CPT code 47550: Biliary endoscopy, intraoperative choledochoscopy2026 Medicare rate & RVUs in Oklahoma
Reports direct endoscopic inspection of the bile ducts during an operation, such as cholecystectomy with duct exploration, as an add-on to the primary procedure.
In Oklahoma, Medicare pays $137.21 for 47550 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 47550 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 47550 covers
During an operation, the surgeon passes an endoscope into the biliary tree to inspect the ducts directly. This may help assess the common bile duct when stones or another duct abnormality are suspected during gallbladder or bile duct surgery. The service is performed in the operating room as part of the operative encounter; it is not the same as imaging the ducts with contrast or endoscopy through a percutaneous access tract.
Report 47550 only with an eligible primary procedure, not as a stand-alone service. The operative report should identify the primary operation and document that biliary endoscopy was performed, including the duct examined and relevant findings. CMS treats this as an add-on paid within the primary procedure’s global period, so it does not establish a separate global period. The endoscopic inspection is distinct from the primary operation’s description; select the primary code according to the operation actually performed.
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 Oklahoma compares for 47550
Across 109 of 109 payment localities, the facility rate for 47550 runs from $127.58 in Wisconsin to $184.91 in Alaska. Oklahoma pays $137.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oklahoma · this page$137.21
- Los Angeles, CA · California$145.24+$8.03
- Washington, DC area · District of Columbia$157.04+$19.83
- Miami, FL · Florida$182.16+$44.95
- Chicago, IL · Illinois$176.47+$39.26
- Manhattan, NY · New York$168.87+$31.66
- Alaska · Alaska$184.91+$47.70
Other areas in Oklahoma first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $131.79 |
| ArkansasArkansas | — | $130.21 |
| ArizonaArizona | — | $140.83 |
| Bakersfield, CACalifornia | — | $139.77 |
| Chico, CACalifornia | — | $137.84 |
| El Centro, CACalifornia | — | $137.96 |
| Fresno, CACalifornia | — | $137.84 |
| Hanford, CACalifornia | — | $137.84 |
| Madera, CACalifornia | — | $137.84 |
| Merced, CACalifornia | — | $137.84 |
| Modesto, CACalifornia | — | $137.84 |
| Napa, CACalifornia | — | $146.81 |
| Oxnard, CACalifornia | — | $142.96 |
| Redding, CACalifornia | — | $137.84 |
| Rest of CaliforniaCalifornia | — | $137.84 |
| Riverside, CACalifornia | — | $145.45 |
| Sacramento, CACalifornia | — | $141.25 |
| Salinas, CACalifornia | — | $140.66 |
| San Diego, CACalifornia | — | $141.56 |
| Marin County, CACalifornia | — | $150.91 |
| San Francisco, CACalifornia | — | $150.10 |
| San Benito County, CACalifornia | — | $154.94 |
| Santa Clara County, CACalifornia | — | $151.65 |
| San Luis Obispo, CACalifornia | — | $138.83 |
| Santa Cruz, CACalifornia | — | $140.97 |
| Santa Maria, CACalifornia | — | $140.53 |
| Santa Rosa, CACalifornia | — | $142.16 |
| Stockton, CACalifornia | — | $137.84 |
| Vallejo, CACalifornia | — | $145.65 |
| Visalia, CACalifornia | — | $137.84 |
| Yuba City, CACalifornia | — | $137.84 |
| ColoradoColorado | — | $142.42 |
| ConnecticutConnecticut | — | $153.68 |
| DelawareDelaware | — | $142.78 |
| Fort Lauderdale, FLFlorida | — | $164.42 |
| Rest of FloridaFlorida | — | $155.87 |
| Atlanta, GAGeorgia | — | $150.39 |
| Rest of GeorgiaGeorgia | — | $147.02 |
| Hawaii, Guam, HIHawaii | — | $138.13 |
| IowaIowa | — | $128.70 |
