CPT code 47553: Biliary endoscopy, with biopsy2026 Medicare rate & RVUs in New Mexico
Reports percutaneous endoscopic inspection of the bile ducts when the physician obtains one or more tissue samples, such as during evaluation of a stricture.
In New Mexico, Medicare pays $256.37 for 47553 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 47553 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 47553 covers
A physician advances an endoscope through percutaneous access to inspect the biliary tree and obtain tissue from a ductal abnormality. Interventional radiologists and other physicians who perform percutaneous biliary procedures may use this approach to evaluate an indeterminate stricture or suspected duct lesion, often through access established for biliary drainage.
Report this code when endoscopic visualization is paired with biopsy; the code covers one or multiple samples in the session. Documentation should identify the access route, endoscopic findings, biopsy site or sites, and tissue sampling performed. Distinguish biopsy from diagnostic endoscopy with brushing or washing alone and from endoscopy performed for another therapeutic intervention. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. The anatomy makes modifier 50 inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
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 New Mexico compares for 47553
Across 109 of 109 payment localities, the facility rate for 47553 runs from $232.99 in Wisconsin to $344.81 in Alaska. New Mexico pays $256.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$256.37
- Los Angeles, CA · California$255.37−$1.00
- Washington, DC area · District of Columbia$270.10+$13.73
- Miami, FL · Florida$294.66+$38.29
- Chicago, IL · Illinois$289.09+$32.72
- Manhattan, NY · New York$284.66+$28.29
- Alaska · Alaska$344.81+$88.44
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $238.39 |
| ArkansasArkansas | — | $236.70 |
| ArizonaArizona | — | $248.02 |
| Bakersfield, CACalifornia | — | $247.68 |
| Chico, CACalifornia | — | $245.29 |
| El Centro, CACalifornia | — | $245.43 |
| Fresno, CACalifornia | — | $245.29 |
| Hanford, CACalifornia | — | $245.29 |
| Madera, CACalifornia | — | $245.29 |
| Merced, CACalifornia | — | $245.29 |
| Modesto, CACalifornia | — | $245.29 |
| Napa, CACalifornia | — | $258.26 |
| Oxnard, CACalifornia | — | $251.56 |
| Redding, CACalifornia | — | $245.29 |
| Rest of CaliforniaCalifornia | — | $245.29 |
| Riverside, CACalifornia | — | $254.08 |
| Sacramento, CACalifornia | — | $250.49 |
| Salinas, CACalifornia | — | $249.38 |
| San Diego, CACalifornia | — | $250.04 |
| Marin County, CACalifornia | — | $265.29 |
| San Francisco, CACalifornia | — | $264.37 |
| San Benito County, CACalifornia | — | $271.08 |
| Santa Clara County, CACalifornia | — | $267.32 |
| San Luis Obispo, CACalifornia | — | $246.11 |
| Santa Cruz, CACalifornia | — | $248.39 |
| Santa Maria, CACalifornia | — | $248.90 |
| Santa Rosa, CACalifornia | — | $250.49 |
| Stockton, CACalifornia | — | $245.29 |
| Vallejo, CACalifornia | — | $256.93 |
| Visalia, CACalifornia | — | $245.29 |
| Yuba City, CACalifornia | — | $245.29 |
| ColoradoColorado | — | $250.28 |
| ConnecticutConnecticut | — | $263.79 |
| DelawareDelaware | — | $250.58 |
| Fort Lauderdale, FLFlorida | — | $274.62 |
| Rest of FloridaFlorida | — | $265.28 |
| Atlanta, GAGeorgia | — | $258.87 |
| Rest of GeorgiaGeorgia | — | $255.65 |
| Hawaii, Guam, HIHawaii | — | $243.73 |
| IowaIowa | — | $234.58 |
