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.

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

In Vermont, Medicare pays $794.67 for 47532 in the office and $174.34 when it’s performed in a hospital or facility.

$794.67Office (non-facility)
$174.34Hospital or facility
−1.8%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 Vermont
  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 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.

47532 in Vermont vs other payment areas
  1. Vermont · this page$794.67
  2. Los Angeles, CA · California$929.28+$134.61
  3. Washington, DC area · District of Columbia$935.15+$140.48
  4. Miami, FL · Florida$861.17+$66.50
  5. Chicago, IL · Illinois$834.74+$40.07
  6. Manhattan, NY · New York$933.80+$139.13
  7. Alaska · Alaska$913.65+$118.98

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

Every other payment area

47532 in every other Medicare payment locality
Payment localityOfficeFacility
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

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 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
Office calculation for 47532 in Vermont
ComponentRVULocality factorAdjusted
Physician work4.14× 1.0004.1400
Practice expense19.60× 0.99019.4040
Malpractice0.49× 0.5060.2479
Total RVUs23.7919
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

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 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.

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

    $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.

  2. 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.

  3. March 9, 2024

    RVU24AR

    $798.74changed to$811.99

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. January 1, 2016

    RVU16A

    No ratechanged to$832.26

    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$794.67$174.34RVU26D
2026-07-01$794.67$174.34RVU26C
2026-04-01$794.67$174.34RVU26B
2026-01-01$794.67$174.34RVU26A
2025-10-01$773.95$192.90RVU25D
2025-07-01$773.95$192.90RVU25C
2025-04-01$773.95$192.90RVU25B
2025-01-01$773.95$192.90RVU25A
2024-10-01$811.99$196.51RVU24D
2024-07-01$811.99$196.51RVU24C
2024-04-01$811.99$196.51RVU24B
2024-03-09$811.99$196.51RVU24AR
2024-01-01$798.74$193.31RVU24A
2023-10-01$849.45$201.11RVU23D
2023-07-01$849.45$201.11RVU23C
2023-04-01$849.45$201.11RVU23B
2023-01-01$849.45$201.11RVU23A
2022-10-01$894.04$205.73RVU22D
2022-07-01$894.04$205.73RVU22C
2022-04-01$894.04$205.73RVU22B
2022-01-01$894.04$205.73RVU22A
2021-10-01$903.05$208.68RVU21D
2021-07-01$903.05$208.68RVU21C
2021-04-01$903.05$208.68RVU21B
2021-01-01$903.05$208.68RVU21A
2020-10-01$870.80$216.71RVU20D
2020-07-01$870.80$216.71RVU20C
2020-04-01$870.80$216.71RVU20B
2020-01-01$870.80$216.71RVU20A
2019-10-01$841.39$217.71RVU19D
2019-07-01$841.39$217.71RVU19C
2019-04-01$841.39$217.71RVU19B
2019-01-01$841.39$217.71RVU19A
2018-10-01$818.91$217.47RVU18D
2018-07-01$818.91$217.47RVU18C
2018-04-01$818.91$217.47RVU18B
2018-01-01$818.91$217.47RVU18AR1
2017-10-01$818.24$218.71RVU17D
2017-07-01$818.24$218.71RVU17C
2017-04-01$818.24$218.71RVU17B
2017-01-01$818.24$218.71RVU17A
2016-10-01$832.26$219.71RVU16D
2016-07-01$832.26$219.71RVU16C
2016-04-01$832.26$219.71RVU16B
2016-01-01$832.26$219.71RVU16A
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 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

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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