Laparoscopy, surgical; cholecystectomy with cholangiography

CPT 47563 is the billing code for "Laparoscopy, surgical; cholecystectomy with cholangiography". For laparoscopic cholecystectomy with intraoperative cholangiography to evaluate biliary anatomy and detect stones

Medicare pays approximately $705.48 for CPT 47563 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 47563 has a total RVU of 30.00, broken down as: Work RVU 13.50, Practice Expense RVU 15.20, and Malpractice RVU 1.30. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 47563 include: Indication for cholangiography and preoperative imaging findings; Technique of cholangiography (transcystic or transcystic with choledochotomy); Findings of cholangiography including bile duct anatomy and presence of stones; Any stones removed or interventions performed. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 47563: Includes laparoscopic cholecystectomy. Includes cholangiography technique and interpretation Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 47563 include: 22 (Increased procedural services for difficult cholangiography), 51 (Multiple procedures performed same session), 52 (Reduced services if cholangiography not completed). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 47563 is 75-105 minutes typical operative time. Time-based codes require documentation of the actual time spent providing the service.