CPT code 47540: Biliary stent, percutaneous placement2026 Medicare rate & RVUs in Washington, DC area

Percutaneous biliary stent placement treats a bile duct obstruction or narrowing through an access route created through the skin.

CMS RVU26DEffective Oct 1, 2026One payment locality131 Medicare services in 2024

In Washington, DC area, Medicare pays $4,622.43 for 47540 in the office and $404.90 when it’s performed in a hospital or facility.

$4,622.43Office (non-facility)
$404.90Hospital or facility
+16.8%vs the national office rate ($3,956.67)

Check a contract rate as a % of Medicare · 47540 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 47540 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 47540 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 47540 covers

An interventional radiologist or other physician with appropriate procedural training places a stent in the bile ducts through percutaneous access, commonly using imaging to guide the device across an obstructed or narrowed segment. The procedure is generally performed in a hospital or another setting equipped for image-guided biliary intervention. Diagnostic cholangiography may be performed as part of the stent procedure.

Select this code when the documented service meets its specific percutaneous stent-placement circumstances; distinguish it from biliary drainage catheter placement, exchange, or duct dilation. The record should identify the biliary access, target duct or obstruction, stent placement, and imaging performed. CMS assigns 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. CMS does not pay an assistant at surgery, 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 Washington, DC area compares for 47540

Across 109 of 109 payment localities, the office rate for 47540 runs from $3,429.19 in Arkansas to $5,578.88 in San Benito County, CA. Washington, DC area pays $4,622.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

47540 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$4,622.43
  2. Los Angeles, CA · California$4,622.36−$0.07
  3. Miami, FL · Florida$4,154.56−$467.87
  4. Chicago, IL · Illinois$4,018.41−$604.02
  5. Manhattan, NY · New York$4,582.44−$39.99
  6. Alaska · Alaska$4,325.23−$297.20
  7. Alabama · Alabama$3,488.92−$1,133.51

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

47540 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$3,429.19$353.77
ArizonaArizona$3,839.50$370.25
Bakersfield, CACalifornia$4,298.26$374.32
Chico, CACalifornia$4,295.33$371.39
El Centro, CACalifornia$4,295.49$371.55
Fresno, CACalifornia$4,295.33$371.39
Hanford, CACalifornia$4,295.33$371.39
Madera, CACalifornia$4,295.33$371.39

47540 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.

$3,429.19

$4,937.11

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

View every state and territory as a table
47540 office rate range by state
State / territoryOffice rate rangeLocalities
AK$4,325.231
AL$3,488.921
AR$3,429.191
AZ$3,839.501
CA$4,295.33–$5,578.8829
CO$4,185.541
CT$4,248.841
DC$4,622.431
DE$3,911.331
FL$3,813.05–$4,154.563
GA$3,570.71–$4,022.092
GU$4,440.571
HI$4,440.571
IA$3,628.731
ID$3,649.321
IL$3,658.85–$4,081.514
IN$3,675.151
KS$3,592.221
KY$3,550.941
LA$3,537.80–$3,746.822
MA$4,147.29–$4,669.552
MD$4,000.55–$4,622.433
ME$3,654.10–$3,912.162
MI$3,644.94–$3,851.592
MN$4,039.391
MO$3,454.80–$3,782.463
MS$3,443.641
MT$3,956.611
NC$3,701.841
ND$3,937.621
NE$3,657.161
NH$4,101.521
NJ$4,305.56–$4,558.282
NM$3,661.771
NV$3,954.951
NY$3,765.61–$4,689.165
OH$3,641.061
OK$3,561.041
OR$3,932.62–$4,356.172
PA$3,657.19–$4,117.012
PR$3,996.131
RI$4,078.601
SC$3,675.931
SD$3,935.381
TN$3,611.431
TX$3,627.63–$4,164.188
UT$3,735.561
VA$3,885.52–$4,622.432
VI$3,996.131
VT$3,904.521
WA$4,145.25–$4,789.662
WI$3,781.991
WV$3,494.871
WY$3,948.331

See 47540 in every payment locality

How the 47540 rate is calculated

Each of 47540’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 · 47540

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.80

8.80 RVUs× 1.000 GPCI

Practice expense108.70

108.70 RVUs× 1.000 GPCI

Malpractice0.96

0.96 RVUs× 1.000 GPCI

Adjusted RVUs

118.4600

Conversion factor

$33.4009

Medicare rate

$3,956.67

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,692

Code
47540
Physician work
8.80
Practice expense
108.70
Malpractice
0.96

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 47540 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work8.80× 1.0549.2752
Practice expense108.70× 1.178128.0486
Malpractice0.96× 1.1131.0685
Total RVUs138.3923
Conversion factor× 33.4009

Office rate, Washington, DC area$4622.43

Office: (8.8 × 1.054 + 108.7 × 1.178 + 0.96 × 1.113) × $33.4009 = $4622.43

Facility: (8.8 × 1.054 + 1.51 × 1.178 + 0.96 × 1.113) × $33.4009 = $404.90

Open 47540 in the RVU calculator

Payment rules and modifiers for 47540

The CMS indicators that decide how 47540 is paid alongside other services.