| IdahoIdaho | — | $236.73 |
| East St. Louis, ILIllinois | — | $278.42 |
| Rest of IllinoisIllinois | — | $266.09 |
| Suburban Chicago, ILIllinois | — | $275.36 |
| IndianaIndiana | — | $237.21 |
| KansasKansas | — | $237.26 |
| KentuckyKentucky | — | $248.10 |
| New Orleans, LALouisiana | — | $255.07 |
| Rest of LouisianaLouisiana | — | $249.19 |
| Metropolitan Boston, MAMassachusetts | — | $261.69 |
| Rest of MassachusettsMassachusetts | — | $251.33 |
| Baltimore area, MDMaryland | — | $263.62 |
| Rest of MarylandMaryland | — | $252.58 |
| Rest of MaineMaine | — | $240.76 |
| Southern Maine, MEMaine | — | $242.36 |
| Detroit, MIMichigan | — | $270.40 |
| Rest of MichiganMichigan | — | $254.34 |
| MinnesotaMinnesota | — | $234.02 |
| Metropolitan Kansas City, MOMissouri | — | $250.73 |
| Metropolitan St. Louis, MOMissouri | — | $251.65 |
| Rest of MissouriMissouri | — | $249.18 |
| MississippiMississippi | — | $242.80 |
| MontanaMontana | — | $252.46 |
| North CarolinaNorth Carolina | — | $241.47 |
| North DakotaNorth Dakota | — | $236.44 |
| NebraskaNebraska | — | $234.22 |
| New HampshireNew Hampshire | — | $249.91 |
| Northern New JerseyNew Jersey | — | $270.40 |
| Rest of New JerseyNew Jersey | — | $265.14 |
| NevadaNevada | — | $248.01 |
| NYC suburbs and Long Island, NYNew York | — | $292.51 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $269.29 |
| Queens, NYNew York | — | $281.14 |
| Rest of New YorkNew York | — | $243.52 |
| OhioOhio | — | $251.07 |
| OklahomaOklahoma | — | $244.44 |
| Portland, OROregon | — | $251.00 |
| Rest of OregonOregon | — | $244.40 |
| Metropolitan Philadelphia, PAPennsylvania | — | $262.23 |
| Rest of PennsylvaniaPennsylvania | — | $249.46 |
| Puerto RicoPuerto Rico | — | $252.31 |
| Rhode IslandRhode Island | — | $254.14 |
| South CarolinaSouth Carolina | — | $247.01 |
| South DakotaSouth Dakota | — | $234.55 |
| TennesseeTennessee | — | $238.25 |
| Austin, TXTexas | — | $250.94 |
| Beaumont, TXTexas | — | $248.88 |
| Brazoria, TXTexas | — | $248.04 |
| Dallas, TXTexas | — | $250.45 |
| Fort Worth, TXTexas | — | $250.61 |
| Galveston, TXTexas | — | $249.38 |
| Houston, TXTexas | — | $264.20 |
| Rest of TexasTexas | — | $248.92 |
| UtahUtah | — | $248.61 |
| VirginiaVirginia | — | $244.23 |
| Virgin Islands, VIUnited States Virgin Islands | — | $252.31 |
| VermontVermont | — | $238.96 |
| Rest of WashingtonWashington | — | $249.74 |
| King County, WAWashington | — | $262.20 |
| WisconsinWisconsin | — | $232.99 |
| West VirginiaWest Virginia | — | $261.68 |
| WyomingWyoming | — | $245.48 |
47553 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 47553 rate is calculated
Each of 47553’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 · 47553
RVUs × geographic indexes × conversion factor
Work6.18
6.18 RVUs× 1.000 GPCI
Practice expense0.57
0.57 RVUs× 1.000 GPCI
Malpractice0.81
0.81 RVUs× 1.000 GPCI
Adjusted RVUs
7.5600
Conversion factor
$33.4009
Medicare rate
$252.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,699
- Code
- 47553
- Physician work
- 6.18
- Practice expense
- 0.57
- Malpractice
- 0.81
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.18 | × 1.000 | 6.1800 |
| Practice expense | 0.57 | × 0.917 | 0.5227 |
| Malpractice | 0.81 | × 1.201 | 0.9728 |
| Total RVUs | 7.6755 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$256.37
Facility: (6.18 × 1 + 0.57 × 0.917 + 0.81 × 1.201) × $33.4009 = $256.37
Payment rules and modifiers for 47553
The CMS indicators that decide how 47553 is paid alongside other services.
