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CPT 47715: Excision of Cystic Lesion in Bile Duct to Restore Bile Flow
CPT code 47715 denotes a surgical excision of a cystic or saclike abnormality in the bile duct intended to restore bile flow. This procedure is a targeted biliary surgery that can address obstructive lesions that risk cholestasis, infection, or biliary cirrhosis if untreated. Nationally, accurate coding and appropriate site-of-service documentation for 47715 impact clinical care coordination and payment for biliary surgical services.
Key payers covered 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 excision of bile duct cysts, common payment and coverage considerations across major payers, and the typical care settings where the procedure is performed. The publication summarizes benchmarks and policy-relevant factors affecting billing, discusses coding nuances related to the procedure description, and highlights clinical implications for perioperative management and documentation. Data not available in the input is noted where payer-specific policies or diagnosis pairings are required for detailed reimbursement guidance.
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Billing Code Overview
CPT code 47715 describes the surgical removal of a cystic, saclike abnormality from the bile duct with the goal of restoring normal bile flow. This procedure addresses obstructive lesions within the biliary system that interfere with bile drainage.
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Service type: Surgical procedure on the biliary system to excise a cystic lesion
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Typical site of service: Hospital operating room or ambulatory surgical center where biliary surgery is performed