CPT code 47532: Cholangiography, existing access2026 Medicare rate & RVUs in Vermont
Reports contrast injection through an established biliary access route to image the bile ducts, without creating new percutaneous access or placing a drain.
In Vermont, Medicare pays $794.67 for 47532 in the office and $174.34 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $794.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$794.67
- Los Angeles, CA · California$929.28+$134.61
- Washington, DC area · District of Columbia$935.15+$140.48
- Miami, FL · Florida$861.17+$66.50
- Chicago, IL · Illinois$834.74+$40.07
- Manhattan, NY · New York$933.80+$139.13
- Alaska · Alaska$913.65+$118.98
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Hanford, CACalifornia | $866.91 | $180.15 |
| Madera, CACalifornia | $866.91 | $180.15 |
| Merced, CACalifornia | $866.91 | $180.15 |
| Modesto, CACalifornia | $866.91 | $180.15 |
| Napa, CACalifornia | $1,018.14 | $192.28 |
| Oxnard, CACalifornia | $926.15 | $185.51 |
| Redding, CACalifornia | $866.91 | $180.15 |
| Rest of CaliforniaCalifornia | $866.91 | $180.15 |
| Riverside, CACalifornia | $872.23 | $185.48 |
| Sacramento, CACalifornia | $913.40 | $184.66 |
| Salinas, CACalifornia | $910.09 | $183.86 |
| San Diego, CACalifornia | $934.27 | $184.85 |
| Marin County, CACalifornia | $1,082.00 | $198.49 |
| San Francisco, CACalifornia | $1,081.44 | $197.93 |
| San Benito County, CACalifornia | $1,106.28 | $202.72 |
| Santa Clara County, CACalifornia | $1,104.00 | $200.45 |
| San Luis Obispo, CACalifornia | $895.06 | $181.36 |
| Santa Cruz, CACalifornia | $945.37 | $184.04 |
| Santa Maria, CACalifornia | $914.25 | $183.64 |
| Santa Rosa, CACalifornia | $955.12 | $185.65 |
| Stockton, CACalifornia | $866.91 | $180.15 |
| Vallejo, CACalifornia | $1,017.34 | $191.48 |
| Visalia, CACalifornia | $866.91 | $180.15 |
| Yuba City, CACalifornia | $866.91 | $180.15 |
| ColoradoColorado | $849.28 | $182.57 |
| ConnecticutConnecticut | $865.91 | $191.07 |
| DelawareDelaware | $800.49 | $181.40 |
| Fort Lauderdale, FLFlorida | $831.04 | $196.29 |
| Rest of FloridaFlorida | $788.73 | $189.70 |
| Atlanta, GAGeorgia | $823.48 | $186.86 |
| Rest of GeorgiaGeorgia | $741.74 | $182.82 |
| Hawaii, Guam, HIHawaii | $892.10 | $179.66 |
| IowaIowa | $743.79 | $170.45 |
| IdahoIdaho | $748.31 | $171.83 |
| East St. Louis, ILIllinois | $773.53 | $197.05 |
| Rest of IllinoisIllinois | $761.56 | $189.48 |
| Suburban Chicago, ILIllinois | $840.58 | $197.06 |
| IndianaIndiana | $753.10 | $172.24 |
| KansasKansas | $738.34 | $171.89 |
| KentuckyKentucky | $735.25 | $178.20 |
| New Orleans, LALouisiana | $772.90 | $183.27 |
| Rest of LouisianaLouisiana | $733.33 | $178.79 |
| Metropolitan Boston, MAMassachusetts | $940.18 | $192.02 |
| Rest of MassachusettsMassachusetts | $842.89 | $183.08 |
| Baltimore area, MDMaryland | $863.19 | $190.84 |
| Rest of MarylandMaryland | $817.20 | $183.08 |
| Rest of MaineMaine | $750.74 | $174.27 |
| Southern Maine, MEMaine | $797.37 | $176.41 |
| Detroit, MIMichigan | $797.62 | $192.95 |
| Rest of MichiganMichigan | $754.46 | $182.37 |
| MinnesotaMinnesota | $816.77 | $171.99 |
| Metropolitan Kansas City, MOMissouri | $768.99 | $180.62 |
| Metropolitan St. Louis, MOMissouri | $777.91 | $181.39 |
| Rest of MissouriMissouri | $718.54 | $178.41 |
| MississippiMississippi | $714.03 | $174.53 |
| MontanaMontana | $809.27 | $182.67 |
| North CarolinaNorth Carolina | $759.53 | $174.91 |
| North DakotaNorth Dakota | $799.58 | $172.98 |
| NebraskaNebraska | $748.72 | $170.36 |
| New HampshireNew Hampshire | $834.10 | $181.81 |
| Northern New JerseyNew Jersey | $923.87 | $197.02 |
| Rest of New JerseyNew Jersey | $876.65 | $192.40 |
