FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

47532 in Delaware

Office / nonfacility

$800.49

Base rate per service

Facility setting

$181.40

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.

Interventional radiology

About 47532: Cholangiography injection through existing access

Reports contrast injection through an established biliary access route to image the bile ducts, without creating new percutaneous access or placing a drain.

A physician injects contrast through an established route into the biliary system and obtains cholangiographic images. The route may be an existing biliary catheter or other established access. Interventional radiologists commonly perform this service in a hospital or outpatient procedural setting to assess duct anatomy, drainage, or a suspected obstruction. Fluoroscopy, when used, is part of the service.

Choose this code when imaging is performed through existing access, rather than by establishing new percutaneous access. The record should identify the access route, document the contrast injection and imaging, and include the clinical reason and findings. Same-day preoperative and postoperative care is included in the 0-day global service. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. The biliary anatomy is not treated as a paired bilateral service, so modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service, and does not permit co-surgeon or team-surgery payment.

CMS billing rules for 47532

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
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 RVU4.14 · 17%
  • Practice expense (office) RVU19.60 · 81%
  • Malpractice RVU0.49 · 2%

339

Medicare services in 2024 · #3890 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.

47532 compared with similar codes

Office rates for Delaware, from the same CMS release.

47531

Cholangiogram

Through existing catheter

$394.00

Use 47532 for injection through established access. Use 47531 when percutaneous transhepatic access is involved in performing the cholangiogram.

47533

Biliary drainage

External catheter

$1,098.87

47533 describes biliary drainage catheter placement, not an injection-only cholangiogram through existing access.

47536

Biliary catheter exchange

Percutaneous

$597.91

47536 is for exchanging a biliary drainage catheter. Choose 47532 when the reported service is cholangiographic injection through existing access rather than catheter exchange.

The same code, a different location

How does Delaware compare?

47532 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $800.49

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $929.28

    $128.79 higher than Delaware

  3. Dc + Md/Va Suburbs

    $935.15

    $134.66 higher than Delaware

  4. Miami

    $861.17

    $60.68 higher than Delaware

  5. Chicago

    $834.74

    $34.25 higher than Delaware

  6. Manhattan

    $933.80

    $133.31 higher than Delaware

  7. Alaska*

    $913.65

    $113.16 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 47532 ranges from $709.06 in Arkansas to $1106.28 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Alabama

    Alabama · 47532

    Office

    $720.37

    Facility

    $172.09

    $80.12 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 47532

    Office

    $709.06

    Facility

    $170.81

    $91.43 lower than Delaware for the office setting.

  • Arizona

    Arizona · 47532

    Office

    $786.65

    Facility

    $179.48

    $13.84 lower than Delaware for the office setting.

  • Bakersfield

    California · 47532

    Office

    $868.38

    Facility

    $181.62

    $67.89 higher than Delaware for the office setting.

  • Chico

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • El Centro

    California · 47532

    Office

    $866.99

    Facility

    $180.23

    $66.50 higher than Delaware for the office setting.

  • Fresno

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Madera

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Merced

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Modesto

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Napa

    California · 47532

    Office

    $1018.14

    Facility

    $192.28

    $217.65 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 47532

    Office

    $926.15

    Facility

    $185.51

    $125.66 higher than Delaware for the office setting.

  • Redding

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Rest Of California

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 47532

    Office

    $872.23

    Facility

    $185.48

    $71.74 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 47532

    Office

    $913.40

    Facility

    $184.66

    $112.91 higher than Delaware for the office setting.

  • Salinas

    California · 47532

    Office

    $910.09

    Facility

    $183.86

    $109.60 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 47532

    Office

    $934.27

    Facility

    $184.85

    $133.78 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 47532

    Office

    $1082.00

    Facility

    $198.49

    $281.51 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 47532

    Office

    $1081.44

    Facility

    $197.93

    $280.95 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 47532

    Office

    $1106.28

    Facility

    $202.72

    $305.79 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 47532

    Office

    $1104.00

    Facility

    $200.45

    $303.51 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 47532

    Office

    $895.06

    Facility

    $181.36

    $94.57 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 47532

    Office

    $945.37

    Facility

    $184.04

    $144.88 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 47532

    Office

    $914.25

    Facility

    $183.64

    $113.76 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 47532

    Office

    $955.12

    Facility

    $185.65

    $154.63 higher than Delaware for the office setting.

  • Stockton

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Vallejo

    California · 47532

    Office

    $1017.34

    Facility

    $191.48

    $216.85 higher than Delaware for the office setting.

  • Visalia

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Yuba City

    California · 47532

    Office

    $866.91

    Facility

    $180.15

    $66.42 higher than Delaware for the office setting.

  • Colorado

    Colorado · 47532

    Office

    $849.28

    Facility

    $182.57

    $48.79 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 47532

    Office

    $865.91

    Facility

    $191.07

    $65.42 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 47532

    Office

    $831.04

    Facility

    $196.29

    $30.55 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 47532

    Office

    $788.73

    Facility

    $189.70

    $11.76 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 47532

    Office

    $823.48

    Facility

    $186.86

    $22.99 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 47532

    Office

    $741.74

    Facility

    $182.82

    $58.75 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 47532

    Office

    $892.10

    Facility

    $179.66

    $91.61 higher than Delaware for the office setting.

  • Iowa

    Iowa · 47532

    Office

    $743.79

    Facility

    $170.45

    $56.70 lower than Delaware for the office setting.

  • Idaho

    Idaho · 47532

    Office

    $748.31

    Facility

    $171.83

    $52.18 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 47532

    Office

    $773.53

    Facility

    $197.05

    $26.96 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 47532

    Office

    $761.56

    Facility

    $189.48

    $38.93 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 47532

    Office

    $840.58

    Facility

    $197.06

    $40.09 higher than Delaware for the office setting.

  • Indiana

    Indiana · 47532

    Office

    $753.10

    Facility

    $172.24

    $47.39 lower than Delaware for the office setting.

  • Kansas

    Kansas · 47532

    Office

    $738.34

    Facility

    $171.89

    $62.15 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 47532

    Office

    $735.25

    Facility

    $178.20

    $65.24 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 47532

    Office

    $772.90

    Facility

    $183.27

    $27.59 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 47532

    Office

    $733.33

    Facility

    $178.79

    $67.16 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 47532

    Office

    $940.18

    Facility

    $192.02

    $139.69 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 47532

    Office

    $842.89

    Facility

    $183.08

    $42.40 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 47532

    Office

    $863.19

    Facility

    $190.84

    $62.70 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 47532

    Office

    $817.20

    Facility

    $183.08

    $16.71 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 47532

    Office

    $750.74

    Facility

    $174.27

    $49.75 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 47532

    Office

    $797.37

    Facility

    $176.41

    $3.12 lower than Delaware for the office setting.

  • Detroit

    Michigan · 47532

    Office

    $797.62

    Facility

    $192.95

    $2.87 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 47532

    Office

    $754.46

    Facility

    $182.37

    $46.03 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 47532

    Office

    $816.77

    Facility

    $171.99

    $16.28 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 47532

    Office

    $768.99

    Facility

    $180.62

    $31.50 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 47532

    Office

    $777.91

    Facility

    $181.39

    $22.58 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 47532

    Office

    $718.54

    Facility

    $178.41

    $81.95 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 47532

    Office

    $714.03

    Facility

    $174.53

    $86.46 lower than Delaware for the office setting.

  • Montana**

    Montana · 47532

    Office

    $809.27

    Facility

    $182.67

    $8.78 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 47532

    Office

    $759.53

    Facility

    $174.91

    $40.96 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 47532

    Office

    $799.58

    Facility

    $172.98

    $0.91 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 47532

    Office

    $748.72

    Facility

    $170.36

    $51.77 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 47532

    Office

    $834.10

    Facility

    $181.81

    $33.61 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 47532

    Office

    $923.87

    Facility

    $197.02

    $123.38 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 47532

    Office

    $876.65

    Facility

    $192.40

    $76.16 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 47532

    Office

    $758.26

    Facility

    $183.66

    $42.23 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 47532

    Office

    $807.23

    Facility

    $180.00

    $6.74 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 47532

    Office

    $955.91

    Facility

    $210.88

    $155.42 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 47532

    Office

    $881.16

    Facility

    $195.03

    $80.67 higher than Delaware for the office setting.

  • Queens

    New York · 47532

    Office

    $944.54

    Facility

    $203.89

    $144.05 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 47532

    Office

    $771.71

    Facility

    $176.44

    $28.78 lower than Delaware for the office setting.

  • Ohio

    Ohio · 47532

    Office

    $752.48

    Facility

    $180.39

    $48.01 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 47532

    Office

    $735.61

    Facility

    $176.05

    $64.88 lower than Delaware for the office setting.

  • Portland

    Oregon · 47532

    Office

    $879.99

    Facility

    $183.84

    $79.50 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 47532

    Office

    $801.82

    Facility

    $177.73

    $1.33 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 47532

    Office

    $841.79

    Facility

    $189.50

    $41.30 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 47532

    Office

    $754.72

    Facility

    $179.50

    $45.77 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 47532

    Office

    $816.26

    Facility

    $182.77

    $15.77 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 47532

    Office

    $831.77

    Facility

    $184.49

    $31.28 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 47532

    Office

    $757.09

    Facility

    $178.12

    $43.40 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 47532

    Office

    $798.44

    Facility

    $171.84

    $2.05 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 47532

    Office

    $742.15

    Facility

    $172.57

    $58.34 lower than Delaware for the office setting.

  • Austin

    Texas · 47532

    Office

    $845.68

    Facility

    $182.74

    $45.19 higher than Delaware for the office setting.

  • Beaumont

    Texas · 47532

    Office

    $749.22

    Facility

    $179.02

    $51.27 lower than Delaware for the office setting.

  • Brazoria

    Texas · 47532

    Office

    $800.92

    Facility

    $179.96

    $0.43 higher than Delaware for the office setting.

  • Dallas

    Texas · 47532

    Office

    $805.61

    Facility

    $181.51

    $5.12 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 47532

    Office

    $799.27

    Facility

    $181.44

    $1.22 lower than Delaware for the office setting.

  • Galveston

    Texas · 47532

    Office

    $803.01

    Facility

    $180.80

    $2.52 higher than Delaware for the office setting.

  • Houston

    Texas · 47532

    Office

    $811.98

    Facility

    $189.77

    $11.49 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 47532

    Office

    $774.33

    Facility

    $179.68

    $26.16 lower than Delaware for the office setting.

  • Utah

    Utah · 47532

    Office

    $768.35

    Facility

    $179.35

    $32.14 lower than Delaware for the office setting.

  • Virginia

    Virginia · 47532

    Office

    $793.36

    Facility

    $177.41

    $7.13 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 47532

    Office

    $816.26

    Facility

    $182.77

    $15.77 higher than Delaware for the office setting.

  • Vermont

    Vermont · 47532

    Office

    $794.67

    Facility

    $174.34

    $5.82 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 47532

    Office

    $841.89

    Facility

    $182.08

    $41.40 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 47532

    Office

    $961.83

    Facility

    $192.99

    $161.34 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 47532

    Office

    $770.48

    Facility

    $170.20

    $30.01 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 47532

    Office

    $730.60

    Facility

    $186.08

    $69.89 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 47532

    Office

    $805.05

    Facility

    $178.45

    $4.56 higher than Delaware for the office setting.

