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CPT 47620: Cholecystectomy with Common Bile Duct Exploration and Sphincter Repair
CPT code 47620 represents cholecystectomy with exploration of the common bile duct and repair of the sphincter of Oddi, a procedure used to remove the gallbladder and address biliary tract obstruction or dysfunction. This code is clinically significant because it combines gallbladder removal with definitive management of common duct pathology, often involving intraoperative imaging to locate stones or ductal injury. Nationally, this procedure affects surgical, radiology, and inpatient reimbursement pathways and is relevant to hospitals, ambulatory surgery centers, and payers managing complex biliary care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The content that follows explains clinical context, site-of-service implications, and typical billing considerations for CPT code 47620.
Readers will learn the clinical scope of the code, typical settings where the service is performed, and the types of benchmarks and policy considerations relevant to coverage and reimbursement. Where available, the publication presents utilization and payment benchmarks, common modifiers, coding relationships, and policy updates that affect surgical management of biliary disease. Data not available in the input is noted explicitly where applicable.
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Billing Code Overview
CPT code 47620 describes a surgical procedure in which the provider removes the gallbladder (cholecystectomy) and performs exploration of the common bile duct with repair of the sphincter of Oddi. The description notes potential use of intraoperative contrast injection and fluoroscopic imaging to visualize the biliary ducts.
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Service type: Surgical procedure involving cholecystectomy with common bile duct exploration and sphincteroplasty (open or potentially laparoscopic-assisted surgery depending on clinical approach)
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Typical site of service: Hospital operating room or ambulatory surgery center, with intraoperative imaging (radiology/fluoroscopy) support