage considerations that commonly affect reimbursement and utilization oversight. It also summarizes common modifiers and claims elements used with this service where available.
This report is intended for billing managers, surgical services administrators, and healthcare policy analysts seeking a national-level briefing on CPT code 47605, its clinical role, and the payer landscape that governs coverage and claims processing.
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Billing Code Overview
CPT code 47605 describes a surgical procedure in which the provider removes the gallbladder (cholecystectomy) and performs intraoperative cholangiography by injecting dye to visualize the biliary ducts using X-ray imaging. The procedure addresses gallbladder disease such as symptomatic cholelithiasis, cholecystitis, or biliary obstruction when removal of the gallbladder is indicated.
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Service type: Surgical removal of the gallbladder with intraoperative cholangiogram
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Typical site of service: Hospital operating room or ambulatory surgical center