CPT code 47538: Biliary stent, initial duct2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $3,495.60 for 47538 in the office and $199.32 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 47538 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 47538 covers

An interventional radiologist typically places a stent through a percutaneous, often transhepatic, route to keep an obstructed bile duct open and allow bile to drain. Common clinical settings include biliary strictures and malignant obstruction. Imaging guidance and intraprocedural cholangiography, when performed, are part of the service; the code is for the initial duct treated, not a drainage catheter exchange or removal.

Report this code for stent placement in the initial duct and document the access route, treated duct, obstruction or stricture, and stent placement. Same-day preoperative and postoperative care is included in the 0-day global period. If multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this service. Medicare does not pay for an assistant at surgery, co-surgeons, or team surgery for this code.

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 Nevada compares for 47538

Across 109 of 109 payment localities, the office rate for 47538 runs from $3,018.33 in Arkansas to $4,973.42 in San Benito County, CA. Nevada pays $3,495.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

47538 rates by state

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

See 47538 in every payment locality

How the 47538 rate is calculated

Each of 47538’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 47538

The CMS indicators that decide how 47538 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 47538

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

How 47538 has changed in Nevada

Price 47538 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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