CPT code 47534: Biliary drainage, internal-external catheter2026 Medicare rate & RVUs in Vermont
Reports image-guided percutaneous placement of an internal-external biliary drainage catheter, typically to drain an obstructed bile duct through both internal and external routes.
In Vermont, Medicare pays $1,195.17 for 47534 in the office and $303.02 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 47534 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 47534 covers
An interventional radiologist or other qualified physician accesses the biliary tree through the skin and liver, evaluates the ducts with cholangiography, and places a catheter that permits bile to drain internally into the bowel and externally through the catheter. This approach may be used for biliary obstruction when drainage across the obstructed segment is feasible and external access is also needed. The service is commonly performed in a hospital imaging or interventional suite.
Report this code for placement of the internal-external drainage catheter, not for an external-only catheter. The service includes diagnostic cholangiography and imaging guidance with associated radiological supervision and interpretation; document the access route, catheter position and drainage configuration. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
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 47534
Across 109 of 109 payment localities, the office rate for 47534 runs from $1,071.85 in Arkansas to $1,649.56 in San Benito County, CA. Vermont pays $1,195.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$1,195.17
- Los Angeles, CA · California$1,391.69+$196.52
- Washington, DC area · District of Columbia$1,402.49+$207.32
- Miami, FL · Florida$1,298.68+$103.51
- Chicago, IL · Illinois$1,260.05+$64.88
- Manhattan, NY · New York$1,402.83+$207.66
- Alaska · Alaska$1,390.89+$195.72
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,088.34 | $299.83 |
| ArkansasArkansas | $1,071.85 | $297.76 |
| ArizonaArizona | $1,184.95 | $311.73 |
| Bakersfield, CACalifornia | $1,302.68 | $315.01 |
| Chico, CACalifornia | $1,300.18 | $312.51 |
| El Centro, CACalifornia | $1,300.32 | $312.65 |
| Fresno, CACalifornia | $1,300.18 | $312.51 |
| Hanford, CACalifornia | $1,300.18 | $312.51 |
| Madera, CACalifornia | $1,300.18 | $312.51 |
| Merced, CACalifornia | $1,300.18 | $312.51 |
| Modesto, CACalifornia | $1,300.18 | $312.51 |
| Napa, CACalifornia | $1,520.20 | $332.47 |
| Oxnard, CACalifornia | $1,386.41 | $321.24 |
| Redding, CACalifornia | $1,300.18 | $312.51 |
| Rest of CaliforniaCalifornia | $1,300.18 | $312.51 |
| Riverside, CACalifornia | $1,309.11 | $321.44 |
| Sacramento, CACalifornia | $1,368.08 | $320.04 |
| Salinas, CACalifornia | $1,363.07 | $318.63 |
| San Diego, CACalifornia | $1,397.89 | $320.10 |
| Marin County, CACalifornia | $1,613.56 | $342.92 |
| San Francisco, CACalifornia | $1,612.62 | $341.99 |
| San Benito County, CACalifornia | $1,649.56 | $350.09 |
| Santa Clara County, CACalifornia | $1,645.75 | $346.29 |
| San Luis Obispo, CACalifornia | $1,340.74 | $314.32 |
| Santa Cruz, CACalifornia | $1,413.42 | $318.51 |
| Santa Maria, CACalifornia | $1,368.93 | $318.18 |
| Santa Rosa, CACalifornia | $1,427.91 | $321.29 |
| Stockton, CACalifornia | $1,300.18 | $312.51 |
| Vallejo, CACalifornia | $1,518.86 | $331.13 |
| Visalia, CACalifornia | $1,300.18 | $312.51 |
| Yuba City, CACalifornia | $1,300.18 | $312.51 |
| ColoradoColorado | $1,275.47 | $316.64 |
