CPT code 47541: Biliary access, into small bowel2026 Medicare rate & RVUs in Marin County, CA
Reports percutaneous creation of access through the biliary tree into the small bowel, typically to enable biliary intervention through that route.
In Marin County, CA, Medicare pays $1,571.41 for 47541 in the office and $317.74 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 47541 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 47541 covers
An interventional radiologist or other qualified physician creates a percutaneous route through the biliary tree and across into the small bowel. The service is used when access across the biliary pathway is needed for an intervention, rather than placement of a biliary drainage catheter or stent. Imaging guidance and associated radiological supervision and interpretation are included, as is diagnostic cholangiography when performed.
Report the code when documentation supports percutaneous access traversing the biliary tree into the small bowel. Record the route, access achieved, imaging guidance, and any cholangiography performed. The 0-day global period includes same-day preoperative and postoperative care. 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. Bilateral adjustment is inappropriate for this anatomy and service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted 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 Marin County, CA compares for 47541
Across 109 of 109 payment localities, the office rate for 47541 runs from $1,037.18 in Arkansas to $1,606.80 in San Benito County, CA. Marin County, CA pays $1,571.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$1,571.41
- Bakersfield, CA · California$1,265.52−$305.89
- Chico, CA · California$1,263.01−$308.40
- El Centro, CA · California$1,263.15−$308.26
- Fresno, CA · California$1,263.01−$308.40
- Hanford, CA · California$1,263.01−$308.40
- Los Angeles, CA · California$1,353.22−$218.19
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $1,263.01 | $288.52 |
| Merced, CACalifornia | $1,263.01 | $288.52 |
| Modesto, CACalifornia | $1,263.01 | $288.52 |
| Napa, CACalifornia | $1,479.79 | $307.92 |
| Oxnard, CACalifornia | $1,348.27 | $297.31 |
| Redding, CACalifornia | $1,263.01 | $288.52 |
| Rest of CaliforniaCalifornia | $1,263.01 | $288.52 |
| Riverside, CACalifornia | $1,272.23 | $297.74 |
| Sacramento, CACalifornia | $1,329.80 | $295.74 |
| Salinas, CACalifornia | $1,324.96 | $294.46 |
| San Diego, CACalifornia | $1,359.49 | $296.09 |
| San Francisco, CACalifornia | $1,570.45 | $316.77 |
| San Benito County, CACalifornia | $1,606.80 | $324.67 |
| Santa Clara County, CACalifornia | $1,602.86 | $320.73 |
| San Luis Obispo, CACalifornia | $1,303.19 | $290.47 |
| Santa Cruz, CACalifornia | $1,375.10 | $294.80 |
| Santa Maria, CACalifornia | $1,330.84 | $294.11 |
| Santa Rosa, CACalifornia | $1,389.22 | $297.37 |
| Stockton, CACalifornia | $1,263.01 | $288.52 |
| Vallejo, CACalifornia | $1,478.40 | $306.53 |
| Visalia, CACalifornia | $1,263.01 | $288.52 |
| Yuba City, CACalifornia | $1,263.01 | $288.52 |
| Washington, DC areaDistrict of Columbia | $1,364.15 | $316.76 |
| Miami, FLFlorida | $1,264.45 | $338.87 |
| Chicago, ILIllinois | $1,225.70 | $332.13 |
| Manhattan, NYNew York | $1,364.83 | $331.66 |
| AlaskaAlaska | $1,340.61 | $393.69 |
| AlabamaAlabama | $1,053.58 | $275.59 |
| ArkansasArkansas | $1,037.18 | $273.42 |
| ArizonaArizona | $1,149.67 | $288.10 |
| ColoradoColorado | $1,238.96 | $292.92 |
| ConnecticutConnecticut | $1,265.04 | $307.45 |
| DelawareDelaware | $1,169.74 | $291.28 |
| Fort Lauderdale, FLFlorida | $1,217.81 | $317.12 |
| Rest of FloridaFlorida | $1,155.89 | $305.88 |
| Atlanta, GAGeorgia | $1,204.04 | $300.69 |
| Rest of GeorgiaGeorgia | $1,087.24 | $294.14 |
| Hawaii, Guam, HIHawaii | $1,298.81 | $287.86 |
| IowaIowa | $1,086.17 | $272.61 |
| IdahoIdaho | $1,093.00 | $275.00 |
| East St. Louis, ILIllinois | $1,136.75 | $318.75 |
| Rest of IllinoisIllinois | $1,117.40 | $305.63 |
| Suburban Chicago, ILIllinois | $1,231.42 | $318.28 |
| IndianaIndiana | $1,099.91 | $275.69 |
| KansasKansas | $1,078.93 | $275.15 |
| KentuckyKentucky | $1,076.58 | $286.14 |
| New Orleans, LALouisiana | $1,131.45 | $294.77 |
| Rest of LouisianaLouisiana | $1,074.06 | $287.18 |
| Metropolitan Boston, MAMassachusetts | $1,369.92 | $308.29 |
| Rest of MassachusettsMassachusetts | $1,230.01 | $293.75 |
| Baltimore area, MDMaryland | $1,261.19 | $307.16 |
| Rest of MarylandMaryland | $1,193.81 | $294.01 |
| Rest of MaineMaine | $1,097.23 | $279.23 |
| Southern Maine, MEMaine | $1,163.84 | $282.71 |
| Detroit, MIMichigan | $1,169.49 | $311.48 |
| Rest of MichiganMichigan | $1,105.08 | $293.30 |
| MinnesotaMinnesota | $1,189.84 | $274.92 |
| Metropolitan Kansas City, MOMissouri | $1,125.06 | $290.17 |
| Metropolitan St. Louis, MOMissouri | $1,137.92 | $291.47 |
| Rest of MissouriMissouri | $1,053.02 | $286.59 |
| MississippiMississippi | $1,045.41 | $279.87 |
| MontanaMontana | $1,182.67 | $293.54 |
| North CarolinaNorth Carolina | $1,109.86 | $280.30 |
| North DakotaNorth Dakota | $1,165.86 | $276.73 |
| NebraskaNebraska | $1,093.11 | $272.44 |
| New HampshireNew Hampshire | $1,217.49 | $291.91 |
| Northern New JerseyNew Jersey | $1,348.03 | $316.64 |
| Rest of New JerseyNew Jersey | $1,280.25 | $309.32 |
| New MexicoNew Mexico | $1,110.86 | $295.53 |
| NevadaNevada | $1,178.92 | $288.90 |
| NYC suburbs and Long Island, NYNew York | $1,397.75 | $340.58 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,287.36 | $313.76 |
| Queens, NYNew York | $1,379.43 | $328.48 |
| Rest of New YorkNew York | $1,127.57 | $282.89 |
| OhioOhio | $1,101.65 | $289.87 |
| OklahomaOklahoma | $1,076.40 | $282.40 |
| Portland, OROregon | $1,282.71 | $294.88 |
| Rest of OregonOregon | $1,170.56 | $284.98 |
| Metropolitan Philadelphia, PAPennsylvania | $1,230.48 | $304.89 |
| Rest of PennsylvaniaPennsylvania | $1,104.53 | $288.31 |
| Puerto RicoPuerto Rico | $1,192.58 | $293.67 |
| Rhode IslandRhode Island | $1,214.68 | $296.20 |
| South CarolinaSouth Carolina | $1,107.44 | $285.88 |
| South DakotaSouth Dakota | $1,163.87 | $274.74 |
| TennesseeTennessee | $1,084.54 | $276.32 |
| Austin, TXTexas | $1,234.13 | $293.43 |
| Beaumont, TXTexas | $1,096.60 | $287.49 |
| Brazoria, TXTexas | $1,169.83 | $288.70 |
| Dallas, TXTexas | $1,176.93 | $291.36 |
| Fort Worth, TXTexas | $1,167.96 | $291.27 |
| Galveston, TXTexas | $1,173.06 | $290.15 |
| Houston, TXTexas | $1,188.62 | $305.71 |
| Rest of TexasTexas | $1,132.31 | $288.52 |
| UtahUtah | $1,123.76 | $287.97 |
| VirginiaVirginia | $1,158.49 | $284.47 |
| Virgin Islands, VIUnited States Virgin Islands | $1,192.58 | $293.67 |
| VermontVermont | $1,159.36 | $279.11 |
| Rest of WashingtonWashington | $1,228.33 | $292.07 |
| King County, WAWashington | $1,400.66 | $309.70 |
| WisconsinWisconsin | $1,123.83 | $272.04 |
| West VirginiaWest Virginia | $1,072.54 | $299.88 |
| WyomingWyoming | $1,175.34 | $286.21 |
47541 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.
