CPT code 47532: Cholangiography, existing access2026 Medicare rate & RVUs in Miami, FL

Reports contrast injection through an established biliary access route to image the bile ducts, without creating new percutaneous access or placing a drain.

CMS RVU26DEffective Oct 1, 2026One payment locality339 Medicare services in 2024

In Miami, FL, Medicare pays $861.17 for 47532 in the office and $208.88 when it’s performed in a hospital or facility.

$861.17Office (non-facility)
$208.88Hospital or facility
+6.4%vs the national office rate ($809.30)

Check a contract rate as a % of Medicare · 47532 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 47532 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 47532 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 47532 covers

A physician injects contrast through an established route into the biliary system and obtains cholangiographic images. The route may be an existing biliary catheter or other established access. Interventional radiologists commonly perform this service in a hospital or outpatient procedural setting to assess duct anatomy, drainage, or a suspected obstruction. Fluoroscopy, when used, is part of the service.

Choose this code when imaging is performed through existing access, rather than by establishing new percutaneous access. The record should identify the access route, document the contrast injection and imaging, and include the clinical reason and findings. Same-day preoperative and postoperative care is included in the 0-day global service. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. The biliary anatomy is not treated as a paired bilateral service, so modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service, and does not permit co-surgeon or team-surgery payment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Miami, FL compares for 47532

Across 109 of 109 payment localities, the office rate for 47532 runs from $709.06 in Arkansas to $1,106.28 in San Benito County, CA. Miami, FL pays $861.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

47532 in Miami, FL vs other payment areas
  1. Miami, FL · this page$861.17
  2. Fort Lauderdale, FL · Florida$831.04−$30.13
  3. Rest of Florida · Florida$788.73−$72.44
  4. Los Angeles, CA · California$929.28+$68.11
  5. Washington, DC area · District of Columbia$935.15+$73.98
  6. Chicago, IL · Illinois$834.74−$26.43
  7. Manhattan, NY · New York$933.80+$72.63

Other areas in Florida first, then benchmark localities. Bars start at $0.

Every other payment area

47532 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$913.65$246.32
AlabamaAlabama$720.37$172.09
ArkansasArkansas$709.06$170.81
ArizonaArizona$786.65$179.48
Bakersfield, CACalifornia$868.38$181.62
Chico, CACalifornia$866.91$180.15
El Centro, CACalifornia$866.99$180.23
Fresno, CACalifornia$866.91$180.15

47532 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$709.06

$986.60

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
47532 office rate range by state
State / territoryOffice rate rangeLocalities
AK$913.651
AL$720.371
AR$709.061
AZ$786.651
CA$866.91–$1,106.2829
CO$849.281
CT$865.911
DC$935.151
DE$800.491
FL$788.73–$861.173
GA$741.74–$823.482
GU$892.101
HI$892.101
IA$743.791
ID$748.311
IL$761.56–$840.584
IN$753.101
KS$738.341
KY$735.251
LA$733.33–$772.902
MA$842.89–$940.182
MD$817.20–$935.153
ME$750.74–$797.372
MI$754.46–$797.622
MN$816.771
MO$718.54–$777.913
MS$714.031
MT$809.271
NC$759.531
ND$799.581
NE$748.721
NH$834.101
NJ$876.65–$923.872
NM$758.261
NV$807.231
NY$771.71–$955.915
OH$752.481
OK$735.611
OR$801.82–$879.992
PA$754.72–$841.792
PR$816.261
RI$831.771
SC$757.091
SD$798.441
TN$742.151
TX$749.22–$845.688
UT$768.351
VA$793.36–$935.152
VI$816.261
VT$794.671
WA$841.89–$961.832
WI$770.481
WV$730.601
WY$805.051

See 47532 in every payment locality

How the 47532 rate is calculated

Each of 47532’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 47532

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.14

4.14 RVUs× 1.000 GPCI

Practice expense19.60

19.60 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

24.2300

Conversion factor

$33.4009

Medicare rate

$809.30

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,684

Code
47532
Physician work
4.14
Practice expense
19.60
Malpractice
0.49

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 47532 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work4.14× 1.0004.1400
Practice expense19.60× 1.04120.4036
Malpractice0.49× 2.5291.2392
Total RVUs25.7828
Conversion factor× 33.4009

Office rate, Miami, FL$861.17

Office: (4.14 × 1 + 19.6 × 1.041 + 0.49 × 2.529) × $33.4009 = $861.17

Facility: (4.14 × 1 + 0.84 × 1.041 + 0.49 × 2.529) × $33.4009 = $208.88

Open 47532 in the RVU calculator

Payment rules and modifiers for 47532

The CMS indicators that decide how 47532 is paid alongside other services.