| New MexicoNew Mexico | $758.26 | $183.66 |
| NevadaNevada | $807.23 | $180.00 |
| NYC suburbs and Long Island, NYNew York | $955.91 | $210.88 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $881.16 | $195.03 |
| Queens, NYNew York | $944.54 | $203.89 |
| Rest of New YorkNew York | $771.71 | $176.44 |
| OhioOhio | $752.48 | $180.39 |
| OklahomaOklahoma | $735.61 | $176.05 |
| Portland, OROregon | $879.99 | $183.84 |
| Rest of OregonOregon | $801.82 | $177.73 |
| Metropolitan Philadelphia, PAPennsylvania | $841.79 | $189.50 |
| Rest of PennsylvaniaPennsylvania | $754.72 | $179.50 |
| Puerto RicoPuerto Rico | $816.26 | $182.77 |
| Rhode IslandRhode Island | $831.77 | $184.49 |
| South CarolinaSouth Carolina | $757.09 | $178.12 |
| South DakotaSouth Dakota | $798.44 | $171.84 |
| TennesseeTennessee | $742.15 | $172.57 |
| Austin, TXTexas | $845.68 | $182.74 |
| Beaumont, TXTexas | $749.22 | $179.02 |
| Brazoria, TXTexas | $800.92 | $179.96 |
| Dallas, TXTexas | $805.61 | $181.51 |
| Fort Worth, TXTexas | $799.27 | $181.44 |
| Galveston, TXTexas | $803.01 | $180.80 |
| Houston, TXTexas | $811.98 | $189.77 |
| Rest of TexasTexas | $774.33 | $179.68 |
| UtahUtah | $768.35 | $179.35 |
| VirginiaVirginia | $793.36 | $177.41 |
| Virgin Islands, VIUnited States Virgin Islands | $816.26 | $182.77 |
| Rest of WashingtonWashington | $841.89 | $182.08 |
| King County, WAWashington | $961.83 | $192.99 |
| WisconsinWisconsin | $770.48 | $170.20 |
| West VirginiaWest Virginia | $730.60 | $186.08 |
| WyomingWyoming | $805.05 | $178.45 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $913.65 | 1 |
| AL | $720.37 | 1 |
| AR | $709.06 | 1 |
| AZ | $786.65 | 1 |
| CA | $866.91–$1,106.28 | 29 |
| CO | $849.28 | 1 |
| CT | $865.91 | 1 |
| DC | $935.15 | 1 |
| DE | $800.49 | 1 |
| FL | $788.73–$861.17 | 3 |
| GA | $741.74–$823.48 | 2 |
| GU | $892.10 | 1 |
| HI | $892.10 | 1 |
| IA | $743.79 | 1 |
| ID | $748.31 | 1 |
| IL | $761.56–$840.58 | 4 |
| IN | $753.10 | 1 |
| KS | $738.34 | 1 |
| KY | $735.25 | 1 |
| LA | $733.33–$772.90 | 2 |
| MA | $842.89–$940.18 | 2 |
| MD | $817.20–$935.15 | 3 |
| ME | $750.74–$797.37 | 2 |
| MI | $754.46–$797.62 | 2 |
| MN | $816.77 | 1 |
| MO | $718.54–$777.91 | 3 |
| MS | $714.03 | 1 |
| MT | $809.27 | 1 |
| NC | $759.53 | 1 |
| ND | $799.58 | 1 |
| NE | $748.72 | 1 |
| NH | $834.10 | 1 |
| NJ | $876.65–$923.87 | 2 |
| NM | $758.26 | 1 |
| NV | $807.23 | 1 |
| NY | $771.71–$955.91 | 5 |
| OH | $752.48 | 1 |
| OK | $735.61 | 1 |
| OR | $801.82–$879.99 | 2 |
| PA | $754.72–$841.79 | 2 |
| PR | $816.26 | 1 |
| RI | $831.77 | 1 |
| SC | $757.09 | 1 |
| SD | $798.44 | 1 |
| TN | $742.15 | 1 |
| TX | $749.22–$845.68 | 8 |
| UT | $768.35 | 1 |
| VA | $793.36–$935.15 | 2 |
| VI | $816.26 | 1 |
| VT | $794.67 | 1 |
| WA | $841.89–$961.83 | 2 |
| WI | $770.48 | 1 |
| WV | $730.60 | 1 |
| WY | $805.05 | 1 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.000 | 4.1400 |
| Practice expense | 19.60 | × 0.990 | 19.4040 |
| Malpractice | 0.49 | × 0.506 | 0.2479 |
| Total RVUs | 23.7919 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$794.67
Office: (4.14 × 1 + 19.6 × 0.99 + 0.49 × 0.506) × $33.4009 = $794.67
Facility: (4.14 × 1 + 0.84 × 0.99 + 0.49 × 0.506) × $33.4009 = $174.34
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
How 47532 has changed in Vermont
47532 · Office / nonfacility
$794.67
Effective 2026-10-01
The base rate is $20.72 higher than on 2025-10-01, moving from $773.95 to $794.67 (2.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$773.95changed to$794.67
- 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 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$811.99changed to$773.95
- 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.