$1,037.18
$1,434.91
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 | $1,340.61 | 1 |
| AL | $1,053.58 | 1 |
| AR | $1,037.18 | 1 |
| AZ | $1,149.67 | 1 |
| CA | $1,263.01–$1,606.80 | 29 |
| CO | $1,238.96 | 1 |
| CT | $1,265.04 | 1 |
| DC | $1,364.15 | 1 |
| DE | $1,169.74 | 1 |
| FL | $1,155.89–$1,264.45 | 3 |
| GA | $1,087.24–$1,204.04 | 2 |
| GU | $1,298.81 | 1 |
| HI | $1,298.81 | 1 |
| IA | $1,086.17 | 1 |
| ID | $1,093.00 | 1 |
| IL | $1,117.40–$1,231.42 | 4 |
| IN | $1,099.91 | 1 |
| KS | $1,078.93 | 1 |
| KY | $1,076.58 | 1 |
| LA | $1,074.06–$1,131.45 | 2 |
| MA | $1,230.01–$1,369.92 | 2 |
| MD | $1,193.81–$1,364.15 | 3 |
| ME | $1,097.23–$1,163.84 | 2 |
| MI | $1,105.08–$1,169.49 | 2 |
| MN | $1,189.84 | 1 |
| MO | $1,053.02–$1,137.92 | 3 |
| MS | $1,045.41 | 1 |
| MT | $1,182.67 | 1 |
| NC | $1,109.86 | 1 |
| ND | $1,165.86 | 1 |
| NE | $1,093.11 | 1 |
| NH | $1,217.49 | 1 |
| NJ | $1,280.25–$1,348.03 | 2 |
| NM | $1,110.86 | 1 |
| NV | $1,178.92 | 1 |
| NY | $1,127.57–$1,397.75 | 5 |
| OH | $1,101.65 | 1 |
| OK | $1,076.40 | 1 |
| OR | $1,170.56–$1,282.71 | 2 |
| PA | $1,104.53–$1,230.48 | 2 |
| PR | $1,192.58 | 1 |
| RI | $1,214.68 | 1 |
| SC | $1,107.44 | 1 |
| SD | $1,163.87 | 1 |
| TN | $1,084.54 | 1 |
| TX | $1,096.60–$1,234.13 | 8 |
| UT | $1,123.76 | 1 |
| VA | $1,158.49–$1,364.15 | 2 |
| VI | $1,192.58 | 1 |
| VT | $1,159.36 | 1 |
| WA | $1,228.33–$1,400.66 | 2 |
| WI | $1,123.83 | 1 |
| WV | $1,072.54 | 1 |
| WY | $1,175.34 | 1 |
How the 47541 rate is calculated
Each of 47541’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 · 47541
RVUs × geographic indexes × conversion factor
Work6.58
6.58 RVUs× 1.000 GPCI
Practice expense27.98
27.98 RVUs× 1.000 GPCI
Malpractice0.85
0.85 RVUs× 1.000 GPCI
Adjusted RVUs
35.4100
Conversion factor
$33.4009
Medicare rate
$1,182.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,693
- Code
- 47541
- Physician work
- 6.58
- Practice expense
- 27.98
- Malpractice
- 0.85
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.58 | × 1.095 | 7.2051 |
| Practice expense | 27.98 | × 1.410 | 39.4518 |
| Malpractice | 0.85 | × 0.459 | 0.3901 |
| Total RVUs | 47.0470 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$1571.41
Office: (6.58 × 1.095 + 27.98 × 1.41 + 0.85 × 0.459) × $33.4009 = $1571.41
Facility: (6.58 × 1.095 + 1.36 × 1.41 + 0.85 × 0.459) × $33.4009 = $317.74
Payment rules and modifiers for 47541
The CMS indicators that decide how 47541 is paid alongside other services.
CMS payment indicators · 47541
Biliary access, into small bowel
| 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
47541 without 51 · national office
$1,182.73
Biliary access, into small bowel
47541-51 · Second procedure: 50%
$591.37
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 47541 has changed in Marin County, CA
47541 · Office / nonfacility
$1571.41
Effective 2026-10-01
The base rate is $116.36 higher than on 2025-10-01, moving from $1455.05 to $1571.41 (8.0%).
