47780 Fuse bile ducts and bowel
Also known as: Hepaticoduodenostomy revision, redo hepatic anastomosis
Surgical creation of an internal anastomosis between the intrahepatic bile ducts and duodenum with revision of previous hepaticoenterostomy for failed or obstructed anastomosis.
In Plain Language
Fixing a previous bile duct connection to intestine
Clinical Context
Performed for failed or complicated hepaticoduodenostomy with recurrent cholangitis. Often technically demanding with altered anatomy.
RVU Breakdown
| Work RVU | 41.26 |
| Total RVU | 41.26 |
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 41.26, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47780?
CPT 47780 (Fuse bile ducts and bowel) is a Surgery code. Surgical creation of an internal anastomosis between the intrahepatic bile ducts and duodenum with revision of previous hepaticoenterostomy for failed or obstructed anastomosis.
What is the wRVU value for CPT 47780?
The work RVU for CPT 47780 is 41.26. This code is primarily used by Hepatobiliary Surgery, General Surgery. It has a 90-day global period.
When is CPT 47780 used?
Performed for failed or complicated hepaticoduodenostomy with recurrent cholangitis. Often technically demanding with altered anatomy.
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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.