| IdahoIdaho | — | $130.62 |
| East St. Louis, ILIllinois | — | $167.16 |
| Rest of IllinoisIllinois | — | $156.31 |
| Suburban Chicago, ILIllinois | — | $164.58 |
| IndianaIndiana | — | $131.09 |
| KansasKansas | — | $130.98 |
| KentuckyKentucky | — | $140.39 |
| New Orleans, LALouisiana | — | $146.83 |
| Rest of LouisianaLouisiana | — | $141.31 |
| Metropolitan Boston, MAMassachusetts | — | $150.85 |
| Rest of MassachusettsMassachusetts | — | $142.94 |
| Baltimore area, MDMaryland | — | $153.83 |
| Rest of MarylandMaryland | — | $144.27 |
| Rest of MaineMaine | — | $134.15 |
| Southern Maine, MEMaine | — | $136.00 |
| Detroit, MIMichigan | — | $160.42 |
| Rest of MichiganMichigan | — | $146.01 |
| MinnesotaMinnesota | — | $128.93 |
| Metropolitan Kansas City, MOMissouri | — | $143.01 |
| Metropolitan St. Louis, MOMissouri | — | $143.90 |
| Rest of MissouriMissouri | — | $141.16 |
| MississippiMississippi | — | $135.57 |
| MontanaMontana | — | $144.91 |
| North CarolinaNorth Carolina | — | $134.85 |
| North DakotaNorth Dakota | — | $130.87 |
| NebraskaNebraska | — | $128.43 |
| New HampshireNew Hampshire | — | $142.94 |
| Northern New JerseyNew Jersey | — | $156.45 |
| Rest of New JerseyNew Jersey | — | $153.31 |
| New MexicoNew Mexico | — | $147.81 |
| NevadaNevada | — | $141.02 |
| NYC suburbs and Long Island, NYNew York | — | $175.92 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $156.55 |
| Queens, NYNew York | — | $165.92 |
| Rest of New YorkNew York | — | $136.76 |
| OhioOhio | — | $143.14 |
| Portland, OROregon | — | $143.02 |
| Rest of OregonOregon | — | $137.82 |
| Metropolitan Philadelphia, PAPennsylvania | — | $152.25 |
| Rest of PennsylvaniaPennsylvania | — | $141.77 |
| Puerto RicoPuerto Rico | — | $144.86 |
| Rhode IslandRhode Island | — | $145.03 |
| South CarolinaSouth Carolina | — | $139.65 |
| South DakotaSouth Dakota | — | $129.21 |
| TennesseeTennessee | — | $131.88 |
| Austin, TXTexas | — | $143.79 |
| Beaumont, TXTexas | — | $141.20 |
| Brazoria, TXTexas | — | $140.32 |
| Dallas, TXTexas | — | $142.38 |
| Fort Worth, TXTexas | — | $142.46 |
| Galveston, TXTexas | — | $141.51 |
| Houston, TXTexas | — | $154.50 |
| Rest of TexasTexas | — | $141.48 |
| UtahUtah | — | $141.16 |
| VirginiaVirginia | — | $137.60 |
| Virgin Islands, VIUnited States Virgin Islands | — | $144.86 |
| VermontVermont | — | $133.01 |
| Rest of WashingtonWashington | — | $141.79 |
| King County, WAWashington | — | $150.76 |
| WisconsinWisconsin | — | $127.58 |
| West VirginiaWest Virginia | — | $152.16 |
| WyomingWyoming | — | $138.79 |
47550 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 47550 rate is calculated
Each of 47550’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 · 47550
RVUs × geographic indexes × conversion factor
Work2.94
2.94 RVUs× 1.000 GPCI
Practice expense0.69
0.69 RVUs× 1.000 GPCI
Malpractice0.71
0.71 RVUs× 1.000 GPCI
Adjusted RVUs
4.3400
Conversion factor
$33.4009
Medicare rate
$144.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Oklahoma inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,697
- Code
- 47550
- Physician work
- 2.94
- Practice expense
- 0.69
- Malpractice
- 0.71
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.94 | × 1.000 | 2.9400 |
| Practice expense | 0.69 | × 0.893 | 0.6162 |
| Malpractice | 0.71 | × 0.777 | 0.5517 |
| Total RVUs | 4.1078 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$137.21
Facility: (2.94 × 1 + 0.69 × 0.893 + 0.71 × 0.777) × $33.4009 = $137.21
Payment rules and modifiers for 47550
The CMS indicators that decide how 47550 is paid alongside other services.