| ConnecticutConnecticut | $1,301.46 | $330.92 |
| DelawareDelaware | $1,205.28 | $314.94 |
| Fort Lauderdale, FLFlorida | $1,252.52 | $339.65 |
| Rest of FloridaFlorida | $1,190.40 | $328.90 |
| Atlanta, GAGeorgia | $1,239.47 | $323.90 |
| Rest of GeorgiaGeorgia | $1,121.52 | $317.69 |
| Hawaii, Guam, HIHawaii | $1,335.82 | $311.21 |
| IowaIowa | $1,121.44 | $296.88 |
| IdahoIdaho | $1,128.24 | $299.17 |
| East St. Louis, ILIllinois | $1,170.44 | $341.38 |
| Rest of IllinoisIllinois | $1,151.49 | $328.73 |
| Suburban Chicago, ILIllinois | $1,266.47 | $340.99 |
| IndianaIndiana | $1,135.20 | $299.82 |
| KansasKansas | $1,113.99 | $299.35 |
| KentuckyKentucky | $1,111.10 | $309.98 |
| New Orleans, LALouisiana | $1,166.20 | $318.22 |
| Rest of LouisianaLouisiana | $1,108.51 | $310.98 |
| Metropolitan Boston, MAMassachusetts | $1,408.25 | $332.27 |
| Rest of MassachusettsMassachusetts | $1,266.52 | $317.61 |
| Baltimore area, MDMaryland | $1,297.44 | $330.50 |
| Rest of MarylandMaryland | $1,229.68 | $317.71 |
| Rest of MaineMaine | $1,132.32 | $303.25 |
| Southern Maine, MEMaine | $1,199.54 | $306.49 |
| Detroit, MIMichigan | $1,203.91 | $334.29 |
| Rest of MichiganMichigan | $1,139.60 | $316.85 |
| MinnesotaMinnesota | $1,226.20 | $298.91 |
| Metropolitan Kansas City, MOMissouri | $1,159.96 | $313.78 |
| Metropolitan St. Louis, MOMissouri | $1,172.91 | $315.01 |
| Rest of MissouriMissouri | $1,087.25 | $310.45 |
| MississippiMississippi | $1,079.87 | $303.98 |
| MontanaMontana | $1,218.08 | $316.92 |
| North CarolinaNorth Carolina | $1,145.05 | $304.27 |
| North DakotaNorth Dakota | $1,201.86 | $300.71 |
| NebraskaNebraska | $1,128.47 | $296.70 |
| New HampshireNew Hampshire | $1,253.38 | $315.28 |
| Northern New JerseyNew Jersey | $1,386.50 | $341.16 |
| Rest of New JerseyNew Jersey | $1,317.47 | $333.40 |
| New MexicoNew Mexico | $1,145.35 | $318.99 |
| NevadaNevada | $1,214.50 | $312.44 |
| NYC suburbs and Long Island, NYNew York | $1,435.72 | $364.24 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,324.63 | $337.86 |
| Queens, NYNew York | $1,417.75 | $352.58 |
| Rest of New YorkNew York | $1,162.83 | $306.74 |
| OhioOhio | $1,136.29 | $313.53 |
| OklahomaOklahoma | $1,111.10 | $306.36 |
| Portland, OROregon | $1,319.78 | $318.59 |
| Rest of OregonOregon | $1,206.22 | $308.67 |
| Metropolitan Philadelphia, PAPennsylvania | $1,266.54 | $328.44 |
| Rest of PennsylvaniaPennsylvania | $1,139.28 | $312.02 |
| Puerto RicoPuerto Rico | $1,228.10 | $317.03 |
| Rhode IslandRhode Island | $1,251.00 | $320.11 |
| South CarolinaSouth Carolina | $1,142.34 | $309.67 |
| South DakotaSouth Dakota | $1,199.94 | $298.79 |
| TennesseeTennessee | $1,119.61 | $300.46 |
| Austin, TXTexas | $1,270.21 | $316.79 |
| Beaumont, TXTexas | $1,131.29 | $311.24 |
| Brazoria, TXTexas | $1,205.60 | $312.55 |
| Dallas, TXTexas | $1,212.70 | $315.14 |
| Fort Worth, TXTexas | $1,203.62 | $315.08 |
| Galveston, TXTexas | $1,208.80 | $313.95 |
| Houston, TXTexas | $1,223.81 | $328.96 |
| Rest of TexasTexas | $1,167.37 | $312.17 |
| UtahUtah | $1,158.74 | $311.66 |
| VirginiaVirginia | $1,194.04 | $308.21 |
| Virgin Islands, VIUnited States Virgin Islands | $1,228.10 | $317.03 |
| Rest of WashingtonWashington | $1,264.79 | $315.88 |
| King County, WAWashington | $1,439.61 | $333.89 |
| WisconsinWisconsin | $1,159.56 | $296.25 |
| West VirginiaWest Virginia | $1,106.37 | $323.27 |
| WyomingWyoming | $1,211.01 | $309.85 |
47534 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.