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
$1455.05changed to$1571.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 6.75 changed to 6.58
- Practice expense RVU 26.28 changed to 27.98
- Malpractice RVU 0.74 changed to 0.85
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1522.10changed to$1455.05
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 26.81 changed to 26.28
- Malpractice RVU 0.72 changed to 0.74
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1497.25changed to$1522.10
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1545.39changed to$1497.25
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 27.62 changed to 26.81
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$1566.78changed to$1545.39
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 28.35 changed to 27.62
- Malpractice RVU 0.65 changed to 0.72
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1599.26changed to$1566.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 29.20 changed to 28.35
- Malpractice RVU 0.64 changed to 0.65
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1549.01changed to$1599.26
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 27.27 changed to 29.20
- Malpractice RVU 0.60 changed to 0.64
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1499.77changed to$1549.01
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 26.45 changed to 27.27
- Malpractice RVU 0.61 changed to 0.60
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1465.55changed to$1499.77
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 26.01 changed to 26.45
- Malpractice RVU 0.60 changed to 0.61
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1449.13changed to$1465.55
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 25.91 changed to 26.01
- Malpractice RVU 0.64 changed to 0.60
- Work GPCI 1.058 changed to 1.062
- Practice expense GPCI 1.271 changed to 1.279
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$1449.13
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged toNo rate
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 | $1,571.41 | $317.74 | RVU26D |
| 2026-07-01 | $1,571.41 | $317.74 | RVU26C |
| 2026-04-01 | $1,571.41 | $317.74 | RVU26B |
| 2026-01-01 | $1,571.41 | $317.74 | RVU26A |
| 2025-10-01 | $1,455.05 | $355.75 | RVU25D |
| 2025-07-01 | $1,455.05 | $355.75 | RVU25C |
| 2025-04-01 | $1,455.05 | $355.75 | RVU25B |
| 2025-01-01 | $1,455.05 | $355.75 | RVU25A |
| 2024-10-01 | $1,522.10 | $362.95 | RVU24D |
| 2024-07-01 | $1,522.10 | $362.95 | RVU24C |
| 2024-04-01 | $1,522.10 | $362.95 | RVU24B |
| 2024-03-09 | $1,522.10 | $362.95 | RVU24AR |
| 2024-01-01 | $1,497.25 | $357.03 | RVU24A |
| 2023-10-01 | $1,545.39 | $367.40 | RVU23D |
| 2023-07-01 | $1,545.39 | $367.40 | RVU23C |
| 2023-04-01 | $1,545.39 | $367.40 | RVU23B |
| 2023-01-01 | $1,545.39 | $367.40 | RVU23A |
| 2022-10-01 | $1,566.78 | $366.86 | RVU22D |
| 2022-07-01 | $1,566.78 | $366.86 | RVU22C |
| 2022-04-01 | $1,566.78 | $366.86 | RVU22B |
| 2022-01-01 | $1,566.78 | $366.86 | RVU22A |
| 2021-10-01 | $1,599.26 | $365.06 | RVU21D |
| 2021-07-01 | $1,599.26 | $365.06 | RVU21C |
| 2021-04-01 | $1,599.26 | $365.06 | RVU21B |
| 2021-01-01 | $1,599.26 | $365.06 | RVU21A |
| 2020-10-01 | $1,549.01 | $377.94 | RVU20D |
| 2020-07-01 | $1,549.01 | $377.94 | RVU20C |
| 2020-04-01 | $1,549.01 | $377.94 | RVU20B |
| 2020-01-01 | $1,549.01 | $377.94 | RVU20A |
| 2019-10-01 | $1,499.77 | $375.23 | RVU19D |
| 2019-07-01 | $1,499.77 | $375.23 | RVU19C |
| 2019-04-01 | $1,499.77 | $375.23 | RVU19B |
| 2019-01-01 | $1,499.77 | $375.23 | RVU19A |
| 2018-10-01 | $1,465.55 | $375.70 | RVU18D |
| 2018-07-01 | $1,465.55 | $375.70 | RVU18C |
| 2018-04-01 | $1,465.55 | $375.70 | RVU18B |
| 2018-01-01 | $1,465.55 | $375.70 | RVU18AR1 |
| 2017-10-01 | $1,449.13 | $374.91 | RVU17D |
| 2017-07-01 | $1,449.13 | $374.91 | RVU17C |
| 2017-04-01 | $1,449.13 | $374.91 | RVU17B |
| 2017-01-01 | $1,449.13 | $374.91 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | 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 Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
47541 billing questions
How does this differ from biliary drainage catheter placement?
This code describes establishing percutaneous access through the biliary tree into the small bowel. Codes 47533 and 47534 describe placement of a biliary drainage catheter.
Is diagnostic cholangiography reported separately?
Diagnostic cholangiography performed as part of this access service is included. The documentation should identify whether it was performed and support the access route.
Can modifier 50 be used?
No bilateral adjustment applies; the anatomy and service make modifier 50 inappropriate.
Does Medicare allow an assistant or co-surgeon?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What same-session payment reduction should billers expect?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session 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
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