No office rate
Choose 47554 when the endoscopic target is biliary calculi. Use 47555 for foreign material rather than stones.
On this page
CMS RVU26D · Effective 2026-10-01
47555 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$292.09
Base rate per service
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.
Biliary endoscopy
About 47555: Percutaneous biliary endoscopy with foreign-body removal
Reports percutaneous endoscopic removal of foreign material from the biliary tree, such as a retained device fragment, through a skin access route.
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.
CMS billing rules for 47555
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.36 · 82%
- Practice expense (office) RVU0.68 · 8%
- Malpractice RVU0.96 · 11%
45
Medicare services in 2024 · #5422 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.
47555 compared with similar codes
Office rates for Chico, from the same CMS release.
$650.65
47536 describes exchange of a biliary drainage catheter. It does not represent endoscopic removal of foreign material from the biliary tree.
$498.55
47537 describes removal of a biliary drainage catheter. Use 47555 when the documented service is percutaneous endoscopic removal of foreign material.
The same code, a different location
How does Chico compare?
47555 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 47555
Office
Unavailable
Facility
$292.09
No comparable office rate is available.
Modesto
California · 47555
Office
Unavailable
Facility
$292.09
No comparable office rate is available.
Napa
California · 47555
Office
Unavailable
Facility
$307.54
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47555
Office
Unavailable
Facility
$299.54
No comparable office rate is available.
Redding
California · 47555
Office
Unavailable
Facility
$292.09
No comparable office rate is available.
Rest Of California
California · 47555
Office
Unavailable
Facility
$292.09
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47555
Office
Unavailable
Facility
$302.50
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47555
Office
Unavailable
Facility
$298.28
No comparable office rate is available.
Salinas
California · 47555
Office
Unavailable
Facility
$296.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47555
Office
Unavailable
Facility
$297.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47555
Office
Unavailable
Facility
$315.93
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47555
Office
Unavailable
Facility
$314.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47555
Office
Unavailable
Facility
$322.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47555
Office
Unavailable
Facility
$318.35
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47555
Office
Unavailable
Facility
$293.07
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47555
Office
Unavailable
Facility
$295.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47555
Office
Unavailable
Facility
$296.38
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47555
Office
Unavailable
Facility
$298.28
No comparable office rate is available.
Stockton
California · 47555
Office
Unavailable
Facility
$292.09
No comparable office rate is available.
Vallejo
California · 47555
Office
Unavailable
Facility
$305.97
No comparable office rate is available.
Visalia
California · 47555
Office
Unavailable
Facility
$292.09
No comparable office rate is available.
Yuba City
California · 47555
Office
Unavailable
Facility
$292.09
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47555
Office
Unavailable
Facility
$321.55
No comparable office rate is available.
Miami
Florida · 47555
Office
Unavailable
Facility
$350.57
No comparable office rate is available.
Chicago
Illinois · 47555
Office
Unavailable
Facility
$343.97
No comparable office rate is available.
Manhattan
New York · 47555
Office
Unavailable
Facility
$338.81
No comparable office rate is available.
Alaska*
Alaska · 47555
Office
Unavailable
Facility
$410.60
No comparable office rate is available.
Alabama
Alabama · 47555
Office
Unavailable
Facility
$283.85
No comparable office rate is available.
Arkansas
Arkansas · 47555
Office
Unavailable
Facility
$281.85
No comparable office rate is available.
Arizona
Arizona · 47555
Office
Unavailable
Facility
$295.29
No comparable office rate is available.
Colorado
Colorado · 47555
Office
Unavailable
Facility
$297.99
No comparable office rate is available.
Connecticut
Connecticut · 47555
Office
Unavailable
Facility
$314.01
No comparable office rate is available.
Delaware
Delaware · 47555
Office
Unavailable
Facility
$298.33
No comparable office rate is available.
Fort Lauderdale
Florida · 47555
Office
Unavailable
Facility
$326.81
No comparable office rate is available.
Rest Of Florida
Florida · 47555
Office
Unavailable
Facility
$315.74
No comparable office rate is available.
Atlanta
Georgia · 47555
Office
Unavailable
Facility
$308.15
No comparable office rate is available.
Rest Of Georgia
Georgia · 47555
Office
Unavailable
Facility
$304.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47555
Office
Unavailable
Facility
$290.22
No comparable office rate is available.
Iowa
Iowa · 47555
Office
Unavailable
Facility
$279.34
No comparable office rate is available.
Idaho
Idaho · 47555
Office
Unavailable
Facility
$281.89
No comparable office rate is available.
East St. Louis
Illinois · 47555
Office
Unavailable
Facility
$331.30
No comparable office rate is available.
Rest Of Illinois
Illinois · 47555
Office
Unavailable
Facility
$316.68
No comparable office rate is available.
Suburban Chicago
Illinois · 47555
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Indiana
Indiana · 47555
Office
Unavailable
Facility
$282.47
No comparable office rate is available.
Kansas
Kansas · 47555
Office
Unavailable
Facility
$282.52
No comparable office rate is available.
Kentucky
Kentucky · 47555
Office
Unavailable
Facility
$295.36
No comparable office rate is available.
New Orleans
Louisiana · 47555
Office
Unavailable
Facility
$303.63
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47555
Office
Unavailable
Facility
$296.65
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47555
Office
Unavailable
Facility
$311.57
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47555
Office
Unavailable
Facility
$299.24
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47555
Office
Unavailable
Facility
$313.80
No comparable office rate is available.
Rest Of Maryland
Maryland · 47555
Office
Unavailable
Facility
$300.71
No comparable office rate is available.
Rest Of Maine
Maine · 47555
Office
Unavailable
Facility
$286.67
No comparable office rate is available.
Southern Maine
Maine · 47555
Office
Unavailable
Facility
$288.57
No comparable office rate is available.
Detroit
Michigan · 47555
Office
Unavailable
Facility
$321.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 47555
Office
Unavailable
Facility
$302.77
No comparable office rate is available.
Minnesota
Minnesota · 47555
Office
Unavailable
Facility
$278.69
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47555
Office
Unavailable
Facility
$298.49
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47555
Office
Unavailable
Facility
$299.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 47555
Office
Unavailable
Facility
$296.64
No comparable office rate is available.
Mississippi
Mississippi · 47555
Office
Unavailable
Facility
$289.08
No comparable office rate is available.
Montana**
Montana · 47555
Office
Unavailable
Facility
$300.54
No comparable office rate is available.
North Carolina
North Carolina · 47555
Office
Unavailable
Facility
$287.51
No comparable office rate is available.
North Dakota**
North Dakota · 47555
Office
Unavailable
Facility
$281.56
No comparable office rate is available.
Nebraska
Nebraska · 47555
Office
Unavailable
Facility
$278.91
No comparable office rate is available.
New Hampshire
New Hampshire · 47555
Office
Unavailable
Facility
$297.53
No comparable office rate is available.
Northern Nj
New Jersey · 47555
Office
Unavailable
Facility
$321.91
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47555
Office
Unavailable
Facility
$315.64
No comparable office rate is available.
New Mexico
New Mexico · 47555
Office
Unavailable
Facility
$305.17
No comparable office rate is available.
Nevada**
Nevada · 47555
Office
Unavailable
Facility
$295.28
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47555
Office
Unavailable
Facility
$348.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47555
Office
Unavailable
Facility
$320.56
No comparable office rate is available.
Queens
New York · 47555
Office
Unavailable
Facility
$334.65
No comparable office rate is available.
Rest Of New York
New York · 47555
Office
Unavailable
Facility
$289.95
No comparable office rate is available.
Ohio
Ohio · 47555
Office
Unavailable
Facility
$298.89
No comparable office rate is available.
Oklahoma
Oklahoma · 47555
Office
Unavailable
Facility
$291.03
No comparable office rate is available.
Portland
Oregon · 47555
Office
Unavailable
Facility
$298.85
No comparable office rate is available.
Rest Of Oregon
Oregon · 47555
Office
Unavailable
Facility
$290.99
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47555
Office
Unavailable
Facility
$312.15
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47555
Office
Unavailable
Facility
$296.98
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47555
Office
Unavailable
Facility
$300.38
No comparable office rate is available.
Rhode Island
Rhode Island · 47555
Office
Unavailable
Facility
$302.57
No comparable office rate is available.
South Carolina
South Carolina · 47555
Office
Unavailable
Facility
$294.07
No comparable office rate is available.
