CPT code 47543: Biliary biopsy, percutaneous endoluminal sampling2026 Medicare rate & RVUs in West Virginia
Reports percutaneous tissue sampling from inside the biliary tree, such as biopsy of a duct lesion or stricture during a biliary intervention.
In West Virginia, Medicare pays $343.81 for 47543 in the office and $125.83 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.
On this page 11 sections
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 West Virginia 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. West Virginia pays $343.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$343.81
- Los Angeles, CA · California$422.54+$78.73
- Washington, DC area · District of Columbia$427.43+$83.62
- Miami, FL · Florida$401.47+$57.66
- Chicago, IL · Illinois$390.04+$46.23
- Manhattan, NY · New York$429.39+$85.58
- Alaska · Alaska$434.96+$91.15
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $335.86 | $116.38 |
| ArkansasArkansas | $331.06 | $115.59 |
| ArizonaArizona | $363.96 | $120.89 |
| Bakersfield, CACalifornia | $396.73 | $121.81 |
| Chico, CACalifornia | $395.73 | $120.81 |
| El Centro, CACalifornia | $395.79 | $120.87 |
| Fresno, CACalifornia | $395.73 | $120.81 |
| Hanford, CACalifornia | $395.73 | $120.81 |
| Madera, CACalifornia | $395.73 | $120.81 |
| Merced, CACalifornia | $395.73 | $120.81 |
| Modesto, CACalifornia | $395.73 | $120.81 |
| Napa, CACalifornia | $458.73 | $128.12 |
| Oxnard, CACalifornia | $420.55 | $124.05 |
| Redding, CACalifornia | $395.73 | $120.81 |
| Rest of CaliforniaCalifornia | $395.73 | $120.81 |
| Riverside, CACalifornia | $399.32 | $124.40 |
| Sacramento, CACalifornia | $415.34 | $123.61 |
| Salinas, CACalifornia | $413.79 | $123.07 |
| San Diego, CACalifornia | $423.56 | $123.55 |
| Marin County, CACalifornia | $485.69 | $132.00 |
| San Francisco, CACalifornia | $485.31 | $131.63 |
| San Benito County, CACalifornia | $496.48 | $134.77 |
| Santa Clara County, CACalifornia | $494.95 | $133.23 |
| San Luis Obispo, CACalifornia | $407.12 | $121.41 |
| Santa Cruz, CACalifornia | $427.64 | $122.87 |
| Santa Maria, CACalifornia | $415.35 | $122.87 |
| Santa Rosa, CACalifornia | $431.97 | $123.94 |
| Stockton, CACalifornia | $395.73 | $120.81 |
| Vallejo, CACalifornia | $458.19 | $127.58 |
| Visalia, CACalifornia | $395.73 | $120.81 |
| Yuba City, CACalifornia | $395.73 | $120.81 |
| ColoradoColorado | $389.47 | $122.57 |
| ConnecticutConnecticut | $398.42 | $128.27 |
| DelawareDelaware | $369.95 | $122.12 |
| Fort Lauderdale, FLFlorida | $386.11 | $132.00 |
| Rest of FloridaFlorida | $367.65 | $127.84 |
| Atlanta, GAGeorgia | $380.50 | $125.65 |
| Rest of GeorgiaGeorgia | $347.27 | $123.52 |
| Hawaii, Guam, HIHawaii | $405.40 | $120.20 |
| IowaIowa | $344.60 | $115.08 |
| IdahoIdaho | $346.76 | $115.98 |
| East St. Louis, ILIllinois | $363.74 | $132.97 |
| Rest of IllinoisIllinois | $356.92 | $127.90 |
| Suburban Chicago, ILIllinois | $390.10 | $132.49 |
| IndianaIndiana | $348.76 | $116.23 |
| KansasKansas | $342.86 | $116.10 |
| KentuckyKentucky | $343.42 | $120.42 |
| New Orleans, LALouisiana | $359.63 | $123.59 |
| Rest of LouisianaLouisiana | $342.83 | $120.84 |
| Metropolitan Boston, MAMassachusetts | $427.94 | $128.44 |
| Rest of MassachusettsMassachusetts | $387.12 | $122.99 |
| Baltimore area, MDMaryland | $397.27 | $128.12 |
| Rest of MarylandMaryland | $377.01 | $123.16 |
| Rest of MaineMaine | $348.40 | $117.63 |
| Southern Maine, MEMaine | $367.31 | $118.72 |
| Detroit, MIMichigan | $372.05 | $129.99 |
| Rest of MichiganMichigan | $352.13 | $123.12 |
| MinnesotaMinnesota | $373.68 | $115.56 |
| Metropolitan Kansas City, MOMissouri | $357.35 | $121.81 |
| Metropolitan St. Louis, MOMissouri | $361.06 | $122.26 |
| Rest of MissouriMissouri | $336.92 | $120.69 |
| MississippiMississippi | $334.06 | $118.09 |
| MontanaMontana | $373.73 | $122.89 |
| North CarolinaNorth Carolina | $352.03 | $118.00 |
| North DakotaNorth Dakota | $367.21 | $116.37 |
| NebraskaNebraska | $346.51 | $114.98 |
| New HampshireNew Hampshire | $383.24 | $122.11 |
| Northern New JerseyNew Jersey | $423.05 | $132.07 |
| Rest of New JerseyNew Jersey | $403.11 | $129.19 |
| New MexicoNew Mexico | $353.99 | $123.97 |
| NevadaNevada | $372.18 | $121.09 |
| NYC suburbs and Long Island, NYNew York | $439.53 | $141.28 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $405.64 | $130.97 |
| Queens, NYNew York | $433.10 | $136.60 |
| Rest of New YorkNew York | $357.24 | $118.94 |
| OhioOhio | $350.80 | $121.78 |
| OklahomaOklahoma | $342.96 | $118.96 |
| Portland, OROregon | $401.90 | $123.22 |
| Rest of OregonOregon | $369.42 | $119.59 |
| Metropolitan Philadelphia, PAPennsylvania | $388.50 | $127.38 |
| Rest of PennsylvaniaPennsylvania | $351.43 | $121.16 |
| Puerto RicoPuerto Rico | $376.50 | $122.90 |
| Rhode IslandRhode Island | $383.17 | $124.05 |
| South CarolinaSouth Carolina | $351.97 | $120.20 |
| South DakotaSouth Dakota | $366.44 | $115.60 |
| TennesseeTennessee | $344.55 | $116.54 |
| Austin, TXTexas | $388.06 | $122.67 |
| Beaumont, TXTexas | $349.14 | $120.87 |
| Brazoria, TXTexas | $369.73 | $121.15 |
| Dallas, TXTexas | $372.01 | $122.17 |
| Fort Worth, TXTexas | $369.51 | $122.18 |
| Galveston, TXTexas | $370.79 | $121.70 |
| Houston, TXTexas | $376.83 | $127.74 |
| Rest of TexasTexas | $359.18 | $121.13 |
| UtahUtah | $356.74 | $120.95 |
| VirginiaVirginia | $366.01 | $119.44 |
| Virgin Islands, VIUnited States Virgin Islands | $376.50 | $122.90 |
| VermontVermont | $365.66 | $117.33 |
| Rest of WashingtonWashington | $386.43 | $122.30 |
| King County, WAWashington | $436.76 | $128.98 |
| WisconsinWisconsin | $355.00 | $114.70 |
| WyomingWyoming | $370.89 | $120.05 |
47543 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.
$331.06
$446.11
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 | $434.96 | 1 |
| AL | $335.86 | 1 |
| AR | $331.06 | 1 |
| AZ | $363.96 | 1 |
| CA | $395.73–$496.48 | 29 |
| CO | $389.47 | 1 |
| CT | $398.42 | 1 |
| DC | $427.43 | 1 |
| DE | $369.95 | 1 |
| FL | $367.65–$401.47 | 3 |
| GA | $347.27–$380.50 | 2 |
| GU | $405.40 | 1 |
| HI | $405.40 | 1 |
| IA | $344.60 | 1 |
| ID | $346.76 | 1 |
| IL | $356.92–$390.10 | 4 |
| IN | $348.76 | 1 |
| KS | $342.86 | 1 |
| KY | $343.42 | 1 |
| LA | $342.83–$359.63 | 2 |
| MA | $387.12–$427.94 | 2 |
| MD | $377.01–$427.43 | 3 |
| ME | $348.40–$367.31 | 2 |
| MI | $352.13–$372.05 | 2 |
| MN | $373.68 | 1 |
| MO | $336.92–$361.06 | 3 |
| MS | $334.06 | 1 |
| MT | $373.73 | 1 |
| NC | $352.03 | 1 |
| ND | $367.21 | 1 |
| NE | $346.51 | 1 |
| NH | $383.24 | 1 |
| NJ | $403.11–$423.05 | 2 |
| NM | $353.99 | 1 |
| NV | $372.18 | 1 |
| NY | $357.24–$439.53 | 5 |
| OH | $350.80 | 1 |
| OK | $342.96 | 1 |
| OR | $369.42–$401.90 | 2 |
| PA | $351.43–$388.50 | 2 |
| PR | $376.50 | 1 |
| RI | $383.17 | 1 |
| SC | $351.97 | 1 |
| SD | $366.44 | 1 |
| TN | $344.55 | 1 |
| TX | $349.14–$388.06 | 8 |
| UT | $356.74 | 1 |
| VA | $366.01–$427.43 | 2 |
| VI | $376.50 | 1 |
| VT | $365.66 | 1 |
| WA | $386.43–$436.76 | 2 |
| WI | $355.00 | 1 |
| WV | $343.81 | 1 |
| WY | $370.89 | 1 |
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.
How the rate is built · 47543
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense7.93
7.93 RVUs× 1.000 GPCI
Malpractice0.33
0.33 RVUs× 1.000 GPCI
Adjusted RVUs
11.1900
Conversion factor
$33.4009
Medicare rate
$373.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact West Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,695
- Code
- 47543
- Physician work
- 2.93
- Practice expense
- 7.93
- Malpractice
- 0.33
GPCI2026.csv
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 7.93 | × 0.869 | 6.8912 |
| Malpractice | 0.33 | × 1.431 | 0.4722 |
| Total RVUs | 10.2934 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$343.81
Office: (2.93 × 1 + 7.93 × 0.869 + 0.33 × 1.431) × $33.4009 = $343.81
Facility: (2.93 × 1 + 0.42 × 0.869 + 0.33 × 1.431) × $33.4009 = $125.83
Payment rules and modifiers for 47543
The CMS indicators that decide how 47543 is paid alongside other services.
CMS payment indicators · 47543
Biliary biopsy, percutaneous endoluminal sampling
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
How 47543 has changed in West Virginia
47543 · Office / nonfacility
$343.81
Effective 2026-10-01
The base rate is $9.81 higher than on 2025-10-01, moving from $334.00 to $343.81 (2.9%).
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
$334.00changed to$343.81
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.00 changed to 2.93
- Practice expense RVU 8.05 changed to 7.93
- Malpractice RVU 0.29 changed to 0.33
- Practice expense GPCI 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$350.06changed to$334.00
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.24 changed to 8.05
- Malpractice RVU 0.31 changed to 0.29
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$344.34changed to$350.06
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$362.83changed to$344.34
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.52 changed to 8.24
- Malpractice RVU 0.30 changed to 0.31
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$374.29changed to$362.83
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.76 changed to 8.52
- Malpractice RVU 0.25 changed to 0.30
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$405.95changed to$374.29
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.70 changed to 8.76
- Malpractice RVU 0.26 changed to 0.25
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$427.23changed to$405.95
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.92 changed to 9.70
- Malpractice RVU 0.27 changed to 0.26
- Practice expense GPCI 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$432.98changed to$427.23
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.11 changed to 9.92
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$437.59changed to$432.98
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.29 changed to 10.11
- Malpractice RVU 0.26 changed to 0.27
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$523.28changed to$437.59
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 12.79 changed to 10.29
- Malpractice RVU 0.58 changed to 0.26
- Practice expense GPCI 0.847 changed to 0.857
- Malpractice GPCI 1.289 changed to 1.296
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1158.14changed to$523.28
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 3.07 changed to 3.00
- Practice expense RVU 33.90 changed to 12.79
- Malpractice RVU 0.73 changed to 0.58
- Practice expense GPCI 0.836 changed to 0.847
- Malpractice GPCI 1.282 changed to 1.289
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$1158.14
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 | $343.81 | $125.83 | RVU26D |
| 2026-07-01 | $343.81 | $125.83 | RVU26C |
| 2026-04-01 | $343.81 | $125.83 | RVU26B |
| 2026-01-01 | $343.81 | $125.83 | RVU26A |
| 2025-10-01 | $334.00 | $134.08 | RVU25D |
| 2025-07-01 | $334.00 | $134.08 | RVU25C |
| 2025-04-01 | $334.00 | $134.08 | RVU25B |
| 2025-01-01 | $334.00 | $134.08 | RVU25A |
| 2024-10-01 | $350.06 | $137.72 | RVU24D |
| 2024-07-01 | $350.06 | $137.72 | RVU24C |
| 2024-04-01 | $350.06 | $137.72 | RVU24B |
| 2024-03-09 | $350.06 | $137.72 | RVU24AR |
| 2024-01-01 | $344.34 | $135.47 | RVU24A |
| 2023-10-01 | $362.83 | $140.18 | RVU23D |
| 2023-07-01 | $362.83 | $140.18 | RVU23C |
| 2023-04-01 | $362.83 | $140.18 | RVU23B |
| 2023-01-01 | $362.83 | $140.18 | RVU23A |
| 2022-10-01 | $374.29 | $140.31 | RVU22D |
| 2022-07-01 | $374.29 | $140.31 | RVU22C |
| 2022-04-01 | $374.29 | $140.31 | RVU22B |
| 2022-01-01 | $374.29 | $140.31 | RVU22A |
| 2021-10-01 | $405.95 | $142.19 | RVU21D |
| 2021-07-01 | $405.95 | $142.19 | RVU21C |
| 2021-04-01 | $405.95 | $142.19 | RVU21B |
| 2021-01-01 | $405.95 | $142.19 | RVU21A |
| 2020-10-01 | $427.23 | $149.49 | RVU20D |
| 2020-07-01 | $427.23 | $149.49 | RVU20C |
| 2020-04-01 | $427.23 | $149.49 | RVU20B |
| 2020-01-01 | $427.23 | $149.49 | RVU20A |
| 2019-10-01 | $432.98 | $149.45 | RVU19D |
| 2019-07-01 | $432.98 | $149.45 | RVU19C |
| 2019-04-01 | $432.98 | $149.45 | RVU19B |
| 2019-01-01 | $432.98 | $149.45 | RVU19A |
| 2018-10-01 | $437.59 | $149.13 | RVU18D |
| 2018-07-01 | $437.59 | $149.13 | RVU18C |
| 2018-04-01 | $437.59 | $149.13 | RVU18B |
| 2018-01-01 | $437.59 | $149.13 | RVU18AR1 |
| 2017-10-01 | $523.28 | $167.02 | RVU17D |
| 2017-07-01 | $523.28 | $167.02 | RVU17C |
| 2017-04-01 | $523.28 | $167.02 | RVU17B |
| 2017-01-01 | $523.28 | $167.02 | RVU17A |
| 2016-10-01 | $1,158.14 | $175.75 | RVU16D |
| 2016-07-01 | $1,158.14 | $175.75 | RVU16C |
| 2016-04-01 | $1,158.14 | $175.75 | RVU16B |
| 2016-01-01 | $1,158.14 | $175.75 | 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 West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
47543 billing questions
When should this code be selected instead of 47552?
Use 47543 for tissue biopsy from within the biliary tree. Code 47552 describes percutaneous diagnostic biliary endoscopy with or without brushing or washing for specimen collection.
Can 47543 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure; payment is within that procedure’s global period.
Does one code cover multiple biopsy samples?
Yes. The code covers single or multiple samples, so the number of tissue bites or specimens does not by itself determine the code.
What documentation supports reporting the biopsy?
Document the percutaneous biliary route, the duct site or lesion sampled, the sampling method, and the reason tissue was obtained.
Is brushing or washing alone enough to report 47543?
No. The service is for endoluminal tissue biopsy. Brushing or washing for specimen collection during diagnostic biliary endoscopy is described by 47552.
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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