$1,071.85
$1,474.87
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 | $1,390.89 | 1 |
| AL | $1,088.34 | 1 |
| AR | $1,071.85 | 1 |
| AZ | $1,184.95 | 1 |
| CA | $1,300.18–$1,649.56 | 29 |
| CO | $1,275.47 | 1 |
| CT | $1,301.46 | 1 |
| DC | $1,402.49 | 1 |
| DE | $1,205.28 | 1 |
| FL | $1,190.40–$1,298.68 | 3 |
| GA | $1,121.52–$1,239.47 | 2 |
| GU | $1,335.82 | 1 |
| HI | $1,335.82 | 1 |
| IA | $1,121.44 | 1 |
| ID | $1,128.24 | 1 |
| IL | $1,151.49–$1,266.47 | 4 |
| IN | $1,135.20 | 1 |
| KS | $1,113.99 | 1 |
| KY | $1,111.10 | 1 |
| LA | $1,108.51–$1,166.20 | 2 |
| MA | $1,266.52–$1,408.25 | 2 |
| MD | $1,229.68–$1,402.49 | 3 |
| ME | $1,132.32–$1,199.54 | 2 |
| MI | $1,139.60–$1,203.91 | 2 |
| MN | $1,226.20 | 1 |
| MO | $1,087.25–$1,172.91 | 3 |
| MS | $1,079.87 | 1 |
| MT | $1,218.08 | 1 |
| NC | $1,145.05 | 1 |
| ND | $1,201.86 | 1 |
| NE | $1,128.47 | 1 |
| NH | $1,253.38 | 1 |
| NJ | $1,317.47–$1,386.50 | 2 |
| NM | $1,145.35 | 1 |
| NV | $1,214.50 | 1 |
| NY | $1,162.83–$1,435.72 | 5 |
| OH | $1,136.29 | 1 |
| OK | $1,111.10 | 1 |
| OR | $1,206.22–$1,319.78 | 2 |
| PA | $1,139.28–$1,266.54 | 2 |
| PR | $1,228.10 | 1 |
| RI | $1,251.00 | 1 |
| SC | $1,142.34 | 1 |
| SD | $1,199.94 | 1 |
| TN | $1,119.61 | 1 |
| TX | $1,131.29–$1,270.21 | 8 |
| UT | $1,158.74 | 1 |
| VA | $1,194.04–$1,402.49 | 2 |
| VI | $1,228.10 | 1 |
| VT | $1,195.17 | 1 |
| WA | $1,264.79–$1,439.61 | 2 |
| WI | $1,159.56 | 1 |
| WV | $1,106.37 | 1 |
| WY | $1,211.01 | 1 |
How the 47534 rate is calculated
Each of 47534’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 · 47534
RVUs × geographic indexes × conversion factor
Work7.41
7.41 RVUs× 1.000 GPCI
Practice expense28.24
28.24 RVUs× 1.000 GPCI
Malpractice0.82
0.82 RVUs× 1.000 GPCI
Adjusted RVUs
36.4700
Conversion factor
$33.4009
Medicare rate
$1,218.13
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
5,686
- Code
- 47534
- Physician work
- 7.41
- Practice expense
- 28.24
- Malpractice
- 0.82
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.41 | × 1.000 | 7.4100 |
| Practice expense | 28.24 | × 0.990 | 27.9576 |
| Malpractice | 0.82 | × 0.506 | 0.4149 |
| Total RVUs | 35.7825 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$1195.17
Office: (7.41 × 1 + 28.24 × 0.99 + 0.82 × 0.506) × $33.4009 = $1195.17
Facility: (7.41 × 1 + 1.26 × 0.99 + 0.82 × 0.506) × $33.4009 = $303.02
Payment rules and modifiers for 47534
The CMS indicators that decide how 47534 is paid alongside other services.
CMS payment indicators · 47534
Biliary drainage, internal-external catheter
| 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
47534 without 51 · national office
$1,218.13
Biliary drainage, internal-external catheter
47534-51 · Second procedure: 50%
$609.07
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 47534 has changed in Vermont
47534 · Office / nonfacility
$1195.17
Effective 2026-10-01
The base rate is $21.32 higher than on 2025-10-01, moving from $1173.85 to $1195.17 (1.8%).