See how rates vary across the country

47532 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$709.06

$986.60

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$913.651
AL$720.371
AR$709.061
AZ$786.651
CA$866.91–$1,106.2829
CO$849.281
CT$865.911
DC$935.151
DE$800.491
FL$788.73–$861.173
GA$741.74–$823.482
GU$892.101
HI$892.101
IA$743.791
ID$748.311
IL$761.56–$840.584
IN$753.101
KS$738.341
KY$735.251
LA$733.33–$772.902
MA$842.89–$940.182
MD$817.20–$935.153
ME$750.74–$797.372
MI$754.46–$797.622
MN$816.771
MO$718.54–$777.913
MS$714.031
MT$809.271
NC$759.531
ND$799.581
NE$748.721
NH$834.101
NJ$876.65–$923.872
NM$758.261
NV$807.231
NY$771.71–$955.915
OH$752.481
OK$735.611
OR$801.82–$879.992
PA$754.72–$841.792
PR$816.261
RI$831.771
SC$757.091
SD$798.441
TN$742.151
TX$749.22–$845.688
UT$768.351
VA$793.36–$935.152
VI$816.261
VT$794.671
WA$841.89–$961.832
WI$770.481
WV$730.601
WY$805.051

Explore 47532 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 47532 in Delaware, the physician’s office rate is $800.49 and the facility-setting rate is $181.40: a difference of $619.09.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 47532 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$880.54

$800.49 × 110% = $880.54

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.

Compare your contract offer →

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 47532 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

5,684

Code
47532
Physician work
4.14
Practice expense
19.60
Malpractice
0.49

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 47532 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.14× 1.0054.1607
Practice expense19.60× 0.98819.3648
Malpractice0.49× 0.8990.4405
Total RVUs23.9660
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$800.49

Open 47532 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.141.005
Practice expense19.60.988
Malpractice0.490.899

(4.14 × 1.005 + 19.6 × 0.988 + 0.49 × 0.899) × $33.4009 = $800.49

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.141.005
Practice expense0.840.988
Malpractice0.490.899

(4.14 × 1.005 + 0.84 × 0.988 + 0.49 × 0.899) × $33.4009 = $181.40

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

47532 · Office / nonfacility

$800.49

Effective 2026-10-01

The base rate is $19.10 higher than on 2025-10-01, moving from $781.39 to $800.49 (2.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $781.39changed to$800.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.25 changed to 4.14
    • Practice expense RVU 19.56 changed to 19.60
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $781.39

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$800.49$181.40RVU26D
2026-07-01$800.49$181.40RVU26C
2026-04-01$800.49$181.40RVU26B
2026-01-01$800.49$181.40RVU26A
2025-10-01$781.39$200.92RVU25D
2025-07-01$781.39$200.92RVU25C
2025-04-01$781.39$200.92RVU25B
2025-01-01$781.39$200.92RVU25A

47532 billing questions

How is 47532 different from 47531?

47532 is for cholangiographic injection through access that is already established. Use 47531 when the service involves percutaneous transhepatic access for the cholangiogram.

Is fluoroscopy separately reported?

Fluoroscopy, when performed as part of this injection service, is included. The documentation should support the contrast injection and resulting biliary imaging.

Can 47532 be reported for placing a biliary drain?

No. Drain placement is a different service; select the applicable placement code when a catheter is placed. This code describes imaging through existing access.

What should the record show to support 47532?

Document the pre-existing access route, contrast injection, cholangiographic imaging, clinical indication, and findings. The record should distinguish this work from new access or catheter placement.

Can modifier 50 be used for bilateral ducts?

No. The service is not treated as a paired bilateral procedure, and modifier 50 is inappropriate.

How does Medicare handle other procedures performed in the same session?

Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and reduces the other procedures to 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.

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.

RVUs for 47532PPRRVU2026_Oct_nonQPP.csv, line 5,684 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet