47720 Fuse gallbladder & bowel
Also known as: Cholecystoduodenostomy, gallbladder-duodenal bypass
Surgical creation of an internal anastomosis between the gallbladder and duodenum (cholecystoduodenostomy) to bypass obstruction and allow internal drainage.
In Plain Language
Creating connection between gallbladder and small intestine
Clinical Context
Performed for benign gallbladder outlet obstruction, duodenal ulcer with gastric outlet obstruction, or when cholecystectomy is not feasible.
RVU Breakdown
| Work RVU | 17.88 |
| Total RVU | 17.88 |
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 17.88, this code ranks in the 79th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47720?
CPT 47720 (Fuse gallbladder & bowel) is a Surgery code. Surgical creation of an internal anastomosis between the gallbladder and duodenum (cholecystoduodenostomy) to bypass obstruction and allow internal drainage.
What is the wRVU value for CPT 47720?
The work RVU for CPT 47720 is 17.88. This code is primarily used by General Surgery, Hepatobiliary Surgery. It has a 90-day global period.
When is CPT 47720 used?
Performed for benign gallbladder outlet obstruction, duodenal ulcer with gastric outlet obstruction, or when cholecystectomy is not feasible.
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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.