March 9, 2024
RVU24AR
$798.74changed to$811.99
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$849.45changed to$798.74
- 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 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$894.04changed to$849.45
- 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 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$903.05changed to$894.04
- 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.
January 1, 2021
RVU21A
$870.80changed to$903.05
- 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 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$841.39changed to$870.80
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 18.58 changed to 19.49
- Practice expense GPCI 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$818.91changed to$841.39
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 17.99 changed to 18.58
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$818.24changed to$818.91
- 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 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$832.26changed to$818.24
- 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 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$832.26
Held through RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $794.67 | $174.34 | RVU26D |
| 2026-07-01 | $794.67 | $174.34 | RVU26C |
| 2026-04-01 | $794.67 | $174.34 | RVU26B |
| 2026-01-01 | $794.67 | $174.34 | RVU26A |
| 2025-10-01 | $773.95 | $192.90 | RVU25D |
| 2025-07-01 | $773.95 | $192.90 | RVU25C |
| 2025-04-01 | $773.95 | $192.90 | RVU25B |
| 2025-01-01 | $773.95 | $192.90 | RVU25A |
| 2024-10-01 | $811.99 | $196.51 | RVU24D |
| 2024-07-01 | $811.99 | $196.51 | RVU24C |
| 2024-04-01 | $811.99 | $196.51 | RVU24B |
| 2024-03-09 | $811.99 | $196.51 | RVU24AR |
| 2024-01-01 | $798.74 | $193.31 | RVU24A |
| 2023-10-01 | $849.45 | $201.11 | RVU23D |
| 2023-07-01 | $849.45 | $201.11 | RVU23C |
| 2023-04-01 | $849.45 | $201.11 | RVU23B |
| 2023-01-01 | $849.45 | $201.11 | RVU23A |
| 2022-10-01 | $894.04 | $205.73 | RVU22D |
| 2022-07-01 | $894.04 | $205.73 | RVU22C |
| 2022-04-01 | $894.04 | $205.73 | RVU22B |
| 2022-01-01 | $894.04 | $205.73 | RVU22A |
| 2021-10-01 | $903.05 | $208.68 | RVU21D |
| 2021-07-01 | $903.05 | $208.68 | RVU21C |
| 2021-04-01 | $903.05 | $208.68 | RVU21B |
| 2021-01-01 | $903.05 | $208.68 | RVU21A |
| 2020-10-01 | $870.80 | $216.71 | RVU20D |
| 2020-07-01 | $870.80 | $216.71 | RVU20C |
| 2020-04-01 | $870.80 | $216.71 | RVU20B |
| 2020-01-01 | $870.80 | $216.71 | RVU20A |
| 2019-10-01 | $841.39 | $217.71 | RVU19D |
| 2019-07-01 | $841.39 | $217.71 | RVU19C |
| 2019-04-01 | $841.39 | $217.71 | RVU19B |
| 2019-01-01 | $841.39 | $217.71 | RVU19A |
| 2018-10-01 | $818.91 | $217.47 | RVU18D |
| 2018-07-01 | $818.91 | $217.47 | RVU18C |
| 2018-04-01 | $818.91 | $217.47 | RVU18B |
| 2018-01-01 | $818.91 | $217.47 | RVU18AR1 |
| 2017-10-01 | $818.24 | $218.71 | RVU17D |
| 2017-07-01 | $818.24 | $218.71 | RVU17C |
| 2017-04-01 | $818.24 | $218.71 | RVU17B |
| 2017-01-01 | $818.24 | $218.71 | RVU17A |
| 2016-10-01 | $832.26 | $219.71 | RVU16D |
| 2016-07-01 | $832.26 | $219.71 | RVU16C |
| 2016-04-01 | $832.26 | $219.71 | RVU16B |
| 2016-01-01 | $832.26 | $219.71 | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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