CMS payment indicators · 47532

Cholangiography, existing access

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47532 without 51 · national office

$809.30

Cholangiography, existing access

47532-51 · Second procedure: 50%

$404.65

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 47532 has changed in Miami, FL

47532 · Office / nonfacility

$861.17

Effective 2026-10-01

The base rate is $34.29 higher than on 2025-10-01, moving from $826.88 to $861.17 (4.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $826.88changed to$861.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.25 changed to 4.14
    • Practice expense RVU 19.56 changed to 19.60
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $865.68changed to$826.88

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 20.04 changed to 19.56
    • Malpractice RVU 0.47 changed to 0.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $851.55changed to$865.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $899.17changed to$851.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 20.64 changed to 20.04
    • Malpractice RVU 0.44 changed to 0.47
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $939.51changed to$899.17

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 21.33 changed to 20.64
    • Malpractice RVU 0.41 changed to 0.44
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $949.64changed to$939.51

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 21.37 changed to 21.33
    • Malpractice RVU 0.42 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $912.56changed to$949.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 19.49 changed to 21.37
    • Malpractice RVU 0.40 changed to 0.42
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $879.18changed to$912.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 18.58 changed to 19.49
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $856.36changed to$879.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 17.99 changed to 18.58

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $860.35changed to$856.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 18.10 changed to 17.99
    • Malpractice RVU 0.42 changed to 0.40
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $880.07changed to$860.35

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 18.62 changed to 18.10
    • Malpractice RVU 0.44 changed to 0.42
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$880.07

    Held through RVU16B, RVU16C, RVU16D.

  13. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$861.17$208.88RVU26D
2026-07-01$861.17$208.88RVU26C
2026-04-01$861.17$208.88RVU26B
2026-01-01$861.17$208.88RVU26A
2025-10-01$826.88$225.93RVU25D
2025-07-01$826.88$225.93RVU25C
2025-04-01$826.88$225.93RVU25B
2025-01-01$826.88$225.93RVU25A
2024-10-01$865.68$229.13RVU24D
2024-07-01$865.68$229.13RVU24C
2024-04-01$865.68$229.13RVU24B
2024-03-09$865.68$229.13RVU24AR
2024-01-01$851.55$225.39RVU24A
2023-10-01$899.17$232.62RVU23D
2023-07-01$899.17$232.62RVU23C
2023-04-01$899.17$232.62RVU23B
2023-01-01$899.17$232.62RVU23A
2022-10-01$939.51$236.07RVU22D
2022-07-01$939.51$236.07RVU22C
2022-04-01$939.51$236.07RVU22B
2022-01-01$939.51$236.07RVU22A
2021-10-01$949.64$240.01RVU21D
2021-07-01$949.64$240.01RVU21C
2021-04-01$949.64$240.01RVU21B
2021-01-01$949.64$240.01RVU21A
2020-10-01$912.56$246.80RVU20D
2020-07-01$912.56$246.80RVU20C
2020-04-01$912.56$246.80RVU20B
2020-01-01$912.56$246.80RVU20A
2019-10-01$879.18$246.90RVU19D
2019-07-01$879.18$246.90RVU19C
2019-04-01$879.18$246.90RVU19B
2019-01-01$879.18$246.90RVU19A
2018-10-01$856.36$246.62RVU18D
2018-07-01$856.36$246.62RVU18C
2018-04-01$856.36$246.62RVU18B
2018-01-01$856.36$246.62RVU18AR1
2017-10-01$860.35$248.35RVU17D
2017-07-01$860.35$248.35RVU17C
2017-04-01$860.35$248.35RVU17B
2017-01-01$860.35$248.35RVU17A
2016-10-01$880.07$249.83RVU16D
2016-07-01$880.07$249.83RVU16C
2016-04-01$880.07$249.83RVU16B
2016-01-01$880.07$249.83RVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 47532 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

47532 billing questions

How is 47532 different from 47531?

47532 is for cholangiographic injection through access that is already established. Use 47531 when the service involves percutaneous transhepatic access for the cholangiogram.

Is fluoroscopy separately reported?

Fluoroscopy, when performed as part of this injection service, is included. The documentation should support the contrast injection and resulting biliary imaging.

Can 47532 be reported for placing a biliary drain?

No. Drain placement is a different service; select the applicable placement code when a catheter is placed. This code describes imaging through existing access.

What should the record show to support 47532?

Document the pre-existing access route, contrast injection, cholangiographic imaging, clinical indication, and findings. The record should distinguish this work from new access or catheter placement.

Can modifier 50 be used for bilateral ducts?

No. The service is not treated as a paired bilateral procedure, and modifier 50 is inappropriate.

How does Medicare handle other procedures performed in the same session?

Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and reduces the other procedures to 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 47532PPRRVU2026_Oct_nonQPP.csv, line 5,684 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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