$418.15–$645.52
Use 47542 for percutaneous dilation of a bile duct or ampulla. Use 47544 when the service removes calculi from a bile duct or the gallbladder.
On this page
CMS RVU26D · Effective 2026-10-01
47544 Biliary stone removal Medicare reimbursement rates
Percutaneous biliary stone removal covers image-guided extraction of calculi from bile ducts or the gallbladder during a qualifying biliary access procedure. Compare 47544 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 47544?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$691.67–$1096.25
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $404.58 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 47544 pays more and less
109 payment localities
$691.67 to $1096.25
Interventional radiology
About 47544: Percutaneous biliary stone removal
Percutaneous biliary stone removal covers image-guided extraction of calculi from bile ducts or the gallbladder during a qualifying biliary access procedure.
This service removes stones from the bile ducts or gallbladder through percutaneous access, using imaging to guide the extraction. It is typically performed by an interventional radiologist in a hospital or other procedural setting when stones are reached through a tract from the skin rather than removed during laparoscopic surgery. The service may involve tract dilation when needed to permit access or extraction.
Report 47544 only with a primary procedure; CMS treats it as an add-on paid within that primary procedure’s global period. The record should identify the percutaneous route, the biliary site treated, the stones addressed, and the extraction performed, along with the associated primary procedure. Do not use it for duct imaging alone, duct dilation alone, or stone removal performed as part of a laparoscopic cholecystectomy.
CMS billing rules for 47544
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.20 · 13%
- Practice expense (office) RVU20.16 · 85%
- Malpractice RVU0.37 · 2%
253
Medicare services in 2024 · #4132 by national volume
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.
47544 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$331.06–$496.48
47543 represents endoluminal biopsy of the biliary tree. It does not represent stone extraction.
No office rate
47564 applies to laparoscopic cholecystectomy with common duct exploration. It is distinct from percutaneous stone removal reported with 47544.
See how rates vary across the country
47544 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$691.67
$974.79
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $884.26 | 1 |
| AL | $703.07 | 1 |
| AR | $691.67 | 1 |
| AZ | $769.95 | 1 |
| CA | $853.33–$1,096.25 | 29 |
| CO | $834.27 | 1 |
| CT | $849.19 | 1 |
| DC | $919.63 | 1 |
| DE | $783.81 | 1 |
| FL | $769.19–$839.11 | 3 |
| GA | $722.25–$806.18 | 2 |
| GU | $879.65 | 1 |
| HI | $879.65 | 1 |
| IA | $727.92 | 1 |
| ID | $732.22 | 1 |
| IL | $740.98–$821.07 | 4 |
| IN | $737.10 | 1 |
| KS | $721.83 | 1 |
| KY | $716.81 | 1 |
| LA | $714.65–$754.56 | 2 |
| MA | $827.49–$926.26 | 2 |
| MD | $800.74–$919.63 | 3 |
| ME | $734.06–$781.98 | 2 |
| MI | $735.62–$777.51 | 2 |
| MN | $803.43 | 1 |
| MO | $699.36–$760.31 | 3 |
| MS | $695.78 | 1 |
| MT | $792.58 | 1 |
| NC | $743.03 | 1 |
| ND | $785.26 | 1 |
| NE | $733.07 | 1 |
| NH | $818.67 | 1 |
| NJ | $860.03–$907.92 | 2 |
| NM | $739.20 | 1 |
| NV | $791.21 | 1 |
| NY | $755.26–$937.30 | 5 |
| OH | $734.12 | 1 |
| OK | $717.80 | 1 |
| OR | $786.24–$865.89 | 2 |
| PA | $736.71–$824.52 | 2 |
| PR | $799.82 | 1 |
| RI | $815.52 | 1 |
| SC | $739.57 | 1 |
| SD | $784.40 | 1 |
| TN | $725.61 | 1 |
| TX | $731.12–$830.46 | 8 |
| UT | $750.94 | 1 |
| VA | $777.52–$919.63 | 2 |
| VI | $799.82 | 1 |
| VT | $779.76 | 1 |
| WA | $826.73–$948.54 | 2 |
| WI | $755.77 | 1 |
| WV | $709.72 | 1 |
| WY | $789.39 | 1 |
Compare 47544 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $703.07 | Facility $127.32 |