South Dakota**
South Dakota · 47555
Office
Unavailable
Facility
$279.32
No comparable office rate is available.
Tennessee
Tennessee · 47555
Office
Unavailable
Facility
$283.70
No comparable office rate is available.
Austin
Texas · 47555
Office
Unavailable
Facility
$298.76
No comparable office rate is available.
Beaumont
Texas · 47555
Office
Unavailable
Facility
$296.29
No comparable office rate is available.
Brazoria
Texas · 47555
Office
Unavailable
Facility
$295.32
No comparable office rate is available.
Dallas
Texas · 47555
Office
Unavailable
Facility
$298.18
No comparable office rate is available.
Fort Worth
Texas · 47555
Office
Unavailable
Facility
$298.37
No comparable office rate is available.
Galveston
Texas · 47555
Office
Unavailable
Facility
$296.90
No comparable office rate is available.
Houston
Texas · 47555
Office
Unavailable
Facility
$314.47
No comparable office rate is available.
Rest Of Texas
Texas · 47555
Office
Unavailable
Facility
$296.34
No comparable office rate is available.
Utah
Utah · 47555
Office
Unavailable
Facility
$295.97
No comparable office rate is available.
Virginia
Virginia · 47555
Office
Unavailable
Facility
$290.79
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47555
Office
Unavailable
Facility
$300.38
No comparable office rate is available.
Vermont
Vermont · 47555
Office
Unavailable
Facility
$284.54
No comparable office rate is available.
Rest Of Washington
Washington · 47555
Office
Unavailable
Facility
$297.34
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47555
Office
Unavailable
Facility
$312.19
No comparable office rate is available.
Wisconsin
Wisconsin · 47555
Office
Unavailable
Facility
$277.47
No comparable office rate is available.
West Virginia
West Virginia · 47555
Office
Unavailable
Facility
$311.45
No comparable office rate is available.
Wyoming**
Wyoming · 47555
Office
Unavailable
Facility
$292.27
No comparable office rate is available.
See how rates vary across the country
47555 · 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.
View all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 47555 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$321.30
$292.09 × 110% = $321.30
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 47555 in Chico.
PPRRVU2026_Oct_nonQPP.csv
5,701
- Code
- 47555
- Physician work
- 7.36
- Practice expense
- 0.68
- Malpractice
- 0.96
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.36 | × 1.017 | 7.4851 |
| Practice expense | 0.68 | × 1.096 | 0.7453 |
| Malpractice | 0.96 | × 0.536 | 0.5146 |
| Total RVUs | 8.7450 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$292.09
Open 47555 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.36 | 1.017 |
| Practice expense | 0.68 | 1.096 |
| Malpractice | 0.96 | 0.536 |
(7.36 × 1.017 + 0.68 × 1.096 + 0.96 × 0.536) × $33.4009 = $292.09
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $292.09 | RVU26D |
| 2026-07-01 | Not available in this setting | $292.09 | RVU26C |
| 2026-04-01 | Not available in this setting | $292.09 | RVU26B |
| 2026-01-01 | Not available in this setting | $292.09 | RVU26A |
| 2025-10-01 | Not available in this setting | $311.49 | RVU25D |
| 2025-07-01 | Not available in this setting | $311.49 | RVU25C |
| 2025-04-01 | Not available in this setting | $311.49 | RVU25B |
| 2025-01-01 | Not available in this setting | $311.49 | RVU25A |
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 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.
5,69847552,,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
5,70047554,,Biliary endoscopy thru skin,A,,8.82,1.80,NA,1.80,,1.25,11.87,11.87,0,000,0.00,0.00,0.00,3,0,1,1,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70147555,,Biliary endoscopy thru skin,A,,7.36,0.68,NA,0.68,,0.96,9.00,9.00,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70247556,,Biliary endoscopy thru skin,A,,8.34,0.77,NA,0.77,,1.09,10.20,10.20,0,000,0.00,0.00,0.00,3,0,1,0,0,9,47552,33.4009,09,0,99,0.00,0.00,0.00
5,70347562,,Laparoscopic cholecystectomy,A,,10.21,6.04,NA,6.04,,2.67,18.92,18.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,70447563,,Laparo cholecystectomy/graph,A,,11.18,6.37,NA,6.37,,2.94,20.49,20.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536