CMS payment indicators · 47553
Biliary endoscopy, with biopsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47553 without 51 · national facility
$252.51
Biliary endoscopy, with biopsy
47553-51 · Second procedure: 50%
$126.26
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 47553 has changed in New Mexico
47553 · 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 | $256.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $256.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $256.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $256.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $268.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $268.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $268.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $268.21 | RVU25A |
| 2024-10-01 | Not available in this setting | $272.60 | RVU24D |
| 2024-07-01 | Not available in this setting | $272.60 | RVU24C |
| 2024-04-01 | Not available in this setting | $272.60 | RVU24B |
| 2024-03-09 | Not available in this setting | $272.60 | RVU24AR |
| 2024-01-01 | Not available in this setting | $268.16 | RVU24A |
| 2023-10-01 | Not available in this setting | $277.44 | RVU23D |
| 2023-07-01 | Not available in this setting | $277.44 | RVU23C |
| 2023-04-01 | Not available in this setting | $277.44 | RVU23B |
| 2023-01-01 | Not available in this setting | $277.44 | RVU23A |
| 2022-10-01 | Not available in this setting | $277.88 | RVU22D |
| 2022-07-01 | Not available in this setting | $277.88 | RVU22C |
| 2022-04-01 | Not available in this setting | $277.88 | RVU22B |
| 2022-01-01 | Not available in this setting | $277.88 | RVU22A |
| 2021-10-01 | Not available in this setting | $278.74 | RVU21D |
| 2021-07-01 | Not available in this setting | $278.74 | RVU21C |
| 2021-04-01 | Not available in this setting | $278.74 | RVU21B |
| 2021-01-01 | Not available in this setting | $278.74 | RVU21A |
| 2020-10-01 | Not available in this setting | $291.21 | RVU20D |
| 2020-07-01 | Not available in this setting | $291.21 | RVU20C |
| 2020-04-01 | Not available in this setting | $291.21 | RVU20B |
| 2020-01-01 | Not available in this setting | $291.21 | RVU20A |
| 2019-10-01 | Not available in this setting | $320.61 | RVU19D |
| 2019-07-01 | Not available in this setting | $320.61 | RVU19C |
| 2019-04-01 | Not available in this setting | $320.61 | RVU19B |
| 2019-01-01 | Not available in this setting | $320.61 | RVU19A |
| 2018-10-01 | Not available in this setting | $316.47 | RVU18D |
| 2018-07-01 | Not available in this setting | $316.47 | RVU18C |
| 2018-04-01 | Not available in this setting | $316.47 | RVU18B |
| 2018-01-01 | Not available in this setting | $316.47 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $318.86 | RVU17D |
| 2017-07-01 | Not available in this setting | $318.86 | RVU17C |
| 2017-04-01 | Not available in this setting | $318.86 | RVU17B |
| 2017-01-01 | Not available in this setting | $318.86 | RVU17A |
| 2016-10-01 | Not available in this setting | $316.74 | RVU16D |
| 2016-07-01 | Not available in this setting | $316.74 | RVU16C |
| 2016-04-01 | Not available in this setting | $316.74 | RVU16B |
| 2016-01-01 | Not available in this setting | $316.74 | RVU16A |
| 2015-10-01 | Not available in this setting | $323.21 | RVU15D |
| 2015-07-01 | Not available in this setting | $323.21 | RVU15C |
| 2015-04-01 | Not available in this setting | $321.60 | RVU15B |
| 2015-01-01 | Not available in this setting | $321.60 | RVU15A |
| 2014-10-01 | Not available in this setting | $320.03 | RVU14D |
| 2014-07-01 | Not available in this setting | $320.03 | RVU14C |
| 2014-04-01 | Not available in this setting | $320.03 | RVU14B |
| 2014-01-01 | Not available in this setting | $320.03 | RVU14A |
| 2013-10-01 | Not available in this setting | $305.64 | RVU13D |
| 2013-07-01 | Not available in this setting | $305.64 | RVU13C |
| 2013-04-01 | Not available in this setting | $305.64 | RVU13B |
| 2013-01-01 | Not available in this setting | $305.64 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
47553 billing questions
When should I report this instead of 47552?
Use 47553 when the percutaneous endoscopy includes tissue biopsy. Code 47552 describes diagnostic endoscopy with specimen collection by brushing or washing.
Can I report multiple units for several biopsies?
The code includes single or multiple biopsies during the endoscopic session. Document the biopsy sites and sampling performed rather than counting each specimen as a separate unit.
Is brushing or washing included when a biopsy is performed?
The defining service is endoscopic biopsy. Do not separately report 47552 for diagnostic brushing or washing performed as part of the same endoscopy without support for a separately reportable service.
What global-period services are included?
The 0-day global period includes same-day preoperative and postoperative care. It does not create a multi-day postoperative period for this procedure.
Can an assistant or co-surgeon be paid for this procedure?
CMS statutorily restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
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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