47740 Fuse gallbladder & bowel
Also known as: Choledochoduodenostomy, bile duct-duodenal bypass
Surgical creation of an internal anastomosis between the common bile duct and duodenum (choledochoduodenostomy) to bypass distal bile duct obstruction.
In Plain Language
Connecting bile duct to small intestine
Clinical Context
Performed for distal bile duct obstruction from cancer, stricture, or benign disease. Allows internal drainage and normalizes biliary flow.
RVU Breakdown
| Work RVU | 20.70 |
| Total RVU | 20.70 |
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 20.70, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47740?
CPT 47740 (Fuse gallbladder & bowel) is a Surgery code. Surgical creation of an internal anastomosis between the common bile duct and duodenum (choledochoduodenostomy) to bypass distal bile duct obstruction.
What is the wRVU value for CPT 47740?
The work RVU for CPT 47740 is 20.70. This code is primarily used by General Surgery, Hepatobiliary Surgery. It has a 90-day global period.
When is CPT 47740 used?
Performed for distal bile duct obstruction from cancer, stricture, or benign disease. Allows internal drainage and normalizes biliary flow.
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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.