CPT code 47541: Biliary access, into small bowel2026 Medicare rate & RVUs in Baltimore area, MD

Reports percutaneous creation of access through the biliary tree into the small bowel, typically to enable biliary intervention through that route.

CMS RVU26DEffective Oct 1, 2026One payment locality137 Medicare services in 2024

In Baltimore area, MD, Medicare pays $1,261.19 for 47541 in the office and $307.16 when it’s performed in a hospital or facility.

$1,261.19Office (non-facility)
$307.16Hospital or facility
+6.6%vs the national office rate ($1,182.73)

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.

We’ll open 47541 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Baltimore area, MD
  2. What 47541 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 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 Baltimore area, MD 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. Baltimore area, MD pays $1,261.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

47541 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$1,261.19
  2. Rest of Maryland · Maryland$1,193.81−$67.38
  3. Los Angeles, CA · California$1,353.22+$92.03
  4. Washington, DC area · District of Columbia$1,364.15+$102.96
  5. Miami, FL · Florida$1,264.45+$3.26
  6. Chicago, IL · Illinois$1,225.70−$35.49
  7. Manhattan, NY · New York$1,364.83+$103.64

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

Every other payment area

47541 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$1,340.61$393.69
AlabamaAlabama$1,053.58$275.59
ArkansasArkansas$1,037.18$273.42
ArizonaArizona$1,149.67$288.10
Bakersfield, CACalifornia$1,265.52$291.03
Chico, CACalifornia$1,263.01$288.52
El Centro, CACalifornia$1,263.15$288.66
Fresno, CACalifornia$1,263.01$288.52

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
47541 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,340.611
AL$1,053.581
AR$1,037.181
AZ$1,149.671
CA$1,263.01–$1,606.8029
CO$1,238.961
CT$1,265.041
DC$1,364.151
DE$1,169.741
FL$1,155.89–$1,264.453
GA$1,087.24–$1,204.042
GU$1,298.811
HI$1,298.811
IA$1,086.171
ID$1,093.001
IL$1,117.40–$1,231.424
IN$1,099.911
KS$1,078.931
KY$1,076.581
LA$1,074.06–$1,131.452
MA$1,230.01–$1,369.922
MD$1,193.81–$1,364.153
ME$1,097.23–$1,163.842
MI$1,105.08–$1,169.492
MN$1,189.841
MO$1,053.02–$1,137.923
MS$1,045.411
MT$1,182.671
NC$1,109.861
ND$1,165.861
NE$1,093.111
NH$1,217.491
NJ$1,280.25–$1,348.032
NM$1,110.861
NV$1,178.921
NY$1,127.57–$1,397.755
OH$1,101.651
OK$1,076.401
OR$1,170.56–$1,282.712
PA$1,104.53–$1,230.482
PR$1,192.581
RI$1,214.681
SC$1,107.441
SD$1,163.871
TN$1,084.541
TX$1,096.60–$1,234.138
UT$1,123.761
VA$1,158.49–$1,364.152
VI$1,192.581
VT$1,159.361
WA$1,228.33–$1,400.662
WI$1,123.831
WV$1,072.541
WY$1,175.341

See 47541 in every payment locality

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

Office or facility?

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 Baltimore area, MD 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

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 47541 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work6.58× 1.0166.6853
Practice expense27.98× 1.07330.0225
Malpractice0.85× 1.2371.0514
Total RVUs37.7593
Conversion factor× 33.4009

Office rate, Baltimore area, MD$1261.19

Office: (6.58 × 1.016 + 27.98 × 1.073 + 0.85 × 1.237) × $33.4009 = $1261.19

Facility: (6.58 × 1.016 + 1.36 × 1.073 + 0.85 × 1.237) × $33.4009 = $307.16

Open 47541 in the RVU calculator

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

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

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%).

When to use modifier 51

How 47541 has changed in Baltimore area, MD

47541 · Office / nonfacility

$1261.19

Effective 2026-10-01

The base rate is $90.78 higher than on 2025-10-01, moving from $1170.41 to $1261.19 (7.8%).

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

    $1170.41changed to$1261.19

    • 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 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1222.61changed to$1170.41

    • 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.

  3. March 9, 2024

    RVU24AR

    $1202.65changed to$1222.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1283.61changed to$1202.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 27.62 changed to 26.81
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309
  5. January 1, 2023

    RVU23A

    $1344.94changed to$1283.61

    • 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 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1388.14changed to$1344.94

    • 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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1355.83changed to$1388.14

    • 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 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1321.12changed to$1355.83

    • 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 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1301.86changed to$1321.12

    • 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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1295.40changed to$1301.86

    • 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
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1305.81changed to$1295.40

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.61 changed to 6.75
    • Practice expense RVU 27.39 changed to 25.91
    • Malpractice RVU 0.58 changed to 0.64
    • Practice expense GPCI 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$1305.81

    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$1,261.19$307.16RVU26D
2026-07-01$1,261.19$307.16RVU26C
2026-04-01$1,261.19$307.16RVU26B
2026-01-01$1,261.19$307.16RVU26A
2025-10-01$1,170.41$335.28RVU25D
2025-07-01$1,170.41$335.28RVU25C
2025-04-01$1,170.41$335.28RVU25B
2025-01-01$1,170.41$335.28RVU25A
2024-10-01$1,222.61$342.01RVU24D
2024-07-01$1,222.61$342.01RVU24C
2024-04-01$1,222.61$342.01RVU24B
2024-03-09$1,222.61$342.01RVU24AR
2024-01-01$1,202.65$336.43RVU24A
2023-10-01$1,283.61$351.67RVU23D
2023-07-01$1,283.61$351.67RVU23C
2023-04-01$1,283.61$351.67RVU23B
2023-01-01$1,283.61$351.67RVU23A
2022-10-01$1,344.94$355.39RVU22D
2022-07-01$1,344.94$355.39RVU22C
2022-04-01$1,344.94$355.39RVU22B
2022-01-01$1,344.94$355.39RVU22A
2021-10-01$1,388.14$356.34RVU21D
2021-07-01$1,388.14$356.34RVU21C
2021-04-01$1,388.14$356.34RVU21B
2021-01-01$1,388.14$356.34RVU21A
2020-10-01$1,355.83$368.67RVU20D
2020-07-01$1,355.83$368.67RVU20C
2020-04-01$1,355.83$368.67RVU20B
2020-01-01$1,355.83$368.67RVU20A
2019-10-01$1,321.12$367.30RVU19D
2019-07-01$1,321.12$367.30RVU19C
2019-04-01$1,321.12$367.30RVU19B
2019-01-01$1,321.12$367.30RVU19A
2018-10-01$1,301.86$368.80RVU18D
2018-07-01$1,301.86$368.80RVU18C
2018-04-01$1,301.86$368.80RVU18B
2018-01-01$1,301.86$368.80RVU18AR1
2017-10-01$1,295.40$369.08RVU17D
2017-07-01$1,295.40$369.08RVU17C
2017-04-01$1,295.40$369.08RVU17B
2017-01-01$1,295.40$369.08RVU17A
2016-10-01$1,305.81$309.35RVU16D
2016-07-01$1,305.81$309.35RVU16C
2016-04-01$1,305.81$309.35RVU16B
2016-01-01$1,305.81$309.35RVU16A
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 47541 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

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
RVUs for 47541PPRRVU2026_Oct_nonQPP.csv, line 5,693 (RVU26D)
Geographic factors for Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 47541 pays in Baltimore area, MD?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 47541 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist