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Billing code 47554: Biliary endoscopyMedicare rate & RVUs

Report percutaneous biliary endoscopy with stone removal when a clinician uses endoscopic access through the skin to clear biliary duct calculi.

CMS RVU26DEffective Oct 1, 2026109 payment localities274 Medicare services in 2024

Medicare pays $396.47 for 47554 nationally in a facility.

Medicare rate · 47554

Biliary endoscopy

Swap in your local Medicare rate.

Work RVUs
8.82
Total RVUs
11.87
Global days
000

National rate · 2026

$396.47

Facility setting, before claim adjustments.

See every locality for 47554 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 47554 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 47554 covers

This service uses an endoscope passed through a percutaneous route to directly examine the biliary ducts and remove one or more stones. Interventional radiologists commonly perform it in a hospital facility, including when duct stones need treatment through percutaneous biliary access rather than an endoscopic route through the digestive tract. The service is distinct from diagnostic inspection or biopsy alone: the endoscopic procedure includes calculus removal.

Select the code when documentation supports percutaneous biliary endoscopy and stone extraction, rather than a different therapeutic endoscopic maneuver or nonendoscopic calculus removal. The record should identify the access route, biliary site, stones treated, and removal performed. 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. Bilateral adjustment is inappropriate. Assistant-at-surgery services are not paid; co-surgeons are paid only with supporting documentation, and team surgery is 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.

Where 47554 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47554 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$370.83
Alaska*Unavailable$528.93
ArizonaUnavailable$388.59
ArkansasUnavailable$367.74
AtlantaUnavailable$406.71
AustinUnavailable$395.79
BakersfieldUnavailable$391.51
Baltimore/Surr. CntysUnavailable$415.47
BeaumontUnavailable$388.09
BrazoriaUnavailable$389.10

47554 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.

View every state and territory as a table
47554 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

How the 47554 rate is calculated

Each of 47554’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 · 47554

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.82Practice expense 1.80Malpractice 1.25

11.8700 adjusted RVUs×$33.4009 conversion factor=$396.47

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 47554

The CMS indicators that decide how 47554 is paid alongside other services.

CMS payment indicators · 47554

Biliary endoscopy

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)1Permitted with supporting documentation.
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

47554 without 51 · national facility

$396.47

Biliary endoscopy

47554-51 · Second procedure: 50%

$198.24

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

47554 compared with similar codes

Compare codes

47554 vs 47552 vs 47553 vs 47544: national Medicare rates

Swap in your local Medicare rate.

  • 47554
    Biliary endoscopy · 8.82 wRVU
    —
  • 47552
    Biliary endoscopy · 5.88 wRVU
    —
  • 47553
    Biliary endoscopy · 6.18 wRVU
    —
  • 47544
    Biliary stone removal · 3.2 wRVU
    $792.60

How to choose

47552Biliary endoscopy
47552 is for diagnostic percutaneous biliary endoscopy, including specimen collection when performed. Choose 47554 when the endoscopic service includes removing biliary stones.
47553Biliary endoscopy
47553 centers on biopsy during percutaneous biliary endoscopy. 47554 is selected when calculus removal is performed.
47544Biliary stone removal
47544 represents percutaneous calculus removal without the endoscopic service described by 47554. Base the choice on whether the documented procedure includes biliary endoscopy.

Codes related to 47554

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

Codes related to 47554
CodeHow it relatesNational office range
Same family
47552Biliary endoscopyPercutaneous biliary endoscopy for diagnostic evaluation rather than calculus removal.No office rate
47553Biliary endoscopyPercutaneous biliary endoscopy with biopsy rather than calculus removal.No office rate
47555Biliary endoscopyNeighboring percutaneous biliary endoscopy code for a different therapeutic service.No office rate
47556Biliary endoscopyNeighboring percutaneous biliary endoscopy code for a different therapeutic service.No office rate
Used instead
47544Biliary stone removalPercutaneous biliary calculus removal without the endoscopic service represented by 47554.$691.67–$1,096.25

47554 billing questions

How does 47554 differ from diagnostic biliary endoscopy?

Use 47554 when the percutaneous endoscopic service includes removal of biliary calculi. Diagnostic inspection or specimen collection without stone removal points to the diagnostic endoscopy code instead.

How is 47554 different from 47544?

47554 describes stone removal performed as part of percutaneous biliary endoscopy. 47544 describes percutaneous calculus removal without the endoscopic service represented by 47554.

Can a related biliary endoscopy be reported during the same session?

Related endoscopies performed together are subject to CMS endoscopy family pricing. The documentation should identify each service actually performed.

Should modifier 50 be used for stones in both sides of the biliary tree?

No. CMS identifies bilateral adjustment as inappropriate for this code; its descriptor or anatomy makes modifier 50 unsuitable.

Can an assistant or co-surgeon be paid for this procedure?

Assistant-at-surgery services are not paid. Co-surgeons are paid only when supporting documentation is submitted; team surgery is not permitted.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care.

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 47554PPRRVU2026_Oct_nonQPP.csv, line 5,700 (RVU26D)

Open CMS sourceHow we calculate rates

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