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    v1.0.30
    OpenPayerBilling CodesExcision Procedures on the Biliary TractCPT cpt-47620-cholecystectomy-common-bile-duct-exploration-sphincter-repair
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    CPT 47620: Cholecystectomy with Common Duct Exploration and Sphincter Repair

    Medicare pays $1290 on average nationally for this procedure.

    CPT code 47620 describes an open cholecystectomy with exploration of the common bile duct and repair of the sphincter of Oddi, often including intraoperative cholangiography (dye injection and X-ray) to visualize biliary ducts; service type: surgical biliary procedure; typical site of service: inpatient or hospital operating room for abdominal surgery.

    For related coverage guidance, see recent payer policy updates: Surgical Procedures, Outpatient Surgical Procedures - Site of Service, Site of Service Ambulatory Service Center (ASC) Select — Surgical or Diagnostic Procedures in Adults.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is a 45–70 year-old adult presenting with symptomatic gallbladder disease (e.g., recurrent biliary colic, acute cholecystitis) with suspected or confirmed common bile duct stones or dysfunction of the sphincter of Oddi. The clinical workflow begins with outpatient evaluation including history, physical exam, liver function tests, abdominal ultrasound and, when indicated, MRCP or endoscopic ultrasound demonstrating choledocholithiasis or biliary dilation. The patient is scheduled for an operative procedure under general anesthesia: an open or laparoscopic cholecystectomy combined with common bile duct exploration and sphincteroplasty as needed. Intraoperative cholangiography may be performed by injecting contrast dye and obtaining fluoroscopic imaging to identify ductal stones or anatomy. If stones are present, the surgeon removes them via duct exploration or passes them into the duodenum after sphincteroplasty. The sphincter of Oddi is repaired or dilated to restore bile flow. Postoperative care includes monitoring liver function tests, pain control, and assessment for bile leak or pancreatitis. Typical sites of service are the inpatient operating room or ambulatory surgical center when clinically appropriate. Common payors include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    47562Laparoscopy, surgical; cholecystectomyOften performed instead of open cholecystectomy when combined with ductal evaluation; laparoscopic approach may precede common duct exploration
    47563Laparoscopy, surgical; cholecystectomy with cholangiographyPerformed when intraoperative cholangiogram is done during cholecystectomy to visualize biliary tree prior to or instead of formal duct exploration
    43260Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomyOften performed preoperatively or postoperatively for endoscopic stone extraction or sphincterotomy as an alternative to surgical sphincteroplasty
    47563(repeat) Laparoscopic cholecystectomy with cholangiographySee above; frequently billed when intraoperative imaging is used in conjunction with duct exploration
    47570Exploration of common bile duct; with removal of calculusClosely related; may be billed when duct exploration and stone removal are performed without formal sphincteroplasty component
    74420Cholangiography, radiologic, percutaneous, diagnostic; biliary ductsUsed when radiologic cholangiography is performed perioperatively to delineate duct anatomy or residual stones

    Related Modifiers

    13 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    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…
    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…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    81Modifier -81 indicates a physician served as a minimal assistant surgeon for part—not all—of an operative procedure. Use when a physician’s assisting role is limited and does not represent full…- Use CPT modifier -81 when a physician acts as a minimum assistant surgeon who assists during only part (a limited portion) of an operative procedure; append -81 to the primary surgical CPT code to…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Showing 1–10 of 13

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207L00000X
    207P00000X
    207K00000X
    207YX0905X
    253J00000X
    213ES0103X
    2278G0305X
    2080P0008X

    Related ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    E86.0Dehydration
    E87.4Mixed disorder of acid-base balance
    K57.20Diverticulitis of large intestine with perforation and abscess without bleeding
    K59.1Functional diarrhea
    K80.00Calculus of gallbladder with acute cholecystitis without obstruction
    K80.01Calculus of gallbladder with acute cholecystitis with obstruction
    K80.10Calculus of gallbladder with chronic cholecystitis without obstruction
    K80.11Calculus of gallbladder with chronic cholecystitis with obstruction
    K80.20Calculus of gallbladder without cholecystitis without obstruction
    K80.30Calculus of bile duct with cholangitis, unspecified, without obstruction

    Showing 1–10 of 27

    Related Payer Policy Updates

    Specialty: General Surgery1 / 2

    10 rows

    PolicyPayerEffective Date
    Surgical ProceduresUnitedHealthcare2026-09-01
    Outpatient Surgical Procedures - Site of ServiceUnitedHealthcare2026-09-01
    Site of Service Ambulatory Service Center (ASC) Select — Surgical or Diagnostic Procedures in AdultsPremera Bluecross2026-09-01
    Site of Service Ambulatory Surgical Center (ASC) Select — Surgical or Diagnostic Procedures in AdultsPremera Bluecross2026-09-01
    Site of Service Ambulatory Service Center (ASC) SelectPremera Bluecross2026-09-01
    Site of Service Ambulatory Surgical Center (ASC) Select — Site of Service for Ambulatory Surgical Procedures (ASC Select)Premera Bluecross2026-09-01
    Site of Service Ambulatory Service Center (ASC) SelectPremera Bluecross2026-09-01
    Outpatient Surgical Procedures - Site of Servicesierra health and life2026-08-01
    Medical Necessity Guidelines — Inpatient Surgical CareMass General Brigham Health Plan2026-08-01
    Ambulatory Surgery Center (ASC) - Site of Care PolicyKaiser Permanente2026-08-01

    Related Codes

    CPT-47600-LAPAROSCOPIC-CHOLECYSTECTOMY-GALLBLADDER-REMOVAL

    CPT 47600: Open Cholecystectomy, Removal of Gallbladder

    CPT-47605-LAPAROSCOPIC-CHOLECYSTECTOMY-WITH-INTRAOPERATIVE-CHOLANGIOGRAM

    CPT 47605: Laparoscopic Cholecystectomy with Intraoperative Cholangiography

    CPT-47610-CHOLECYSTECTOMY-COMMON-BILE-DUCT-EXPLORATION

    CPT 47610: Cholecystectomy with Common Bile Duct Exploration

    CPT-47612-CHOLECYSTECTOMY-WITH-BILIARY-ENTERIC-ANASTOMOSIS

    CPT 47612: Cholecystectomy with Common Bile Duct Exploration and Biliary-Enteric Anastomosis

    CPT-47700-BILIARY-EXPLORATION-WITH-DIAGNOSTIC-BIOPSY-CHOLANGIOGRAPHY

    CPT 47700: Exploration of Biliary System with Diagnostic Biopsy

    CPT-47701-HEPATIC-BILIARY-ENTERIC-ANASTOMOSIS-FOR-BILIARY-ATRESIA

    CPT 47701: Portoenterostomy (Kasai) for Biliary Atresia

    CPT-47711-EXTRAHEPATIC-BILE-DUCT-MASS-EXCISION-BILE-DUCT-REPAIR

    CPT 47711: Excision of Extrahepatic Biliary Duct Mass

    CPT-47712-INTRAHEPATIC-BILIARY-DUCT-MASS-EXCISION-BILE-DUCT-REPAIR

    CPT 47712: Excision of Intrahepatic Biliary Duct Mass

    CPT-47715-BILE-DUCT-CYST-EXCISION-RESTORATION-OF-BILE-FLOW

    CPT 47715: Excision of Cystic Lesion of Bile Duct

    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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