CPT code 47556: Biliary endoscopy, lesion destruction2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $338.10 for 47556 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 47556 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 47556 covers

An interventional radiologist or other qualified physician advances an endoscope through percutaneous access into the biliary tree to visualize and destroy a lesion. A typical use is cholangioscopic fragmentation of a bile duct calculus with a destructive technique such as lithotripsy. The service is generally performed in a hospital or other facility with imaging support; it is distinct from simply retrieving a calculus with a basket or other extraction device.

Report this code when documentation supports endoscopic visualization and destruction, rather than diagnostic inspection alone, biopsy, duct dilation, or removal without destruction. Record the target lesion, approach, endoscopic findings, and destruction method. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. CMS does not pay for an assistant at surgery, 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 Delaware compares for 47556

Across 109 of 109 payment localities, the facility rate for 47556 runs from $314.42 in Wisconsin to $465.30 in Alaska. Delaware pays $338.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

47556 rates by state

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

See 47556 in every payment locality

How the 47556 rate is calculated

Each of 47556’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.

Payment rules and modifiers for 47556

The CMS indicators that decide how 47556 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 47556

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

How 47556 has changed in Delaware

Price 47556 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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

Open CMS sourceHow we calculate rates