CPT code 47555: Biliary endoscopy, foreign-body removal2026 Medicare rate & RVUs in West Virginia
Reports percutaneous endoscopic removal of foreign material from the biliary tree, such as a retained device fragment, through a skin access route.
In West Virginia, Medicare pays $311.45 for 47555 in a facility. There’s no office rate.
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.
On this page 11 sections
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 West Virginia 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. West Virginia pays $311.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$311.45
- Los Angeles, CA · California$304.07−$7.38
- Washington, DC area · District of Columbia$321.55+$10.10
- Miami, FL · Florida$350.57+$39.12
- Chicago, IL · Illinois$343.97+$32.52
- Manhattan, NY · New York$338.81+$27.36
- Alaska · Alaska$410.60+$99.15
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $292.09 |
| Merced, CACalifornia | — | $292.09 |
| Modesto, CACalifornia | — | $292.09 |
| Napa, CACalifornia | — | $307.54 |
| Oxnard, CACalifornia | — | $299.54 |
| Redding, CACalifornia | — | $292.09 |
| Rest of CaliforniaCalifornia | — | $292.09 |
| Riverside, CACalifornia | — | $302.50 |
| Sacramento, CACalifornia | — | $298.28 |
| Salinas, CACalifornia | — | $296.96 |
| San Diego, CACalifornia | — | $297.75 |
| Marin County, CACalifornia | — | $315.93 |
| San Francisco, CACalifornia | — | $314.84 |
| San Benito County, CACalifornia | — | $322.81 |
| Santa Clara County, CACalifornia | — | $318.35 |
| San Luis Obispo, CACalifornia | — | $293.07 |
| Santa Cruz, CACalifornia | — | $295.78 |
| Santa Maria, CACalifornia | — | $296.38 |
| Santa Rosa, CACalifornia | — | $298.28 |
| Stockton, CACalifornia | — | $292.09 |
| Vallejo, CACalifornia | — | $305.97 |
| Visalia, CACalifornia | — | $292.09 |
| Yuba City, CACalifornia | — | $292.09 |
| ColoradoColorado | — | $297.99 |
| ConnecticutConnecticut | — | $314.01 |
| DelawareDelaware | — | $298.33 |
| Fort Lauderdale, FLFlorida | — | $326.81 |
| Rest of FloridaFlorida | — | $315.74 |
| Atlanta, GAGeorgia | — | $308.15 |
| Rest of GeorgiaGeorgia | — | $304.31 |
| Hawaii, Guam, HIHawaii | — | $290.22 |
| IowaIowa | — | $279.34 |
| IdahoIdaho | — | $281.89 |
| East St. Louis, ILIllinois | — | $331.30 |
| Rest of IllinoisIllinois | — | $316.68 |
| Suburban Chicago, ILIllinois | — | $327.70 |
| IndianaIndiana | — | $282.47 |
| KansasKansas | — | $282.52 |
| KentuckyKentucky | — | $295.36 |
| New Orleans, LALouisiana | — | $303.63 |
| Rest of LouisianaLouisiana | — | $296.65 |
| Metropolitan Boston, MAMassachusetts | — | $311.57 |
| Rest of MassachusettsMassachusetts | — | $299.24 |
| Baltimore area, MDMaryland | — | $313.80 |
| Rest of MarylandMaryland | — | $300.71 |
| Rest of MaineMaine | — | $286.67 |
| Southern Maine, MEMaine | — | $288.57 |
| Detroit, MIMichigan | — | $321.81 |
| Rest of MichiganMichigan | — | $302.77 |
| MinnesotaMinnesota | — | $278.69 |
| Metropolitan Kansas City, MOMissouri | — | $298.49 |
| Metropolitan St. Louis, MOMissouri | — | $299.58 |
| Rest of MissouriMissouri | — | $296.64 |
| MississippiMississippi | — | $289.08 |
| MontanaMontana | — | $300.54 |
| North CarolinaNorth Carolina | — | $287.51 |
| North DakotaNorth Dakota | — | $281.56 |
| NebraskaNebraska | — | $278.91 |
| New HampshireNew Hampshire | — | $297.53 |
| Northern New JerseyNew Jersey | — | $321.91 |
| Rest of New JerseyNew Jersey | — | $315.64 |
| New MexicoNew Mexico | — | $305.17 |
| NevadaNevada | — | $295.28 |
| NYC suburbs and Long Island, NYNew York | — | $348.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $320.56 |
| Queens, NYNew York | — | $334.65 |
| Rest of New YorkNew York | — | $289.95 |
| OhioOhio | — | $298.89 |
| OklahomaOklahoma | — | $291.03 |
| Portland, OROregon | — | $298.85 |
| Rest of OregonOregon | — | $290.99 |
| Metropolitan Philadelphia, PAPennsylvania | — | $312.15 |
| Rest of PennsylvaniaPennsylvania | — | $296.98 |
| Puerto RicoPuerto Rico | — | $300.38 |
| Rhode IslandRhode Island | — | $302.57 |
| South CarolinaSouth Carolina | — | $294.07 |
| South DakotaSouth Dakota | — | $279.32 |
| TennesseeTennessee | — | $283.70 |
| Austin, TXTexas | — | $298.76 |
| Beaumont, TXTexas | — | $296.29 |
| Brazoria, TXTexas | — | $295.32 |
| Dallas, TXTexas | — | $298.18 |
| Fort Worth, TXTexas | — | $298.37 |
| Galveston, TXTexas | — | $296.90 |
| Houston, TXTexas | — | $314.47 |
| Rest of TexasTexas | — | $296.34 |
| UtahUtah | — | $295.97 |
| VirginiaVirginia | — | $290.79 |
| Virgin Islands, VIUnited States Virgin Islands | — | $300.38 |
| VermontVermont | — | $284.54 |
| Rest of WashingtonWashington | — | $297.34 |
| King County, WAWashington | — | $312.19 |
| WisconsinWisconsin | — | $277.47 |
| WyomingWyoming | — | $292.27 |
47555 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 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
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 West Virginia 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
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.36 | × 1.000 | 7.3600 |
| Practice expense | 0.68 | × 0.869 | 0.5909 |
| Malpractice | 0.96 | × 1.431 | 1.3738 |
| Total RVUs | 9.3247 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, West Virginia$311.45
Facility: (7.36 × 1 + 0.68 × 0.869 + 0.96 × 1.431) × $33.4009 = $311.45
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
| 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
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%).
