CPT code 47544: Biliary stone removal, percutaneous extraction2026 Medicare rate & RVUs in Puerto Rico
Percutaneous biliary stone removal covers image-guided extraction of calculi from bile ducts or the gallbladder during a qualifying biliary access procedure.
In Puerto Rico, Medicare pays $799.82 for 47544 in the office and $134.59 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 47544 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 47544 covers
This service removes stones from the bile ducts or gallbladder through percutaneous access, using imaging to guide the extraction. It is typically performed by an interventional radiologist in a hospital or other procedural setting when stones are reached through a tract from the skin rather than removed during laparoscopic surgery. The service may involve tract dilation when needed to permit access or extraction.
Report 47544 only with a primary procedure; CMS treats it as an add-on paid within that primary procedure’s global period. The record should identify the percutaneous route, the biliary site treated, the stones addressed, and the extraction performed, along with the associated primary procedure. Do not use it for duct imaging alone, duct dilation alone, or stone removal performed as part of a laparoscopic cholecystectomy.
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 Puerto Rico compares for 47544
Across 109 of 109 payment localities, the office rate for 47544 runs from $691.67 in Arkansas to $1,096.25 in San Benito County, CA. Puerto Rico pays $799.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$799.82
- Los Angeles, CA · California$916.06+$116.24
- Washington, DC area · District of Columbia$919.63+$119.81
- Miami, FL · Florida$839.11+$39.29
- Chicago, IL · Illinois$812.72+$12.90
- Manhattan, NY · New York$915.77+$115.95
- Alaska · Alaska$884.26+$84.44
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $703.07 | $127.32 |
| ArkansasArkansas | $691.67 | $126.45 |
| ArizonaArizona | $769.95 | $132.35 |
| Bakersfield, CACalifornia | $854.44 | $133.28 |
| Chico, CACalifornia | $853.33 | $132.16 |
| El Centro, CACalifornia | $853.39 | $132.23 |
| Fresno, CACalifornia | $853.33 | $132.16 |
| Hanford, CACalifornia | $853.33 | $132.16 |
| Madera, CACalifornia | $853.33 | $132.16 |
| Merced, CACalifornia | $853.33 | $132.16 |
| Modesto, CACalifornia | $853.33 | $132.16 |
| Napa, CACalifornia | $1,007.39 | $140.14 |
| Oxnard, CACalifornia | $913.49 | $135.74 |
| Redding, CACalifornia | $853.33 | $132.16 |
| Rest of CaliforniaCalifornia | $853.33 | $132.16 |
| Riverside, CACalifornia | $857.35 | $136.19 |
| Sacramento, CACalifornia | $900.47 | $135.22 |
| Salinas, CACalifornia | $897.25 | $134.63 |
| San Diego, CACalifornia | $922.13 | $135.16 |
| Marin County, CACalifornia | $1,072.15 | $144.37 |
| San Francisco, CACalifornia | $1,071.73 | $143.95 |
| San Benito County, CACalifornia | $1,096.25 | $147.42 |
| Santa Clara County, CACalifornia | $1,094.53 | $145.70 |
| San Luis Obispo, CACalifornia | $882.28 | $132.82 |
| Santa Cruz, CACalifornia | $933.89 | $134.42 |
| Santa Maria, CACalifornia | $901.64 | $134.41 |
| Santa Rosa, CACalifornia | $943.60 | $135.58 |
| Stockton, CACalifornia | $853.33 | $132.16 |
| Vallejo, CACalifornia | $1,006.78 | $139.54 |
| Visalia, CACalifornia | $853.33 | $132.16 |
| Yuba City, CACalifornia | $853.33 | $132.16 |
| ColoradoColorado | $834.27 | $134.17 |
| ConnecticutConnecticut | $849.19 | $140.52 |
| DelawareDelaware | $783.81 | $133.71 |
| Fort Lauderdale, FLFlorida | $811.34 | $144.79 |
| Rest of FloridaFlorida | $769.19 | $140.15 |
| Atlanta, GAGeorgia | $806.18 | $137.66 |
| Rest of GeorgiaGeorgia | $722.25 | $135.32 |
| Hawaii, Guam, HIHawaii | $879.65 | $131.51 |
| IowaIowa | $727.92 | $125.85 |
| IdahoIdaho | $732.22 | $126.86 |
| East St. Louis, ILIllinois | $751.27 | $145.91 |
| Rest of IllinoisIllinois | $740.98 | $140.23 |
| Suburban Chicago, ILIllinois | $821.07 | $145.31 |
| IndianaIndiana | $737.10 | $127.13 |
| KansasKansas | $721.83 | $127.00 |
| KentuckyKentucky | $716.81 | $131.85 |
| New Orleans, LALouisiana | $754.56 | $135.38 |
| Rest of LouisianaLouisiana | $714.65 | $132.32 |
| Metropolitan Boston, MAMassachusetts | $926.26 | $140.61 |
| Rest of MassachusettsMassachusetts | $827.49 | $134.62 |
| Baltimore area, MDMaryland | $846.40 | $140.37 |
| Rest of MarylandMaryland | $800.74 | $134.85 |
| Rest of MaineMaine | $734.06 | $128.71 |
| Southern Maine, MEMaine | $781.98 | $129.91 |
| Detroit, MIMichigan | $777.51 | $142.55 |
| Rest of MichiganMichigan | $735.62 | $134.86 |
| MinnesotaMinnesota | $803.43 | $126.35 |
| Metropolitan Kansas City, MOMissouri | $751.24 | $133.38 |
| Metropolitan St. Louis, MOMissouri | $760.31 | $133.89 |
| Rest of MissouriMissouri | $699.36 | $132.16 |
| MississippiMississippi | $695.78 | $129.24 |
| MontanaMontana | $792.58 | $134.58 |
| North CarolinaNorth Carolina | $743.03 | $129.11 |
| North DakotaNorth Dakota | $785.26 | $127.26 |
| NebraskaNebraska | $733.07 | $125.74 |
| New HampshireNew Hampshire | $818.67 | $133.69 |
| Northern New JerseyNew Jersey | $907.92 | $144.64 |
| Rest of New JerseyNew Jersey | $860.03 | $141.49 |
| New MexicoNew Mexico | $739.20 | $135.81 |
| NevadaNevada | $791.21 | $132.56 |
| NYC suburbs and Long Island, NYNew York | $937.30 | $154.94 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $863.98 | $143.47 |
| Queens, NYNew York | $927.46 | $149.70 |
| Rest of New YorkNew York | $755.26 | $130.17 |
| OhioOhio | $734.12 | $133.37 |
| OklahomaOklahoma | $717.80 | $130.21 |
| Portland, OROregon | $865.89 | $134.86 |
| Rest of OregonOregon | $786.24 | $130.87 |
| Metropolitan Philadelphia, PAPennsylvania | $824.52 | $139.54 |
| Rest of PennsylvaniaPennsylvania | $736.71 | $132.67 |
| Rhode IslandRhode Island | $815.52 | $135.81 |
| South CarolinaSouth Carolina | $739.57 | $131.58 |
| South DakotaSouth Dakota | $784.40 | $126.40 |
| TennesseeTennessee | $725.61 | $127.49 |
| Austin, TXTexas | $830.46 | $134.30 |
| Beaumont, TXTexas | $731.12 | $132.35 |
| Brazoria, TXTexas | $784.68 | $132.60 |
| Dallas, TXTexas | $789.12 | $133.75 |
| Fort Worth, TXTexas | $782.54 | $133.76 |
| Galveston, TXTexas | $786.62 | $133.23 |
| Houston, TXTexas | $793.39 | $140.00 |
| Rest of TexasTexas | $757.06 | $132.62 |
| UtahUtah | $750.94 | $132.42 |
| VirginiaVirginia | $777.52 | $130.71 |
| Virgin Islands, VIUnited States Virgin Islands | $799.82 | $134.59 |
| VermontVermont | $779.76 | $128.35 |
| Rest of WashingtonWashington | $826.73 | $133.86 |
| King County, WAWashington | $948.54 | $141.18 |
| WisconsinWisconsin | $755.77 | $125.41 |
| West VirginiaWest Virginia | $709.72 | $137.92 |
| WyomingWyoming | $789.39 | $131.39 |
47544 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.
$691.67
$974.79
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 | $884.26 | 1 |
| AL | $703.07 | 1 |
| AR | $691.67 | 1 |
| AZ | $769.95 | 1 |
| CA | $853.33–$1,096.25 | 29 |
| CO | $834.27 | 1 |
| CT | $849.19 | 1 |
| DC | $919.63 | 1 |
| DE | $783.81 | 1 |
| FL | $769.19–$839.11 | 3 |
| GA | $722.25–$806.18 | 2 |
| GU | $879.65 | 1 |
| HI | $879.65 | 1 |
| IA | $727.92 | 1 |
| ID | $732.22 | 1 |
| IL | $740.98–$821.07 | 4 |
| IN | $737.10 | 1 |
| KS | $721.83 | 1 |
| KY | $716.81 | 1 |
| LA | $714.65–$754.56 | 2 |
| MA | $827.49–$926.26 | 2 |
| MD | $800.74–$919.63 | 3 |
| ME | $734.06–$781.98 | 2 |
| MI | $735.62–$777.51 | 2 |
| MN | $803.43 | 1 |
| MO | $699.36–$760.31 | 3 |
| MS | $695.78 | 1 |
| MT | $792.58 | 1 |
| NC | $743.03 | 1 |
| ND | $785.26 | 1 |
| NE | $733.07 | 1 |
| NH | $818.67 | 1 |
| NJ | $860.03–$907.92 | 2 |
| NM | $739.20 | 1 |
| NV | $791.21 | 1 |
| NY | $755.26–$937.30 | 5 |
| OH | $734.12 | 1 |
| OK | $717.80 | 1 |
| OR | $786.24–$865.89 | 2 |
| PA | $736.71–$824.52 | 2 |
| PR | $799.82 | 1 |
| RI | $815.52 | 1 |
| SC | $739.57 | 1 |
| SD | $784.40 | 1 |
| TN | $725.61 | 1 |
| TX | $731.12–$830.46 | 8 |
| UT | $750.94 | 1 |
| VA | $777.52–$919.63 | 2 |
| VI | $799.82 | 1 |
| VT | $779.76 | 1 |
| WA | $826.73–$948.54 | 2 |
| WI | $755.77 | 1 |
| WV | $709.72 | 1 |
| WY | $789.39 | 1 |
How the 47544 rate is calculated
Each of 47544’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 · 47544
RVUs × geographic indexes × conversion factor
Work3.20
3.20 RVUs× 1.000 GPCI
Practice expense20.16
20.16 RVUs× 1.000 GPCI
Malpractice0.37
0.37 RVUs× 1.000 GPCI
Adjusted RVUs
23.7300
Conversion factor
$33.4009
Medicare rate
$792.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,696
- Code
- 47544
- Physician work
- 3.20
- Practice expense
- 20.16
- Malpractice
- 0.37
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.20 | × 1.000 | 3.2000 |
| Practice expense | 20.16 | × 1.011 | 20.3818 |
| Malpractice | 0.37 | × 0.985 | 0.3644 |
| Total RVUs | 23.9462 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$799.82
Office: (3.2 × 1 + 20.16 × 1.011 + 0.37 × 0.985) × $33.4009 = $799.82
Facility: (3.2 × 1 + 0.46 × 1.011 + 0.37 × 0.985) × $33.4009 = $134.59
Payment rules and modifiers for 47544
The CMS indicators that decide how 47544 is paid alongside other services.
CMS payment indicators · 47544
Biliary stone removal, percutaneous extraction
| 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 47544 has changed in Puerto Rico
47544 · Office / nonfacility
$799.82
Effective 2026-10-01
The base rate is $21.05 higher than on 2025-10-01, moving from $778.77 to $799.82 (2.7%).
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
$778.77changed to$799.82
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.28 changed to 3.20
- Practice expense RVU 20.31 changed to 20.16
- Malpractice RVU 0.35 changed to 0.37
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$822.21changed to$778.77
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 20.93 changed to 20.31
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$808.79changed to$822.21
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$863.38changed to$808.79
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 21.69 changed to 20.93
- Malpractice RVU 0.34 changed to 0.35
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$857.69changed to$863.38
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$908.26changed to$857.69
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 22.48 changed to 21.69
- Malpractice RVU 0.31 changed to 0.34
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$992.12changed to$908.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 24.66 changed to 22.48
- Malpractice RVU 0.30 changed to 0.31
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1028.36changed to$992.12
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 24.74 changed to 24.66
- Malpractice RVU 0.28 changed to 0.30
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1061.59changed to$1028.36
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 25.69 changed to 24.74
- Malpractice RVU 0.31 changed to 0.28
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1106.46changed to$1061.59
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 26.94 changed to 25.69
- Malpractice RVU 0.33 changed to 0.31
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$962.15changed to$1106.46
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 27.21 changed to 26.94
- Malpractice RVU 0.37 changed to 0.33
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$623.07changed to$962.15
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 4.29 changed to 3.28
- Practice expense RVU 18.37 changed to 27.21
- Malpractice RVU 0.55 changed to 0.37
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$623.07
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 | $799.82 | $134.59 | RVU26D |
| 2026-07-01 | $799.82 | $134.59 | RVU26C |
| 2026-04-01 | $799.82 | $134.59 | RVU26B |
| 2026-01-01 | $799.82 | $134.59 | RVU26A |
| 2025-10-01 | $778.77 | $147.83 | RVU25D |
| 2025-07-01 | $778.77 | $147.83 | RVU25C |
| 2025-04-01 | $778.77 | $147.83 | RVU25B |
| 2025-01-01 | $778.77 | $147.83 | RVU25A |
| 2024-10-01 | $822.21 | $150.79 | RVU24D |
| 2024-07-01 | $822.21 | $150.79 | RVU24C |
| 2024-04-01 | $822.21 | $150.79 | RVU24B |
| 2024-03-09 | $822.21 | $150.79 | RVU24AR |
| 2024-01-01 | $808.79 | $148.33 | RVU24A |
| 2023-10-01 | $863.38 | $154.25 | RVU23D |
| 2023-07-01 | $857.69 | $154.19 | RVU23C |
| 2023-04-01 | $857.69 | $154.19 | RVU23B |
| 2023-01-01 | $857.69 | $154.19 | RVU23A |
| 2022-10-01 | $908.26 | $155.83 | RVU22D |
| 2022-07-01 | $908.26 | $155.83 | RVU22C |
| 2022-04-01 | $908.26 | $155.83 | RVU22B |
| 2022-01-01 | $908.26 | $155.83 | RVU22A |
| 2021-10-01 | $992.12 | $157.48 | RVU21D |
| 2021-07-01 | $992.12 | $157.48 | RVU21C |
| 2021-04-01 | $992.12 | $157.48 | RVU21B |
| 2021-01-01 | $992.12 | $157.48 | RVU21A |
| 2020-10-01 | $1,028.36 | $164.37 | RVU20D |
| 2020-07-01 | $1,028.36 | $164.37 | RVU20C |
| 2020-04-01 | $1,028.36 | $164.37 | RVU20B |
| 2020-01-01 | $1,028.36 | $164.37 | RVU20A |
| 2019-10-01 | $1,061.59 | $166.29 | RVU19D |
| 2019-07-01 | $1,061.59 | $166.29 | RVU19C |
| 2019-04-01 | $1,061.59 | $166.29 | RVU19B |
| 2019-01-01 | $1,061.59 | $166.29 | RVU19A |
| 2018-10-01 | $1,106.46 | $167.54 | RVU18D |
| 2018-07-01 | $1,106.46 | $167.54 | RVU18C |
| 2018-04-01 | $1,106.46 | $167.54 | RVU18B |
| 2018-01-01 | $1,106.46 | $167.54 | RVU18AR1 |
| 2017-10-01 | $962.15 | $158.80 | RVU17D |
| 2017-07-01 | $962.15 | $158.80 | RVU17C |
| 2017-04-01 | $962.15 | $158.80 | RVU17B |
| 2017-01-01 | $962.15 | $158.80 | RVU17A |
| 2016-10-01 | $623.07 | $194.96 | RVU16D |
| 2016-07-01 | $623.07 | $194.96 | RVU16C |
| 2016-04-01 | $623.07 | $194.96 | RVU16B |
| 2016-01-01 | $623.07 | $194.96 | 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 Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
47544 billing questions
What distinguishes 47544 from biliary duct dilation?
47544 represents percutaneous removal of stones from a bile duct or the gallbladder. Dilation of a biliary duct or ampulla is a different service, reported with 47542 when performed and supported.
Can 47544 be submitted by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.
Does 47544 describe laparoscopic stone removal?
No. It describes percutaneous treatment through access from the skin. Stone removal during laparoscopic cholecystectomy or laparoscopic duct exploration is not the percutaneous service represented by 47544.
What documentation supports reporting 47544?
Document the percutaneous access route, whether the treated site was a bile duct or the gallbladder, the stone extraction performed, and the primary procedure reported with the add-on.
Is 47544 reported for biliary imaging alone?
No. Cholangiographic injection or imaging without stone extraction does not support 47544; the code is for percutaneous calculus removal.
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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