47570 Laparoscopic cholecystoenterostomy
Also known as: Lap cholecystoenterostomy, bypass procedure
Laparoscopic creation of an internal fistula between the gallbladder and small intestine (cholecystoenterostomy), bypassing obstruction to allow internal drainage.
In Plain Language
Creating connection between gallbladder and intestine through small incisions
Clinical Context
Performed for gallbladder outlet obstruction, benign stricture, or when cholecystectomy is not feasible. Palliates symptoms while preserving gallbladder.
RVU Breakdown
| Work RVU | 12.25 |
| Total RVU | 12.25 |
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 12.25, this code ranks in the 66th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47570?
CPT 47570 (Laparoscopic cholecystoenterostomy) is a Surgery code. Laparoscopic creation of an internal fistula between the gallbladder and small intestine (cholecystoenterostomy), bypassing obstruction to allow internal drainage.
What is the wRVU value for CPT 47570?
The work RVU for CPT 47570 is 12.25. This code is primarily used by General Surgery, Hepatobiliary Surgery. It has a 90-day global period.
When is CPT 47570 used?
Performed for gallbladder outlet obstruction, benign stricture, or when cholecystectomy is not feasible. Palliates symptoms while preserving gallbladder.
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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.