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
$1173.85changed to$1195.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.60 changed to 7.41
- Practice expense RVU 28.48 changed to 28.24
- Malpractice RVU 0.79 changed to 0.82
- 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
$1233.11changed to$1173.85
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 29.25 changed to 28.48
- Malpractice RVU 0.77 changed to 0.79
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1212.98changed to$1233.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1294.37changed to$1212.98
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 30.28 changed to 29.25
- Malpractice RVU 0.75 changed to 0.77
- Practice expense GPCI 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$1353.38changed to$1294.37
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 31.09 changed to 30.28
- Malpractice RVU 0.68 changed to 0.75
- 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
$1437.00changed to$1353.38
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 33.18 changed to 31.09
- Malpractice RVU 0.65 changed to 0.68
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1468.20changed to$1437.00
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 32.45 changed to 33.18
- Malpractice RVU 0.64 changed to 0.65
- 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
$1487.86changed to$1468.20
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 32.80 changed to 32.45
- Malpractice RVU 0.66 changed to 0.64
- 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
$1514.00changed to$1487.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 33.56 changed to 32.80
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1504.23changed to$1514.00
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 33.55 changed to 33.56
- Malpractice RVU 0.67 changed to 0.66
- 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
$1672.87changed to$1504.23
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 8.03 changed to 7.60
- Practice expense RVU 37.90 changed to 33.55
- Malpractice RVU 0.94 changed to 0.67
- 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$1672.87
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 | $1,195.17 | $303.02 | RVU26D |
| 2026-07-01 | $1,195.17 | $303.02 | RVU26C |
| 2026-04-01 | $1,195.17 | $303.02 | RVU26B |
| 2026-01-01 | $1,195.17 | $303.02 | RVU26A |
| 2025-10-01 | $1,173.85 | $336.48 | RVU25D |
| 2025-07-01 | $1,173.85 | $336.48 | RVU25C |
| 2025-04-01 | $1,173.85 | $336.48 | RVU25B |
| 2025-01-01 | $1,173.85 | $336.48 | RVU25A |
| 2024-10-01 | $1,233.11 | $342.95 | RVU24D |
| 2024-07-01 | $1,233.11 | $342.95 | RVU24C |
| 2024-04-01 | $1,233.11 | $342.95 | RVU24B |
| 2024-03-09 | $1,233.11 | $342.95 | RVU24AR |
| 2024-01-01 | $1,212.98 | $337.35 | RVU24A |
| 2023-10-01 | $1,294.37 | $352.77 | RVU23D |
| 2023-07-01 | $1,294.37 | $352.77 | RVU23C |
| 2023-04-01 | $1,294.37 | $352.77 | RVU23B |
| 2023-01-01 | $1,294.37 | $352.77 | RVU23A |
| 2022-10-01 | $1,353.38 | $359.19 | RVU22D |
| 2022-07-01 | $1,353.38 | $359.19 | RVU22C |
| 2022-04-01 | $1,353.38 | $359.19 | RVU22B |
| 2022-01-01 | $1,353.38 | $359.19 | RVU22A |
| 2021-10-01 | $1,437.00 | $362.62 | RVU21D |
| 2021-07-01 | $1,437.00 | $362.62 | RVU21C |
| 2021-04-01 | $1,437.00 | $362.62 | RVU21B |
| 2021-01-01 | $1,437.00 | $362.62 | RVU21A |
| 2020-10-01 | $1,468.20 | $379.76 | RVU20D |
| 2020-07-01 | $1,468.20 | $379.76 | RVU20C |
| 2020-04-01 | $1,468.20 | $379.76 | RVU20B |
| 2020-01-01 | $1,468.20 | $379.76 | RVU20A |
| 2019-10-01 | $1,487.86 | $381.33 | RVU19D |
| 2019-07-01 | $1,487.86 | $381.33 | RVU19C |
| 2019-04-01 | $1,487.86 | $381.33 | RVU19B |
| 2019-01-01 | $1,487.86 | $381.33 | RVU19A |
| 2018-10-01 | $1,514.00 | $381.64 | RVU18D |
| 2018-07-01 | $1,514.00 | $381.64 | RVU18C |
| 2018-04-01 | $1,514.00 | $381.64 | RVU18B |
| 2018-01-01 | $1,514.00 | $381.64 | RVU18AR1 |
| 2017-10-01 | $1,504.23 | $383.09 | RVU17D |
| 2017-07-01 | $1,504.23 | $383.09 | RVU17C |
| 2017-04-01 | $1,504.23 | $383.09 | RVU17B |
| 2017-01-01 | $1,504.23 | $383.09 | RVU17A |
| 2016-10-01 | $1,672.87 | $411.47 | RVU16D |
| 2016-07-01 | $1,672.87 | $411.47 | RVU16C |
| 2016-04-01 | $1,672.87 | $411.47 | RVU16B |
| 2016-01-01 | $1,672.87 | $411.47 | 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
47534 billing questions
How does this differ from 47533?
47534 is for an internal-external catheter, which drains into the bowel and also provides external drainage. 47533 is for an external drainage catheter.
Can the cholangiogram or imaging guidance be billed separately?
Diagnostic cholangiography and imaging guidance associated with catheter placement are included in this service. Do not separately report them as though they were independent services.
Should modifier 50 be appended for bilateral drainage?
No. The biliary drainage service is not reported as a paired-side procedure, and modifier 50 is inappropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 47534?
Document the percutaneous access, cholangiographic evaluation, catheter position, and that the catheter provides both internal and external drainage.
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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