CPT code 47536: Biliary catheter exchange, percutaneous2026 Medicare rate & RVUs in Oxnard, CA

Report this service when a clinician exchanges an existing percutaneous biliary drainage catheter, using the established access route to place its replacement.

CMS RVU26DEffective Oct 1, 2026One payment locality13.6K Medicare services in 2024

In Oxnard, CA, Medicare pays $696.29 for 47536 in the office and $117.12 when it’s performed in a hospital or facility.

$696.29Office (non-facility)
$117.12Hospital or facility
+15.2%vs the national office rate ($604.56)

Check a contract rate as a % of Medicare · 47536 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 47536 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 47536 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 47536 covers

An interventional radiologist or other qualified physician exchanges a biliary drainage catheter through an existing percutaneous access route, typically under imaging guidance. The service is used when a catheter needs replacement while biliary drainage access remains necessary, such as during a scheduled catheter change or when the existing catheter is obstructed or no longer functioning as intended. Fluoroscopic guidance is included when performed.

Choose this code for an exchange, not for creating new drainage access, changing an external catheter to an internal-external configuration, or simply removing a catheter. The report should identify the existing catheter and access, explain the exchange, and document the replacement catheter’s position and outcome. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur 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-surgeon and team-surgery billing 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 Oxnard, CA compares for 47536

Across 109 of 109 payment localities, the office rate for 47536 runs from $528.06 in Arkansas to $835.13 in San Benito County, CA. Oxnard, CA pays $696.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

47536 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$696.29
  2. Bakersfield, CA · California$651.51−$44.78
  3. Chico, CA · California$650.65−$45.64
  4. El Centro, CA · California$650.70−$45.59
  5. Fresno, CA · California$650.65−$45.64
  6. Hanford, CA · California$650.65−$45.64
  7. Los Angeles, CA · California$698.29+$2.00

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

Every other payment area

47536 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$650.65$113.62
Merced, CACalifornia$650.65$113.62
Modesto, CACalifornia$650.65$113.62
Napa, CACalifornia$767.60$121.79
Redding, CACalifornia$650.65$113.62
Rest of CaliforniaCalifornia$650.65$113.62
Riverside, CACalifornia$653.70$116.67
Sacramento, CACalifornia$686.46$116.60

47536 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.

$528.06

$742.89

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

View every state and territory as a table
47536 office rate range by state
State / territoryOffice rate rangeLocalities
AK$675.951
AL$536.701
AR$528.061
AZ$587.391
CA$650.65–$835.1329
CO$636.191
CT$647.521
DC$701.041
DE$597.911
FL$586.80–$639.783
GA$551.23–$614.862
GU$670.541
HI$670.541
IA$555.541
ID$558.801
IL$565.42–$626.154
IN$562.491
KS$550.921
KY$547.111
LA$545.47–$575.722
MA$631.06–$706.022
MD$610.76–$701.043
ME$560.19–$596.512
MI$561.36–$593.112
MN$612.771
MO$533.88–$580.083
MS$531.171
MT$604.541
NC$566.991
ND$599.001
NE$559.441
NH$624.311
NJ$655.81–$692.202
NM$564.081
NV$603.501
NY$576.26–$714.465
OH$560.231
OK$547.861
OR$599.74–$660.172
PA$562.19–$628.812
PR$610.031
RI$622.001
SC$564.371
SD$598.351
TN$553.781
TX$557.96–$633.268
UT$572.981
VA$593.13–$701.042
VI$610.031
VT$594.831
WA$630.47–$722.942
WI$576.651
WV$541.731
WY$602.121

See 47536 in every payment locality

How the 47536 rate is calculated

Each of 47536’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 · 47536

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.54

2.54 RVUs× 1.000 GPCI

Practice expense15.28

15.28 RVUs× 1.000 GPCI

Malpractice0.28

0.28 RVUs× 1.000 GPCI

Adjusted RVUs

18.1000

Conversion factor

$33.4009

Medicare rate

$604.56

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

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,688

Code
47536
Physician work
2.54
Practice expense
15.28
Malpractice
0.28

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 47536 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work2.54× 1.0282.6111
Practice expense15.28× 1.18218.0610
Malpractice0.28× 0.6230.1744
Total RVUs20.8465
Conversion factor× 33.4009

Office rate, Oxnard, CA$696.29

Office: (2.54 × 1.028 + 15.28 × 1.182 + 0.28 × 0.623) × $33.4009 = $696.29

Facility: (2.54 × 1.028 + 0.61 × 1.182 + 0.28 × 0.623) × $33.4009 = $117.12

Open 47536 in the RVU calculator

Payment rules and modifiers for 47536

The CMS indicators that decide how 47536 is paid alongside other services.

CMS payment indicators · 47536

Biliary catheter exchange, percutaneous

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

47536 without 51 · national office

$604.56

Biliary catheter exchange, percutaneous

47536-51 · Second procedure: 50%

$302.28

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 47536 has changed in Oxnard, CA

47536 · Office / nonfacility

$696.29

Effective 2026-10-01

The base rate is $16.78 higher than on 2025-10-01, moving from $679.51 to $696.29 (2.5%).