How 47555 has changed in West Virginia
47555 · 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 | $311.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $311.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $311.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $311.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $320.82 | RVU25D |
| 2025-07-01 | Not available in this setting | $320.82 | RVU25C |
| 2025-04-01 | Not available in this setting | $320.82 | RVU25B |
| 2025-01-01 | Not available in this setting | $320.82 | RVU25A |
| 2024-10-01 | Not available in this setting | $328.04 | RVU24D |
| 2024-07-01 | Not available in this setting | $328.04 | RVU24C |
| 2024-04-01 | Not available in this setting | $328.04 | RVU24B |
| 2024-03-09 | Not available in this setting | $328.04 | RVU24AR |
| 2024-01-01 | Not available in this setting | $322.68 | RVU24A |
| 2023-10-01 | Not available in this setting | $331.32 | RVU23D |
| 2023-07-01 | Not available in this setting | $331.32 | RVU23C |
| 2023-04-01 | Not available in this setting | $331.32 | RVU23B |
| 2023-01-01 | Not available in this setting | $331.32 | RVU23A |
| 2022-10-01 | Not available in this setting | $329.72 | RVU22D |
| 2022-07-01 | Not available in this setting | $329.72 | RVU22C |
| 2022-04-01 | Not available in this setting | $329.72 | RVU22B |
| 2022-01-01 | Not available in this setting | $329.72 | RVU22A |
| 2021-10-01 | Not available in this setting | $330.90 | RVU21D |
| 2021-07-01 | Not available in this setting | $330.90 | RVU21C |
| 2021-04-01 | Not available in this setting | $330.90 | RVU21B |
| 2021-01-01 | Not available in this setting | $330.90 | RVU21A |
| 2020-10-01 | Not available in this setting | $345.06 | RVU20D |
| 2020-07-01 | Not available in this setting | $345.06 | RVU20C |
| 2020-04-01 | Not available in this setting | $345.06 | RVU20B |
| 2020-01-01 | Not available in this setting | $345.06 | RVU20A |
| 2019-10-01 | Not available in this setting | $341.37 | RVU19D |
| 2019-07-01 | Not available in this setting | $341.37 | RVU19C |
| 2019-04-01 | Not available in this setting | $341.37 | RVU19B |
| 2019-01-01 | Not available in this setting | $341.37 | RVU19A |
| 2018-10-01 | Not available in this setting | $340.07 | RVU18D |
| 2018-07-01 | Not available in this setting | $340.07 | RVU18C |
| 2018-04-01 | Not available in this setting | $340.07 | RVU18B |
| 2018-01-01 | Not available in this setting | $340.07 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $374.14 | RVU17D |
| 2017-07-01 | Not available in this setting | $374.14 | RVU17C |
| 2017-04-01 | Not available in this setting | $374.14 | RVU17B |
| 2017-01-01 | Not available in this setting | $374.14 | RVU17A |
| 2016-10-01 | Not available in this setting | $374.55 | RVU16D |
| 2016-07-01 | Not available in this setting | $374.55 | RVU16C |
| 2016-04-01 | Not available in this setting | $374.55 | RVU16B |
| 2016-01-01 | Not available in this setting | $374.55 | RVU16A |
| 2015-10-01 | Not available in this setting | $379.91 | RVU15D |
| 2015-07-01 | Not available in this setting | $379.91 | RVU15C |
| 2015-04-01 | Not available in this setting | $378.02 | RVU15B |
| 2015-01-01 | Not available in this setting | $378.02 | RVU15A |
| 2014-10-01 | Not available in this setting | $376.17 | RVU14D |
| 2014-07-01 | Not available in this setting | $376.17 | RVU14C |
| 2014-04-01 | Not available in this setting | $376.17 | RVU14B |
| 2014-01-01 | Not available in this setting | $376.17 | RVU14A |
| 2013-10-01 | Not available in this setting | $359.52 | RVU13D |
| 2013-07-01 | Not available in this setting | $359.52 | RVU13C |
| 2013-04-01 | Not available in this setting | $359.52 | RVU13B |
| 2013-01-01 | Not available in this setting | $359.52 | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
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
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