47721 Fuse upper gi structures
Also known as: Choledochojejunostomy with gastrojejunostomy, combined bypass
Surgical creation of an internal anastomosis between the gallbladder (or hepatic/common bile duct) and jejunum with gastrojejunostomy for combined biliary and gastric outlet obstruction.
In Plain Language
Connecting gallbladder and stomach to intestine
Clinical Context
Performed for combined biliary and gastric outlet obstruction from malignancy or benign disease, allowing single-stage surgical palliation.
RVU Breakdown
| Work RVU | 21.44 |
| Total RVU | 21.44 |
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 21.44, this code ranks in the 84th 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 47721?
CPT 47721 (Fuse upper gi structures) is a Surgery code. Surgical creation of an internal anastomosis between the gallbladder (or hepatic/common bile duct) and jejunum with gastrojejunostomy for combined biliary and gastric outlet obstruction.
What is the wRVU value for CPT 47721?
The work RVU for CPT 47721 is 21.44. This code is primarily used by General Surgery, Hepatobiliary Surgery. It has a 90-day global period.
When is CPT 47721 used?
Performed for combined biliary and gastric outlet obstruction from malignancy or benign disease, allowing single-stage surgical palliation.
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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.