47420 Incision of bile duct
Also known as: Choledocholithotomy, CBD exploration, common bile duct exploration
Surgical incision into the common bile duct, typically to remove stones (choledocholithotomy) or address obstruction and biliary pathology.
Clinical Context
Performed for choledocholithiasis (bile duct stones), strictures, or obstruction. Open approach when endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful or contraindicated.
RVU Breakdown
| Work RVU | 21.48 |
| Practice Expense RVU | 10.23 |
| Malpractice RVU | 5.38 |
| Total RVU | 37.09 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.