Laparoscopy, surgical; cholecystectomy with exploration of common bile duct

CPT 47564 is the billing code for "Laparoscopy, surgical; cholecystectomy with exploration of common bile duct". For laparoscopic cholecystectomy with exploration of common bile duct

Medicare pays approximately $1095.58 for CPT 47564 (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 47564 has a total RVU of 36.98, broken down as: Work RVU 16.80, Practice Expense RVU 18.50, and Malpractice RVU 1.68. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 47564 include: Indication for cholecystectomy and CBD exploration; Operative findings including CBD stones; Exploration technique used; Stone removal technique. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 47564: Includes laparoscopic cholecystectomy. Includes CBD exploration Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 47564 include: 22 (Increased procedural services for difficult cases), 51 (Multiple procedures performed same session), 52 (Reduced services if procedure not completed). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 47564 is 90-120 minutes typical operative time. Time-based codes require documentation of the actual time spent providing the service.