47425 Incision of bile duct
Also known as: Supraduodenal choledocholithotomy, supraduodenal duct incision
Surgical incision of the common bile duct with supraduodenal approach, typically performed to remove stones or address obstruction above the duodenum.
In Plain Language
Opening the bile duct from above the small intestine
Clinical Context
Performed for choledocholithiasis using an approach above the duodenum, allowing direct access to the common bile duct without duodenal mobilization.
RVU Breakdown
| Work RVU | 21.75 |
| Total RVU | 21.75 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 21.75, this code ranks in the 85th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47425?
CPT 47425 (Incision of bile duct) is a Surgery code. Surgical incision of the common bile duct with supraduodenal approach, typically performed to remove stones or address obstruction above the duodenum.
What is the wRVU value for CPT 47425?
The work RVU for CPT 47425 is 21.75. This code is primarily used by Hepatobiliary Surgery, General Surgery. It has a 90-day global period.
When is CPT 47425 used?
Performed for choledocholithiasis using an approach above the duodenum, allowing direct access to the common bile duct without duodenal mobilization.
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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.