What this is, in plain language
Surgery to remove the gallbladder through several small incisions using a camera — the most common way gallbladders are removed.
Why a clinician orders it
Gallstones causing pain attacks, gallbladder inflammation, or related complications.
Medical necessity — what insurers usually look at
Usually covered when symptoms and imaging (ultrasound) document gallstones or gallbladder disease. Prior authorization is commonly required for planned outpatient surgery.
New to this? Read what medical necessity means and how to appeal a denial.
Documentation to ask about
- ✓Ultrasound or imaging results
- ✓Symptom history
- ✓Prior auth approval in writing
- ✓In-network facility and surgeon
Questions for your provider
- ?Has prior auth been approved in writing?
- ?Will this be outpatient, and what will my cost share be?
Why this code is in our seed set
One of the most common abdominal surgeries nationally; in the CMS Top 200 Ranked by Services.
Validated against
- •CMS Top 200 Level I CPT Codes Ranked by Services
- •SAGES guidelines on cholecystectomy
- •AMA CPT code 47562 descriptor
Terms you'll see
Prior AuthorizationRead more →
Some services may need plan approval before they are performed.
Medical NecessityRead more →
The insurer is reviewing whether the service is clinically appropriate for your situation.
Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.