| Alaska* | Office $884.26 | Facility $183.50 |
| Arizona | Office $769.95 | Facility $132.35 |
| Arkansas | Office $691.67 | Facility $126.45 |
| Atlanta | Office $806.18 | Facility $137.66 |
| Austin | Office $830.46 | Facility $134.30 |
| Bakersfield | Office $854.44 | Facility $133.28 |
| Baltimore/Surr. Cntys | Office $846.40 | Facility $140.37 |
| Beaumont | Office $731.12 | Facility $132.35 |
| Brazoria | Office $784.68 | Facility $132.60 |
| Chicago | Office $812.72 | Facility $151.43 |
| Chico | Office $853.33 | Facility $132.16 |
| Colorado | Office $834.27 | Facility $134.17 |
| Connecticut | Office $849.19 | Facility $140.52 |
| Dallas | Office $789.12 | Facility $133.75 |
| Dc + Md/Va Suburbs | Office $919.63 | Facility $144.51 |
| Delaware | Office $783.81 | Facility $133.71 |
| Detroit | Office $777.51 | Facility $142.55 |
| East St. Louis | Office $751.27 | Facility $145.91 |
| El Centro | Office $853.39 | Facility $132.23 |
| Fort Lauderdale | Office $811.34 | Facility $144.79 |
| Fort Worth | Office $782.54 | Facility $133.76 |
| Fresno | Office $853.33 | Facility $132.16 |
| Galveston | Office $786.62 | Facility $133.23 |
| Hanford-Corcoran | Office $853.33 | Facility $132.16 |
| Hawaii, Guam | Office $879.65 | Facility $131.51 |
| Houston | Office $793.39 | Facility $140.00 |
| Idaho | Office $732.22 | Facility $126.86 |
| Indiana | Office $737.10 | Facility $127.13 |
| Iowa | Office $727.92 | Facility $125.85 |
| Kansas | Office $721.83 | Facility $127.00 |
| Kentucky | Office $716.81 | Facility $131.85 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $916.06 | Facility $137.65 |
| Madera | Office $853.33 | Facility $132.16 |
| Manhattan | Office $915.77 | Facility $151.18 |
| Merced | Office $853.33 | Facility $132.16 |
| Metropolitan Boston | Office $926.26 | Facility $140.61 |
| Metropolitan Kansas City | Office $751.24 | Facility $133.38 |
| Metropolitan Philadelphia | Office $824.52 | Facility $139.54 |
| Metropolitan St. Louis | Office $760.31 | Facility $133.89 |
| Miami | Office $839.11 | Facility $154.13 |
| Minnesota | Office $803.43 | Facility $126.35 |
| Mississippi | Office $695.78 | Facility $129.24 |
| Modesto | Office $853.33 | Facility $132.16 |
| Montana** | Office $792.58 | Facility $134.58 |
| Napa | Office $1007.39 | Facility $140.14 |
| Nebraska | Office $733.07 | Facility $125.74 |
| Nevada** | Office $791.21 | Facility $132.56 |
| New Hampshire | Office $818.67 | Facility $133.69 |
| New Mexico | Office $739.20 | Facility $135.81 |
| New Orleans | Office $754.56 | Facility $135.38 |
| North Carolina | Office $743.03 | Facility $129.11 |
| North Dakota** | Office $785.26 | Facility $127.26 |
| Northern Nj | Office $907.92 | Facility $144.64 |
| Nyc Suburbs/Long Island | Office $937.30 | Facility $154.94 |
| Ohio | Office $734.12 | Facility $133.37 |
| Oklahoma | Office $717.80 | Facility $130.21 |
| Oxnard-Thousand Oaks-Ventura | Office $913.49 | Facility $135.74 |
| Portland | Office $865.89 | Facility $134.86 |
| Poughkpsie/N Nyc Suburbs | Office $863.98 | Facility $143.47 |
| Puerto Rico | Office $799.82 | Facility $134.59 |
| Queens | Office $927.46 | Facility $149.70 |
| Redding | Office $853.33 | Facility $132.16 |
| Rest Of California | Office $853.33 | Facility $132.16 |
| Rest Of Florida | Office $769.19 | Facility $140.15 |
| Rest Of Georgia | Office $722.25 | Facility $135.32 |
| Rest Of Illinois | Office $740.98 | Facility $140.23 |
| Rest Of Louisiana | Office $714.65 | Facility $132.32 |
| Rest Of Maine | Office $734.06 | Facility $128.71 |
| Rest Of Maryland | Office $800.74 | Facility $134.85 |
| Rest Of Massachusetts | Office $827.49 | Facility $134.62 |
| Rest Of Michigan | Office $735.62 | Facility $134.86 |
| Rest Of Missouri | Office $699.36 | Facility $132.16 |
| Rest Of New Jersey | Office $860.03 | Facility $141.49 |
| Rest Of New York | Office $755.26 | Facility $130.17 |
| Rest Of Oregon | Office $786.24 | Facility $130.87 |
