CPT code 47535: Biliary catheter conversion, external to internal-external2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $832.17 for 47535 in the office and $164.67 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 47535 nationwide

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

What 47535 covers

An interventional radiologist converts an existing external biliary drainage catheter by directing the catheter across the biliary obstruction and into the bowel, creating internal-external drainage. The service is typically performed in a hospital imaging suite for a patient whose biliary obstruction was initially managed with external drainage and can now be traversed. Diagnostic cholangiography, imaging guidance, and the associated radiological supervision and interpretation are included in the conversion service.

Report this code when the existing external catheter is converted, rather than when a catheter is newly placed or an existing catheter is simply exchanged. The procedure note should identify the prior external catheter, document the conversion and final catheter position, and support the cholangiographic and imaging work. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, 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 Virginia compares for 47535

Across 109 of 109 payment localities, the office rate for 47535 runs from $741.95 in Arkansas to $1,167.66 in San Benito County, CA. Virginia pays $832.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

47535 rates by state

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

See 47535 in every payment locality

How the 47535 rate is calculated

Each of 47535’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.

Payment rules and modifiers for 47535

The CMS indicators that decide how 47535 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 47535

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 47535 has changed in Virginia

Price 47535 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates