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CPT code 47544: Biliary stone removal, percutaneous extraction2026 Medicare rate & RVUs in Fort Worth, TX

Percutaneous biliary stone removal covers image-guided extraction of calculi from bile ducts or the gallbladder during a qualifying biliary access procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality253 Medicare services in 2024

In Fort Worth, TX, Medicare pays $782.54 for 47544 in the office and $133.76 when it’s performed in a hospital or facility.

$782.54Office (non-facility)
$133.76Hospital or facility
−1.3%vs the national office rate ($792.60)

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.

We’ll open 47544 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 47544 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 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 Fort Worth, TX 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. Fort Worth, TX pays $782.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

47544 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$782.54
  2. Austin, TX · Texas$830.46+$47.92
  3. Beaumont, TX · Texas$731.12−$51.42
  4. Brazoria, TX · Texas$784.68+$2.14
  5. Dallas, TX · Texas$789.12+$6.58
  6. Galveston, TX · Texas$786.62+$4.08
  7. Houston, TX · Texas$793.39+$10.85

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

Every other payment area

47544 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$757.06$132.62
Los Angeles, CACalifornia$916.06$137.65
Washington, DC areaDistrict of Columbia$919.63$144.51
Miami, FLFlorida$839.11$154.13
Chicago, ILIllinois$812.72$151.43
Manhattan, NYNew York$915.77$151.18
AlaskaAlaska$884.26$183.50
AlabamaAlabama$703.07$127.32

47544 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
47544 office rate range by state
State / territoryOffice rate rangeLocalities
AK$884.261
AL$703.071
AR$691.671
AZ$769.951
CA$853.33–$1,096.2529
CO$834.271
CT$849.191
DC$919.631
DE$783.811
FL$769.19–$839.113
GA$722.25–$806.182
GU$879.651
HI$879.651
IA$727.921
ID$732.221
IL$740.98–$821.074
IN$737.101
KS$721.831
KY$716.811
LA$714.65–$754.562
MA$827.49–$926.262
MD$800.74–$919.633
ME$734.06–$781.982
MI$735.62–$777.512
MN$803.431
MO$699.36–$760.313
MS$695.781
MT$792.581
NC$743.031
ND$785.261
NE$733.071
NH$818.671
NJ$860.03–$907.922
NM$739.201
NV$791.211
NY$755.26–$937.305
OH$734.121
OK$717.801
OR$786.24–$865.892
PA$736.71–$824.522
PR$799.821
RI$815.521
SC$739.571
SD$784.401
TN$725.611
TX$731.12–$830.468
UT$750.941
VA$777.52–$919.632
VI$799.821
VT$779.761
WA$826.73–$948.542
WI$755.771
WV$709.721
WY$789.391

See 47544 in every payment locality

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

Office or facility?

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 47544 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work3.20× 1.0093.2288
Practice expense20.16× 0.98619.8778
Malpractice0.37× 0.8710.3223
Total RVUs23.4288
Conversion factor× 33.4009

Office rate, Fort Worth, TX$782.54

Office: (3.2 × 1.009 + 20.16 × 0.986 + 0.37 × 0.871) × $33.4009 = $782.54

Facility: (3.2 × 1.009 + 0.46 × 0.986 + 0.37 × 0.871) × $33.4009 = $133.76

Open 47544 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 47544

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

Codes related to 47544
CodeHow it relatesOffice range, Fort Worth, TX
Primary code
47541Biliary access, into small bowelA percutaneous biliary access service that may provide the primary procedure for the add-on.$1,167.96
Often billed with
47542Biliary dilation, bile duct or ampullaBiliary duct or ampulla dilation may be performed during a percutaneous treatment session.$470.17
47543Biliary biopsy, percutaneous endoluminal samplingEndoluminal biliary biopsy is a distinct service that may accompany percutaneous biliary treatment.$369.51
Used instead
47553Biliary endoscopy, with biopsyPercutaneous biliary endoscopy is a different approach when endoscopic treatment through the skin is performed.No office rate

How 47544 has changed in Fort Worth, TX

47544 · Office / nonfacility

$782.54

Effective 2026-10-01

The base rate is $9.42 higher than on 2025-10-01, moving from $773.12 to $782.54 (1.2%).

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

    $773.12changed to$782.54

    • 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
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $816.21changed to$773.12

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 20.93 changed to 20.31

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $802.89changed to$816.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $852.98changed to$802.89

    • 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
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $895.16changed to$852.98

    • 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
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $978.08changed to$895.16

    • 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.

  7. January 1, 2021

    RVU21A

    $1010.99changed to$978.08

    • 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
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1040.26changed to$1010.99

    • 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
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1084.03changed to$1040.26

    • 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.

  10. January 1, 2018

    RVU18AR1

    $1096.26changed to$1084.03

    • 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
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $824.01changed to$1096.26

    • 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
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$824.01

    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$782.54$133.76RVU26D
2026-07-01$782.54$133.76RVU26C
2026-04-01$782.54$133.76RVU26B
2026-01-01$782.54$133.76RVU26A
2025-10-01$773.12$147.82RVU25D
2025-07-01$773.12$147.82RVU25C
2025-04-01$773.12$147.82RVU25B
2025-01-01$773.12$147.82RVU25A
2024-10-01$816.21$150.79RVU24D
2024-07-01$816.21$150.79RVU24C
2024-04-01$816.21$150.79RVU24B
2024-03-09$816.21$150.79RVU24AR
2024-01-01$802.89$148.33RVU24A
2023-10-01$852.98$152.29RVU23D
2023-07-01$852.98$152.29RVU23C
2023-04-01$852.98$152.29RVU23B
2023-01-01$852.98$152.29RVU23A
2022-10-01$895.16$152.44RVU22D
2022-07-01$895.16$152.44RVU22C
2022-04-01$895.16$152.44RVU22B
2022-01-01$895.16$152.44RVU22A
2021-10-01$978.08$154.21RVU21D
2021-07-01$978.08$154.21RVU21C
2021-04-01$978.08$154.21RVU21B
2021-01-01$978.08$154.21RVU21A
2020-10-01$1,010.99$161.58RVU20D
2020-07-01$1,010.99$161.58RVU20C
2020-04-01$1,010.99$161.58RVU20B
2020-01-01$1,010.99$161.58RVU20A
2019-10-01$1,040.26$163.63RVU19D
2019-07-01$1,040.26$163.63RVU19C
2019-04-01$1,040.26$163.63RVU19B
2019-01-01$1,040.26$163.63RVU19A
2018-10-01$1,084.03$164.69RVU18D
2018-07-01$1,084.03$164.69RVU18C
2018-04-01$1,084.03$164.69RVU18B
2018-01-01$1,084.03$164.69RVU18AR1
2017-10-01$1,096.26$166.21RVU17D
2017-07-01$1,096.26$166.21RVU17C
2017-04-01$1,096.26$166.21RVU17B
2017-01-01$1,096.26$166.21RVU17A
2016-10-01$824.01$219.80RVU16D
2016-07-01$824.01$219.80RVU16C
2016-04-01$824.01$219.80RVU16B
2016-01-01$824.01$219.80RVU16A
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 47544 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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
RVUs for 47544PPRRVU2026_Oct_nonQPP.csv, line 5,696 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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