CPT code 47555: Biliary endoscopy, foreign-body removal2026 Medicare rate & RVUs in Oklahoma

Reports percutaneous endoscopic removal of foreign material from the biliary tree, such as a retained device fragment, through a skin access route.

CMS RVU26DEffective Oct 1, 2026One payment locality45 Medicare services in 2024

In Oklahoma, Medicare pays $291.03 for 47555 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$291.03Hospital or facility

Check a contract rate as a % of Medicare · 47555 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 47555 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 47555 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 47555 covers

A physician passes an endoscope through a percutaneous tract into the biliary tree and removes foreign material. This may be performed by an interventional radiologist when an object or device fragment remains in the ducts after prior biliary access or treatment. The service is distinct from routine exchange or removal of a biliary drainage catheter and from endoscopic extraction of duct stones, which have separate codes.

Report the service when the procedure documentation supports endoscopic access and removal of foreign material; identify the access route and the material removed. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 is inappropriate for this service. CMS does not pay for an assistant at surgery, co-surgeons, or team surgery for this code.

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 47555

Across 109 of 109 payment localities, the facility rate for 47555 runs from $277.47 in Wisconsin to $410.60 in Alaska. Oklahoma pays $291.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

47555 in Oklahoma vs other payment areas
  1. Oklahoma · this page$291.03
  2. Los Angeles, CA · California$304.07+$13.04
  3. Washington, DC area · District of Columbia$321.55+$30.52
  4. Miami, FL · Florida$350.57+$59.54
  5. Chicago, IL · Illinois$343.97+$52.94
  6. Manhattan, NY · New York$338.81+$47.78
  7. Alaska · Alaska$410.60+$119.57

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

Every other payment area

47555 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$283.85
ArkansasArkansas—$281.85
ArizonaArizona—$295.29
Bakersfield, CACalifornia—$294.92
Chico, CACalifornia—$292.09
El Centro, CACalifornia—$292.25
Fresno, CACalifornia—$292.09
Hanford, CACalifornia—$292.09

47555 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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47555 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 47555 in every payment locality

How the 47555 rate is calculated

Each of 47555’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 · 47555

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.36

7.36 RVUs× 1.000 GPCI

Practice expense0.68

0.68 RVUs× 1.000 GPCI

Malpractice0.96

0.96 RVUs× 1.000 GPCI

Adjusted RVUs

9.0000

Conversion factor

$33.4009

Medicare rate

$300.61

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

5,701

Code
47555
Physician work
7.36
Practice expense
0.68
Malpractice
0.96

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Facility calculation for 47555 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work7.36× 1.0007.3600
Practice expense0.68× 0.8930.6072
Malpractice0.96× 0.7770.7459
Total RVUs8.7132
Conversion factor× 33.4009

Facility rate, Oklahoma$291.03

Facility: (7.36 × 1 + 0.68 × 0.893 + 0.96 × 0.777) × $33.4009 = $291.03

Open 47555 in the RVU calculator

Payment rules and modifiers for 47555

The CMS indicators that decide how 47555 is paid alongside other services.

CMS payment indicators · 47555

Biliary endoscopy, foreign-body removal

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47555 without 51 · national facility

$300.61

Biliary endoscopy, foreign-body removal

47555-51 · Second procedure: 50%

$150.31

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%).

When to use modifier 51

How 47555 has changed in Oklahoma

47555 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$291.03RVU26D
2026-07-01Not available in this setting$291.03RVU26C
2026-04-01Not available in this setting$291.03RVU26B
2026-01-01Not available in this setting$291.03RVU26A
2025-10-01Not available in this setting$306.77RVU25D
2025-07-01Not available in this setting$306.77RVU25C
2025-04-01Not available in this setting$306.77RVU25B
2025-01-01Not available in this setting$306.77RVU25A
2024-10-01Not available in this setting$312.94RVU24D
2024-07-01Not available in this setting$312.94RVU24C
2024-04-01Not available in this setting$312.94RVU24B
2024-03-09Not available in this setting$312.94RVU24AR
2024-01-01Not available in this setting$307.84RVU24A
2023-10-01Not available in this setting$317.99RVU23D
2023-07-01Not available in this setting$317.99RVU23C
2023-04-01Not available in this setting$317.99RVU23B
2023-01-01Not available in this setting$317.99RVU23A
2022-10-01Not available in this setting$319.61RVU22D
2022-07-01Not available in this setting$319.61RVU22C
2022-04-01Not available in this setting$319.61RVU22B
2022-01-01Not available in this setting$319.61RVU22A
2021-10-01Not available in this setting$321.14RVU21D
2021-07-01Not available in this setting$321.14RVU21C
2021-04-01Not available in this setting$321.14RVU21B
2021-01-01Not available in this setting$321.14RVU21A
2020-10-01Not available in this setting$336.27RVU20D
2020-07-01Not available in this setting$336.27RVU20C
2020-04-01Not available in this setting$336.27RVU20B
2020-01-01Not available in this setting$336.27RVU20A
2019-10-01Not available in this setting$334.90RVU19D
2019-07-01Not available in this setting$334.90RVU19C
2019-04-01Not available in this setting$334.90RVU19B
2019-01-01Not available in this setting$334.90RVU19A
2018-10-01Not available in this setting$333.57RVU18D
2018-07-01Not available in this setting$333.57RVU18C
2018-04-01Not available in this setting$333.57RVU18B
2018-01-01Not available in this setting$333.57RVU18AR1
2017-10-01Not available in this setting$367.93RVU17D
2017-07-01Not available in this setting$367.93RVU17C
2017-04-01Not available in this setting$367.93RVU17B
2017-01-01Not available in this setting$367.93RVU17A
2016-10-01Not available in this setting$367.41RVU16D
2016-07-01Not available in this setting$367.41RVU16C
2016-04-01Not available in this setting$367.41RVU16B
2016-01-01Not available in this setting$367.41RVU16A
2015-10-01Not available in this setting$371.14RVU15D
2015-07-01Not available in this setting$371.14RVU15C
2015-04-01Not available in this setting$369.30RVU15B
2015-01-01Not available in this setting$369.30RVU15A
2014-10-01Not available in this setting$367.70RVU14D
2014-07-01Not available in this setting$367.70RVU14C
2014-04-01Not available in this setting$367.70RVU14B
2014-01-01Not available in this setting$367.70RVU14A
2013-10-01Not available in this setting$350.03RVU13D
2013-07-01Not available in this setting$350.03RVU13C
2013-04-01Not available in this setting$350.03RVU13B
2013-01-01Not available in this setting$350.03RVU13AR

Price 47555 for an earlier date of service

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

Browse all communities in Oklahoma

47555 billing questions

How is this different from 47554?

Use 47555 for endoscopic removal of foreign material. Code 47554 is the related endoscopy code for removal of biliary calculi.

Can this code describe a routine biliary drain exchange?

No. A routine exchange of a biliary drainage catheter is a different service; 47555 describes endoscopic removal of foreign material.

What documentation supports reporting 47555?

The procedure note should establish percutaneous endoscopic access into the biliary tree and identify the foreign material removed.

Should modifier 50 be appended?

No. The service is not billed as bilateral, making modifier 50 inappropriate.

How does CMS price related endoscopies performed together?

CMS applies endoscopy-family pricing when related endoscopies are performed together. The record should support each service reported.

Are assistant surgeons or co-surgeons payable?

CMS does not pay an assistant at surgery for this code, and 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
RVUs for 47555PPRRVU2026_Oct_nonQPP.csv, line 5,701 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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