47765 Fuse liver ducts & bowel
Also known as: Hepaticojejunostomy, intrahepatic bile duct bypass
Surgical creation of an internal anastomosis between the intrahepatic bile ducts and jejunum (hepaticojejunostomy) to bypass proximal bile duct obstruction.
In Plain Language
Connecting liver bile ducts to small intestine
Clinical Context
Performed for hilar cholangiocarcinoma or hepatic strictures. Jejunal approach preferred over duodenal for hepatic anastomosis.
RVU Breakdown
| Work RVU | 50.89 |
| Total RVU | 50.89 |
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 50.89, this code ranks in the 99th percentile among Surgery codes — 6.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47765?
CPT 47765 (Fuse liver ducts & bowel) is a Surgery code. Surgical creation of an internal anastomosis between the intrahepatic bile ducts and jejunum (hepaticojejunostomy) to bypass proximal bile duct obstruction.
What is the wRVU value for CPT 47765?
The work RVU for CPT 47765 is 50.89. This code is primarily used by Hepatobiliary Surgery, General Surgery. It has a 90-day global period.
When is CPT 47765 used?
Performed for hilar cholangiocarcinoma or hepatic strictures. Jejunal approach preferred over duodenal for hepatic anastomosis.
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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.