CPT code 47541: Biliary access, into small bowel2026 Medicare rate & RVUs in North Dakota
Reports percutaneous creation of access through the biliary tree into the small bowel, typically to enable biliary intervention through that route.
In North Dakota, Medicare pays $1,165.86 for 47541 in the office and $276.73 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 North Dakota 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. North Dakota pays $1,165.86. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,165.86
- Los Angeles, CA · California$1,353.22+$187.36
- Washington, DC area · District of Columbia$1,364.15+$198.29
- Miami, FL · Florida$1,264.45+$98.59
- Chicago, IL · Illinois$1,225.70+$59.84
- Manhattan, NY · New York$1,364.83+$198.97
- Alaska · Alaska$1,340.61+$174.75
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Hanford, CACalifornia | $1,263.01 | $288.52 |
| 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 |
| Marin County, CACalifornia | $1,571.41 | $317.74 |
| 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 |
| 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 |
| 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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.58 | × 1.000 | 6.5800 |
| Practice expense | 27.98 | × 1.000 | 27.9800 |
| Malpractice | 0.85 | × 0.406 | 0.3451 |
| Total RVUs | 34.9051 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$1165.86
Office: (6.58 × 1 + 27.98 × 1 + 0.85 × 0.406) × $33.4009 = $1165.86
Facility: (6.58 × 1 + 1.36 × 1 + 0.85 × 0.406) × $33.4009 = $276.73
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 North Dakota
47541 · Office / nonfacility
$1165.86
Effective 2026-10-01
The base rate is $85.08 higher than on 2025-10-01, moving from $1080.78 to $1165.86 (7.9%).
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
$1080.78changed to$1165.86
- 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
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1129.52changed to$1080.78
- 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
$1111.08changed to$1129.52
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1176.27changed to$1111.08
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 27.62 changed to 26.81
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$1224.37changed to$1176.27
- 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
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1264.03changed to$1224.37
- 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.
January 1, 2021
RVU21A
$1238.27changed to$1264.03
- 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
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1208.37changed to$1238.27
- 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
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1191.01changed to$1208.37
- 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.
January 1, 2018
RVU18AR1
$1184.69changed to$1191.01
- 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
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1193.05changed to$1184.69
- 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
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$1193.05
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 | $1,165.86 | $276.73 | RVU26D |
| 2026-07-01 | $1,165.86 | $276.73 | RVU26C |
| 2026-04-01 | $1,165.86 | $276.73 | RVU26B |
| 2026-01-01 | $1,165.86 | $276.73 | RVU26A |
| 2025-10-01 | $1,080.78 | $306.08 | RVU25D |
| 2025-07-01 | $1,080.78 | $306.08 | RVU25C |
| 2025-04-01 | $1,080.78 | $306.08 | RVU25B |
| 2025-01-01 | $1,080.78 | $306.08 | RVU25A |
| 2024-10-01 | $1,129.52 | $312.64 | RVU24D |
| 2024-07-01 | $1,129.52 | $312.64 | RVU24C |
| 2024-04-01 | $1,129.52 | $312.64 | RVU24B |
| 2024-03-09 | $1,129.52 | $312.64 | RVU24AR |
| 2024-01-01 | $1,111.08 | $307.54 | RVU24A |
| 2023-10-01 | $1,176.27 | $318.92 | RVU23D |
| 2023-07-01 | $1,176.27 | $318.92 | RVU23C |
| 2023-04-01 | $1,176.27 | $318.92 | RVU23B |
| 2023-01-01 | $1,176.27 | $318.92 | RVU23A |
| 2022-10-01 | $1,224.37 | $321.50 | RVU22D |
| 2022-07-01 | $1,224.37 | $321.50 | RVU22C |
| 2022-04-01 | $1,224.37 | $321.50 | RVU22B |
| 2022-01-01 | $1,224.37 | $321.50 | RVU22A |
| 2021-10-01 | $1,264.03 | $322.62 | RVU21D |
| 2021-07-01 | $1,264.03 | $322.62 | RVU21C |
| 2021-04-01 | $1,264.03 | $322.62 | RVU21B |
| 2021-01-01 | $1,264.03 | $322.62 | RVU21A |
| 2020-10-01 | $1,238.27 | $336.75 | RVU20D |
| 2020-07-01 | $1,238.27 | $336.75 | RVU20C |
| 2020-04-01 | $1,238.27 | $336.75 | RVU20B |
| 2020-01-01 | $1,238.27 | $336.75 | RVU20A |
| 2019-10-01 | $1,208.37 | $337.30 | RVU19D |
| 2019-07-01 | $1,208.37 | $337.30 | RVU19C |
| 2019-04-01 | $1,208.37 | $337.30 | RVU19B |
| 2019-01-01 | $1,208.37 | $337.30 | RVU19A |
| 2018-10-01 | $1,191.01 | $338.90 | RVU18D |
| 2018-07-01 | $1,191.01 | $338.90 | RVU18C |
| 2018-04-01 | $1,191.01 | $338.90 | RVU18B |
| 2018-01-01 | $1,191.01 | $338.90 | RVU18AR1 |
| 2017-10-01 | $1,184.69 | $339.51 | RVU17D |
| 2017-07-01 | $1,184.69 | $339.51 | RVU17C |
| 2017-04-01 | $1,184.69 | $339.51 | RVU17B |
| 2017-01-01 | $1,184.69 | $339.51 | RVU17A |
| 2016-10-01 | $1,193.05 | $284.69 | RVU16D |
| 2016-07-01 | $1,193.05 | $284.69 | RVU16C |
| 2016-04-01 | $1,193.05 | $284.69 | RVU16B |
| 2016-01-01 | $1,193.05 | $284.69 | 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 North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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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