CMS payment indicators · 47550
Biliary endoscopy, intraoperative choledochoscopy
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
47550 without 80 · national facility
$144.96
Biliary endoscopy, intraoperative choledochoscopy
47550-80 · Assistant: 16%
$23.19
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 47550 has changed in Oklahoma
47550 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $137.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $137.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $137.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $137.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $148.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $148.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $148.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $148.64 | RVU25A |
| 2024-10-01 | Not available in this setting | $152.94 | RVU24D |
| 2024-07-01 | Not available in this setting | $152.94 | RVU24C |
| 2024-04-01 | Not available in this setting | $152.94 | RVU24B |
| 2024-03-09 | Not available in this setting | $152.94 | RVU24AR |
| 2024-01-01 | Not available in this setting | $150.44 | RVU24A |
| 2023-10-01 | Not available in this setting | $155.44 | RVU23D |
| 2023-07-01 | Not available in this setting | $155.44 | RVU23C |
| 2023-04-01 | Not available in this setting | $155.44 | RVU23B |
| 2023-01-01 | Not available in this setting | $155.44 | RVU23A |
| 2022-10-01 | Not available in this setting | $158.72 | RVU22D |
| 2022-07-01 | Not available in this setting | $158.72 | RVU22C |
| 2022-04-01 | Not available in this setting | $158.72 | RVU22B |
| 2022-01-01 | Not available in this setting | $158.72 | RVU22A |
| 2021-10-01 | Not available in this setting | $159.49 | RVU21D |
| 2021-07-01 | Not available in this setting | $159.49 | RVU21C |
| 2021-04-01 | Not available in this setting | $159.49 | RVU21B |
| 2021-01-01 | Not available in this setting | $159.49 | RVU21A |
| 2020-10-01 | Not available in this setting | $165.77 | RVU20D |
| 2020-07-01 | Not available in this setting | $165.77 | RVU20C |
| 2020-04-01 | Not available in this setting | $165.77 | RVU20B |
| 2020-01-01 | Not available in this setting | $165.77 | RVU20A |
| 2019-10-01 | Not available in this setting | $167.61 | RVU19D |
| 2019-07-01 | Not available in this setting | $167.61 | RVU19C |
| 2019-04-01 | Not available in this setting | $167.61 | RVU19B |
| 2019-01-01 | Not available in this setting | $167.61 | RVU19A |
| 2018-10-01 | Not available in this setting | $167.42 | RVU18D |
| 2018-07-01 | Not available in this setting | $167.42 | RVU18C |
| 2018-04-01 | Not available in this setting | $167.42 | RVU18B |
| 2018-01-01 | Not available in this setting | $167.42 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $165.50 | RVU17D |
| 2017-07-01 | Not available in this setting | $165.50 | RVU17C |
| 2017-04-01 | Not available in this setting | $165.50 | RVU17B |
| 2017-01-01 | Not available in this setting | $165.50 | RVU17A |
| 2016-10-01 | Not available in this setting | $163.63 | RVU16D |
| 2016-07-01 | Not available in this setting | $163.63 | RVU16C |
| 2016-04-01 | Not available in this setting | $163.63 | RVU16B |
| 2016-01-01 | Not available in this setting | $163.63 | RVU16A |
| 2015-10-01 | Not available in this setting | $163.92 | RVU15D |
| 2015-07-01 | Not available in this setting | $163.92 | RVU15C |
| 2015-04-01 | Not available in this setting | $163.10 | RVU15B |
| 2015-01-01 | Not available in this setting | $163.10 | RVU15A |
| 2014-10-01 | Not available in this setting | $158.90 | RVU14D |
| 2014-07-01 | Not available in this setting | $158.90 | RVU14C |
| 2014-04-01 | Not available in this setting | $158.90 | RVU14B |
| 2014-01-01 | Not available in this setting | $158.90 | RVU14A |
| 2013-10-01 | Not available in this setting | $153.43 | RVU13D |
| 2013-07-01 | Not available in this setting | $153.43 | RVU13C |
| 2013-04-01 | Not available in this setting | $153.43 | RVU13B |
| 2013-01-01 | Not available in this setting | $153.43 | RVU13AR |
Where the Oklahoma rate applies
Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.
- Lahoma
- Achille
- Ada
- Adair
- Adams
- Adamson
- Addington
- Afton
47550 billing questions
Can 47550 be billed by itself?
No. It is an add-on code and must be reported with an eligible primary procedure.
How is 47550 different from 47563?
47550 represents endoscopic inspection of the bile ducts during surgery. 47563 describes laparoscopic cholecystectomy with cholangiography, which uses contrast imaging rather than direct endoscopic viewing.
Does 47550 create its own global period?
No. CMS places its payment within the primary procedure’s global period; it does not establish a separate global period.
What should the operative note support?
Document the primary operation and the intraoperative endoscopic examination of the biliary tree, including the duct examined and the findings.
Is percutaneous biliary endoscopy reported with 47550?
No. 47550 is for endoscopy performed intraoperatively; percutaneous biliary endoscopy codes describe procedures through percutaneous access.
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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