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

    $679.51changed to$696.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.61 changed to 2.54
    • Practice expense RVU 15.34 changed to 15.28
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $717.18changed to$679.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.80 changed to 15.34
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $705.47changed to$717.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $752.84changed to$705.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 16.39 changed to 15.80
    • Malpractice RVU 0.26 changed to 0.27
    • Work GPCI 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651
  5. January 1, 2023

    RVU23A

    $787.91changed to$752.84

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 16.89 changed to 16.39
    • Malpractice RVU 0.24 changed to 0.26
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $831.22changed to$787.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 17.79 changed to 16.89
    • Malpractice RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $825.44changed to$831.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 17.00 changed to 17.79
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.178 changed to 1.179
    • Malpractice GPCI 0.700 changed to 0.726

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $811.80changed to$825.44

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 16.75 changed to 17.00
    • Malpractice RVU 0.23 changed to 0.24
    • Work GPCI 1.024 changed to 1.026
    • Practice expense GPCI 1.176 changed to 1.178
    • Malpractice GPCI 0.673 changed to 0.700

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $810.91changed to$811.80

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $810.14changed to$810.91

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 16.74 changed to 16.75
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.178 changed to 1.176
    • Malpractice GPCI 0.754 changed to 0.673

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $961.49changed to$810.14

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 2.88 changed to 2.61
    • Practice expense RVU 20.06 changed to 16.74
    • Malpractice RVU 0.26 changed to 0.23
    • Work GPCI 1.030 changed to 1.027
    • Practice expense GPCI 1.180 changed to 1.178
    • Malpractice GPCI 0.834 changed to 0.754

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$961.49

    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$696.29$117.12RVU26D
2026-07-01$696.29$117.12RVU26C
2026-04-01$696.29$117.12RVU26B
2026-01-01$696.29$117.12RVU26A
2025-10-01$679.51$130.40RVU25D
2025-07-01$679.51$130.40RVU25C
2025-04-01$679.51$130.40RVU25B
2025-01-01$679.51$130.40RVU25A
2024-10-01$717.18$132.40RVU24D
2024-07-01$717.18$132.40RVU24C
2024-04-01$717.18$132.40RVU24B
2024-03-09$717.18$132.40RVU24AR
2024-01-01$705.47$130.24RVU24A
2023-10-01$752.84$135.32RVU23D
2023-07-01$752.84$135.32RVU23C
2023-04-01$752.84$135.32RVU23B
2023-01-01$752.84$135.32RVU23A
2022-10-01$787.91$137.55RVU22D
2022-07-01$787.91$137.55RVU22C
2022-04-01$787.91$137.55RVU22B
2022-01-01$787.91$137.55RVU22A
2021-10-01$831.22$138.85RVU21D
2021-07-01$831.22$138.85RVU21C
2021-04-01$831.22$138.85RVU21B
2021-01-01$831.22$138.85RVU21A
2020-10-01$825.44$144.79RVU20D
2020-07-01$825.44$144.79RVU20C
2020-04-01$825.44$144.79RVU20B
2020-01-01$825.44$144.79RVU20A
2019-10-01$811.80$144.28RVU19D
2019-07-01$811.80$144.28RVU19C
2019-04-01$811.80$144.28RVU19B
2019-01-01$811.80$144.28RVU19A
2018-10-01$810.91$144.97RVU18D
2018-07-01$810.91$144.97RVU18C
2018-04-01$810.91$144.97RVU18B
2018-01-01$810.91$144.97RVU18AR1
2017-10-01$810.14$146.39RVU17D
2017-07-01$810.14$146.39RVU17C
2017-04-01$810.14$146.39RVU17B
2017-01-01$810.14$146.39RVU17A
2016-10-01$961.49$162.14RVU16D
2016-07-01$961.49$162.14RVU16C
2016-04-01$961.49$162.14RVU16B
2016-01-01$961.49$162.14RVU16A
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 47536 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

47536 billing questions

How is an exchange different from a new catheter placement?

Report 47536 when an existing percutaneous biliary drainage catheter is exchanged through its established access route. Codes 47533 and 47534 describe placement of a drainage catheter rather than exchange.

When should 47535 be considered instead?

Use 47535 for conversion of an external biliary drainage catheter to an internal-external catheter configuration. An exchange that replaces the catheter without that conversion is reported with 47536.

Is catheter removal reported as an exchange?

No. Code 47537 describes percutaneous removal of a biliary drainage catheter; 47536 describes exchange with a replacement catheter.

Is fluoroscopic guidance included?

Fluoroscopic guidance is included when performed. Document the exchange and the replacement catheter’s final position and outcome.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.

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 47536PPRRVU2026_Oct_nonQPP.csv, line 5,688 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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