CPT code 47543: Biliary biopsy, percutaneous endoluminal sampling2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $398.42 for 47543 in the office and $128.27 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 47543 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 47543 covers

An interventional radiologist or other qualified physician obtains tissue from within the bile ducts through percutaneous biliary access. Sampling may use a brush, forceps, needle, or another method, and may target a suspicious duct lesion or a stricture being evaluated for a cause. The code covers single or multiple samples; the route is through the skin rather than through the gastrointestinal tract.

Select this service when tissue biopsy of the biliary tree is performed, not merely diagnostic inspection or cytology collection by brushing or washing. Document the biliary site sampled, the percutaneous route, the biopsy method, and the clinical reason for tissue evaluation. This is an add-on code: report it only with a primary procedure, and CMS payment falls within that primary procedure’s global period. The primary procedure and biopsy should be supported by the operative or procedure record.

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 Connecticut compares for 47543

Across 109 of 109 payment localities, the office rate for 47543 runs from $331.06 in Arkansas to $496.48 in San Benito County, CA. Connecticut pays $398.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

47543 rates by state

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

See 47543 in every payment locality

How the 47543 rate is calculated

Each of 47543’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 47543

The CMS indicators that decide how 47543 is paid alongside other services.

Codes related to 47543

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

How 47543 has changed in Connecticut

Price 47543 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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