CMS payment indicators · 47540

Biliary stent, percutaneous placement

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

47540 without 51 · national office

$3,956.67

Biliary stent, percutaneous placement

47540-51 · Second procedure: 50%

$1,978.34

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 47540 has changed in Washington, DC area

47540 · Office / nonfacility

$4622.43

Effective 2026-10-01

The base rate is $48.83 higher than on 2025-10-01, moving from $4573.60 to $4622.43 (1.1%).

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

    $4573.60changed to$4622.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.03 changed to 8.80
    • Practice expense RVU 109.72 changed to 108.70
    • Malpractice RVU 0.91 changed to 0.96
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $4853.82changed to$4573.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 113.38 changed to 109.72
    • Malpractice RVU 0.96 changed to 0.91

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $4774.59changed to$4853.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $5238.96changed to$4774.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 118.57 changed to 113.38
    • Malpractice RVU 0.91 changed to 0.96
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $5638.36changed to$5238.96

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 123.24 changed to 118.57
    • Malpractice RVU 0.84 changed to 0.91
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $6040.83changed to$5638.36

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 131.53 changed to 123.24
    • Malpractice RVU 0.80 changed to 0.84

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $5986.47changed to$6040.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 127.27 changed to 131.53
    • Malpractice RVU 0.79 changed to 0.80
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $5916.43changed to$5986.47

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 127.57 changed to 127.27
    • Malpractice RVU 0.80 changed to 0.79
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $5981.94changed to$5916.43

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 129.24 changed to 127.57
    • Malpractice RVU 0.79 changed to 0.80

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $5954.02changed to$5981.94

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 128.96 changed to 129.24
    • Malpractice RVU 0.82 changed to 0.79
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $6219.00changed to$5954.02

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 10.75 changed to 9.03
    • Practice expense RVU 133.77 changed to 128.96
    • Malpractice RVU 0.94 changed to 0.82
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$6219.00

    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$4,622.43$404.90RVU26D
2026-07-01$4,622.43$404.90RVU26C
2026-04-01$4,622.43$404.90RVU26B
2026-01-01$4,622.43$404.90RVU26A
2025-10-01$4,573.60$453.01RVU25D
2025-07-01$4,573.60$453.01RVU25C
2025-04-01$4,573.60$453.01RVU25B
2025-01-01$4,573.60$453.01RVU25A
2024-10-01$4,853.82$463.37RVU24D
2024-07-01$4,853.82$463.37RVU24C
2024-04-01$4,853.82$463.37RVU24B
2024-03-09$4,853.82$463.37RVU24AR
2024-01-01$4,774.59$455.80RVU24A
2023-10-01$5,238.96$477.52RVU23D
2023-07-01$5,238.96$477.52RVU23C
2023-04-01$5,238.96$477.52RVU23B
2023-01-01$5,238.96$477.52RVU23A
2022-10-01$5,638.36$488.03RVU22D
2022-07-01$5,638.36$488.03RVU22C
2022-04-01$5,638.36$488.03RVU22B
2022-01-01$5,638.36$488.03RVU22A
2021-10-01$6,040.83$490.70RVU21D
2021-07-01$6,040.83$490.70RVU21C
2021-04-01$6,040.83$490.70RVU21B
2021-01-01$6,040.83$490.70RVU21A
2020-10-01$5,986.47$509.58RVU20D
2020-07-01$5,986.47$509.58RVU20C
2020-04-01$5,986.47$509.58RVU20B
2020-01-01$5,986.47$509.58RVU20A
2019-10-01$5,916.43$506.72RVU19D
2019-07-01$5,916.43$506.72RVU19C
2019-04-01$5,916.43$506.72RVU19B
2019-01-01$5,916.43$506.72RVU19A
2018-10-01$5,981.94$507.87RVU18D
2018-07-01$5,981.94$507.87RVU18C
2018-04-01$5,981.94$507.87RVU18B
2018-01-01$5,981.94$507.87RVU18AR1
2017-10-01$5,954.02$511.53RVU17D
2017-07-01$5,954.02$511.53RVU17C
2017-04-01$5,954.02$511.53RVU17B
2017-01-01$5,954.02$511.53RVU17A
2016-10-01$6,219.00$608.10RVU16D
2016-07-01$6,219.00$608.10RVU16C
2016-04-01$6,219.00$608.10RVU16B
2016-01-01$6,219.00$608.10RVU16A
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 47540 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

47540 billing questions

How is this different from biliary drainage catheter placement?

This code describes placement of a biliary stent. Codes 47533 and 47534 describe placement of biliary drainage catheters rather than stent placement.

Is diagnostic cholangiography separately reported with the stent placement?

Diagnostic cholangiography may be part of the stent procedure. Review the code descriptor and documentation before considering a separate cholangiography code.

Does this code have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Can an assistant surgeon or co-surgeon be billed?

CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 47540PPRRVU2026_Oct_nonQPP.csv, line 5,692 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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