| Rest Of Pennsylvania | Office $736.71 | Facility $132.67 |
| Rest Of Texas | Office $757.06 | Facility $132.62 |
| Rest Of Washington | Office $826.73 | Facility $133.86 |
| Rhode Island | Office $815.52 | Facility $135.81 |
| Riverside-San Bernardino-Ontario | Office $857.35 | Facility $136.19 |
| Sacramento-Roseville-Folsom | Office $900.47 | Facility $135.22 |
| Salinas | Office $897.25 | Facility $134.63 |
| San Diego-Chula Vista-Carlsbad | Office $922.13 | Facility $135.16 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $1072.15 | Facility $144.37 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $1071.73 | Facility $143.95 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $1096.25 | Facility $147.42 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $1094.53 | Facility $145.70 |
| San Luis Obispo-Paso Robles | Office $882.28 | Facility $132.82 |
| Santa Cruz-Watsonville | Office $933.89 | Facility $134.42 |
| Santa Maria-Santa Barbara | Office $901.64 | Facility $134.41 |
| Santa Rosa-Petaluma | Office $943.60 | Facility $135.58 |
| Seattle (King Cnty) | Office $948.54 | Facility $141.18 |
| South Carolina | Office $739.57 | Facility $131.58 |
| South Dakota** | Office $784.40 | Facility $126.40 |
| Southern Maine | Office $781.98 | Facility $129.91 |
| Stockton | Office $853.33 | Facility $132.16 |
| Suburban Chicago | Office $821.07 | Facility $145.31 |
| Tennessee | Office $725.61 | Facility $127.49 |
| Utah | Office $750.94 | Facility $132.42 |
| Vallejo | Office $1006.78 | Facility $139.54 |
| Vermont | Office $779.76 | Facility $128.35 |
| Virgin Islands | Office $799.82 | Facility $134.59 |
| Virginia | Office $777.52 | Facility $130.71 |
| Visalia | Office $853.33 | Facility $132.16 |
| West Virginia | Office $709.72 | Facility $137.92 |
| Wisconsin | Office $755.77 | Facility $125.41 |
| Wyoming** | Office $789.39 | Facility $131.39 |
| Yuba City | Office $853.33 | Facility $132.16 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
47544 billing questions
What distinguishes 47544 from biliary duct dilation?
47544 represents percutaneous removal of stones from a bile duct or the gallbladder. Dilation of a biliary duct or ampulla is a different service, reported with 47542 when performed and supported.
Can 47544 be submitted by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.
Does 47544 describe laparoscopic stone removal?
No. It describes percutaneous treatment through access from the skin. Stone removal during laparoscopic cholecystectomy or laparoscopic duct exploration is not the percutaneous service represented by 47544.
What documentation supports reporting 47544?
Document the percutaneous access route, whether the treated site was a bile duct or the gallbladder, the stone extraction performed, and the primary procedure reported with the add-on.
Is 47544 reported for biliary imaging alone?
No. Cholangiographic injection or imaging without stone extraction does not support 47544; the code is for percutaneous calculus removal.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,69347541,,Plmt access bil tree sm bwl,A,,6.58,27.98,,1.36,,0.85,35.41,8.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69447542,,Dilate biliary duct/ampulla,A,,2.78,11.14,,0.40,,0.33,14.25,3.51,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69547543,,Endoluminal bx biliary tree,A,,2.93,7.93,,0.42,,0.33,11.19,3.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69647544,,Removal duct glbldr calculi,A,,3.20,20.16,,0.46,,0.37,23.73,4.03,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69747550,,Bile duct endoscopy add-on,A,,2.94,0.69,NA,0.69,,0.71,4.34,4.34,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69847552,,Biliary endo perq dx w/speci,A,,5.88,0.97,NA,0.97,,0.78,7.63,7.63,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69947553,,Biliary endoscopy thru skin,A,,6.18,0.57,NA,0.57,,0.81,7.56,7.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00