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CMS RVU26D · Effective 2026-10-01

47544 in Madera

Office / nonfacility

$853.33

Base rate per service

Facility setting

$132.16

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 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 rates for Madera, from the same CMS release.

47542

Biliary dilation

Bile duct or ampulla

$508.15

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.

47543

Biliary biopsy

Percutaneous endoluminal sampling

$395.73

47543 represents endoluminal biopsy of the biliary tree. It does not represent stone extraction.

47564

Laparoscopic cholecystectomy

With common duct exploration

No office rate

47564 applies to laparoscopic cholecystectomy with common duct exploration. It is distinct from percutaneous stone removal reported with 47544.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 47544 is $854.44—$1.11 higher than the $853.33 rate in Madera. Both use the same code, release and participation basis.

47544 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $853.33

  2. Bakersfield

    $854.44

    $1.11 higher than Madera

  3. Chico

    $853.33

    The same base rate than Madera

  4. El Centro

    $853.39

    $0.06 higher than Madera

  5. Fresno

    $853.33

    The same base rate than Madera

  6. Hanford-Corcoran

    $853.33

    The same base rate than Madera

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

    $916.06

    $62.73 higher than Madera

Other payment areas listed in California 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, 47544 ranges from $691.67 in Arkansas to $1096.25 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

  • Merced

    California · 47544

    Office

    $853.33

    Facility

    $132.16

    The same base rate than Madera for the office setting.

  • Modesto

    California · 47544

    Office

    $853.33

    Facility

    $132.16

    The same base rate than Madera for the office setting.

  • Napa

    California · 47544

    Office

    $1007.39

    Facility

    $140.14

    $154.06 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 47544

    Office

    $913.49

    Facility

    $135.74

    $60.16 higher than Madera for the office setting.

  • Redding

    California · 47544

    Office

    $853.33

    Facility

    $132.16

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 47544

    Office

    $853.33

    Facility

    $132.16

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 47544

    Office

    $857.35

    Facility

    $136.19

    $4.02 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 47544

    Office

    $900.47

    Facility

    $135.22

    $47.14 higher than Madera for the office setting.

  • Salinas

    California · 47544

    Office

    $897.25

    Facility

    $134.63

    $43.92 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 47544

    Office

    $922.13

    Facility

    $135.16

    $68.80 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 47544

    Office

    $1072.15

    Facility

    $144.37

    $218.82 higher than Madera for the office setting.

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

    California · 47544

    Office

    $1071.73

    Facility

    $143.95

    $218.40 higher than Madera for the office setting.

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

    California · 47544

    Office

    $1096.25

    Facility

    $147.42

    $242.92 higher than Madera for the office setting.

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

    California · 47544

    Office

    $1094.53

    Facility

    $145.70

    $241.20 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 47544

    Office

    $882.28

    Facility

    $132.82

    $28.95 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 47544

    Office

    $933.89

    Facility

    $134.42

    $80.56 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 47544

    Office

    $901.64

    Facility

    $134.41

    $48.31 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 47544

    Office

    $943.60

    Facility

    $135.58

    $90.27 higher than Madera for the office setting.

  • Stockton

    California · 47544

    Office

    $853.33

    Facility

    $132.16

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 47544

    Office

    $1006.78

    Facility

    $139.54

    $153.45 higher than Madera for the office setting.

  • Visalia

    California · 47544

    Office

    $853.33

    Facility

    $132.16

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 47544

    Office

    $853.33

    Facility

    $132.16

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 47544

    Office

    $919.63

    Facility

    $144.51

    $66.30 higher than Madera for the office setting.

  • Miami

    Florida · 47544

    Office

    $839.11

    Facility

    $154.13

    $14.22 lower than Madera for the office setting.

  • Chicago

    Illinois · 47544

    Office

    $812.72

    Facility

    $151.43

    $40.61 lower than Madera for the office setting.

  • Manhattan

    New York · 47544

    Office

    $915.77

    Facility

    $151.18

    $62.44 higher than Madera for the office setting.

  • Alaska*

    Alaska · 47544

    Office

    $884.26

    Facility

    $183.50

    $30.93 higher than Madera for the office setting.

  • Alabama

    Alabama · 47544

    Office

    $703.07

    Facility

    $127.32

    $150.26 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 47544

    Office

    $691.67

    Facility

    $126.45

    $161.66 lower than Madera for the office setting.

  • Arizona

    Arizona · 47544

    Office

    $769.95

    Facility

    $132.35

    $83.38 lower than Madera for the office setting.

  • Colorado

    Colorado · 47544

    Office

    $834.27

    Facility

    $134.17

    $19.06 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 47544

    Office

    $849.19

    Facility

    $140.52

    $4.14 lower than Madera for the office setting.

  • Delaware

    Delaware · 47544

    Office

    $783.81

    Facility

    $133.71

    $69.52 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 47544

    Office

    $811.34

    Facility

    $144.79

    $41.99 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 47544

    Office

    $769.19

    Facility

    $140.15

    $84.14 lower than Madera for the office setting.

  • Atlanta

    Georgia · 47544

    Office

    $806.18

    Facility

    $137.66

    $47.15 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 47544

    Office

    $722.25

    Facility

    $135.32

    $131.08 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 47544

    Office

    $879.65

    Facility

    $131.51

    $26.32 higher than Madera for the office setting.

  • Iowa

    Iowa · 47544

    Office

    $727.92

    Facility

    $125.85

    $125.41 lower than Madera for the office setting.

  • Idaho

    Idaho · 47544

    Office

    $732.22

    Facility

    $126.86

    $121.11 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 47544

    Office

    $751.27

    Facility

    $145.91

    $102.06 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 47544

    Office

    $740.98

    Facility

    $140.23

    $112.35 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 47544

    Office

    $821.07

    Facility

    $145.31

    $32.26 lower than Madera for the office setting.

  • Indiana

    Indiana · 47544

    Office

    $737.10

    Facility

    $127.13

    $116.23 lower than Madera for the office setting.

  • Kansas

    Kansas · 47544

    Office

    $721.83

    Facility

    $127.00

    $131.50 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 47544

    Office

    $716.81

    Facility

    $131.85

    $136.52 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 47544

    Office

    $754.56

    Facility

    $135.38

    $98.77 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 47544

    Office

    $714.65

    Facility

    $132.32

    $138.68 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 47544

    Office

    $926.26

    Facility

    $140.61

    $72.93 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 47544

    Office

    $827.49

    Facility

    $134.62

    $25.84 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 47544

    Office

    $846.40

    Facility

    $140.37

    $6.93 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 47544

    Office

    $800.74

    Facility

    $134.85

    $52.59 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 47544

    Office

    $734.06

    Facility

    $128.71

    $119.27 lower than Madera for the office setting.

  • Southern Maine

    Maine · 47544

    Office

    $781.98

    Facility

    $129.91

    $71.35 lower than Madera for the office setting.

  • Detroit

    Michigan · 47544

    Office

    $777.51

    Facility

    $142.55

    $75.82 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 47544

    Office

    $735.62

    Facility

    $134.86

    $117.71 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 47544

    Office

    $803.43

    Facility

    $126.35

    $49.90 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 47544

    Office

    $751.24

    Facility

    $133.38

    $102.09 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 47544

    Office

    $760.31

    Facility

    $133.89

    $93.02 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 47544

    Office

    $699.36

    Facility

    $132.16

    $153.97 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 47544

    Office

    $695.78

    Facility

    $129.24

    $157.55 lower than Madera for the office setting.

  • Montana**

    Montana · 47544

    Office

    $792.58

    Facility

    $134.58

    $60.75 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 47544

    Office

    $743.03

    Facility

    $129.11

    $110.30 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 47544

    Office

    $785.26

    Facility

    $127.26

    $68.07 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 47544

    Office

    $733.07

    Facility

    $125.74

    $120.26 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 47544

    Office

    $818.67

    Facility

    $133.69

    $34.66 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 47544

    Office

    $907.92

    Facility

    $144.64

    $54.59 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 47544

    Office

    $860.03

    Facility

    $141.49

    $6.70 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 47544

    Office

    $739.20

    Facility

    $135.81

    $114.13 lower than Madera for the office setting.

  • Nevada**

    Nevada · 47544

    Office

    $791.21

    Facility

    $132.56

    $62.12 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 47544

    Office

    $937.30

    Facility

    $154.94

    $83.97 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 47544

    Office

    $863.98

    Facility

    $143.47

    $10.65 higher than Madera for the office setting.

  • Queens

    New York · 47544

    Office

    $927.46

    Facility

    $149.70

    $74.13 higher than Madera for the office setting.

  • Rest Of New York

    New York · 47544

    Office

    $755.26

    Facility

    $130.17

    $98.07 lower than Madera for the office setting.

  • Ohio

    Ohio · 47544

    Office

    $734.12

    Facility

    $133.37

    $119.21 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 47544

    Office

    $717.80

    Facility

    $130.21

    $135.53 lower than Madera for the office setting.

  • Portland

    Oregon · 47544

    Office

    $865.89

    Facility

    $134.86

    $12.56 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 47544

    Office

    $786.24

    Facility

    $130.87

    $67.09 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 47544

    Office

    $824.52

    Facility

    $139.54

    $28.81 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 47544

    Office

    $736.71

    Facility

    $132.67

    $116.62 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 47544

    Office

    $799.82

    Facility

    $134.59

    $53.51 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 47544

    Office

    $815.52

    Facility

    $135.81

    $37.81 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 47544

    Office

    $739.57

    Facility

    $131.58

    $113.76 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 47544

    Office

    $784.40

    Facility

    $126.40

    $68.93 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 47544

    Office

    $725.61

    Facility

    $127.49

    $127.72 lower than Madera for the office setting.

  • Austin

    Texas · 47544

    Office

    $830.46

    Facility

    $134.30

    $22.87 lower than Madera for the office setting.

  • Beaumont

    Texas · 47544

    Office

    $731.12

    Facility

    $132.35

    $122.21 lower than Madera for the office setting.

  • Brazoria

    Texas · 47544

    Office

    $784.68

    Facility

    $132.60

    $68.65 lower than Madera for the office setting.

  • Dallas

    Texas · 47544

    Office

    $789.12

    Facility

    $133.75

    $64.21 lower than Madera for the office setting.

  • Fort Worth

    Texas · 47544

    Office

    $782.54

    Facility

    $133.76

    $70.79 lower than Madera for the office setting.

  • Galveston

    Texas · 47544

    Office

    $786.62

    Facility

    $133.23

    $66.71 lower than Madera for the office setting.

  • Houston

    Texas · 47544

    Office

    $793.39

    Facility

    $140.00

    $59.94 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 47544

    Office

    $757.06

    Facility

    $132.62

    $96.27 lower than Madera for the office setting.

  • Utah

    Utah · 47544

    Office

    $750.94

    Facility

    $132.42

    $102.39 lower than Madera for the office setting.

  • Virginia

    Virginia · 47544

    Office

    $777.52

    Facility

    $130.71

    $75.81 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 47544

    Office

    $799.82

    Facility

    $134.59

    $53.51 lower than Madera for the office setting.

  • Vermont

    Vermont · 47544

    Office

    $779.76

    Facility

    $128.35

    $73.57 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 47544

    Office

    $826.73

    Facility

    $133.86

    $26.60 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 47544

    Office

    $948.54

    Facility

    $141.18

    $95.21 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 47544

    Office

    $755.77

    Facility

    $125.41

    $97.56 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 47544

    Office

    $709.72

    Facility

    $137.92

    $143.61 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 47544

    Office

    $789.39

    Facility

    $131.39

    $63.94 lower than Madera for the office setting.

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.

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.

$691.67

$974.79

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$884.261
AL$703.071
AR$691.671
AZ$769.951
CA$853.33–$1,096.2529
CO$834.271
CT$849.191
DC$919.631
DE$783.811
FL$769.19–$839.113
GA$722.25–$806.182
GU$879.651
HI$879.651
IA$727.921
ID$732.221
IL$740.98–$821.074
IN$737.101
KS$721.831
KY$716.811
LA$714.65–$754.562
MA$827.49–$926.262
MD$800.74–$919.633
ME$734.06–$781.982
MI$735.62–$777.512
MN$803.431
MO$699.36–$760.313
MS$695.781
MT$792.581
NC$743.031
ND$785.261
NE$733.071
NH$818.671
NJ$860.03–$907.922
NM$739.201
NV$791.211
NY$755.26–$937.305
OH$734.121
OK$717.801
OR$786.24–$865.892
PA$736.71–$824.522
PR$799.821
RI$815.521
SC$739.571
SD$784.401
TN$725.611
TX$731.12–$830.468
UT$750.941
VA$777.52–$919.632
VI$799.821
VT$779.761
WA$826.73–$948.542
WI$755.771
WV$709.721
WY$789.391

Explore 47544 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 47544 in Madera, the physician’s office rate is $853.33 and the facility-setting rate is $132.16: a difference of $721.17.

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 47544 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$938.66

$853.33 × 110% = $938.66

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 47544 in Madera.

PPRRVU2026_Oct_nonQPP.csv

5,696

Code
47544
Physician work
3.20
Practice expense
20.16
Malpractice
0.37

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 47544 in Madera
ComponentRVULocality factorAdjusted
Physician work3.20× 1.0173.2544
Practice expense20.16× 1.09622.0954
Malpractice0.37× 0.5360.1983
Total RVUs25.5481
Conversion factor× 33.4009

Office / nonfacility rate, Madera$853.33

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 47544 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.21.017
Practice expense20.161.096
Malpractice0.370.536

(3.2 × 1.017 + 20.16 × 1.096 + 0.37 × 0.536) × $33.4009 = $853.33

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.21.017
Practice expense0.461.096
Malpractice0.370.536

(3.2 × 1.017 + 0.46 × 1.096 + 0.37 × 0.536) × $33.4009 = $132.16

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

47544 · Office / nonfacility

$853.33

Effective 2026-10-01

The base rate is $21.35 higher than on 2025-10-01, moving from $831.98 to $853.33 (2.6%).

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

    $831.98changed to$853.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.28 changed to 3.20
    • Practice expense RVU 20.31 changed to 20.16
    • Malpractice RVU 0.35 changed to 0.37
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $831.98

    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$853.33$132.16RVU26D
2026-07-01$853.33$132.16RVU26C
2026-04-01$853.33$132.16RVU26B
2026-01-01$853.33$132.16RVU26A
2025-10-01$831.98$147.16RVU25D
2025-07-01$831.98$147.16RVU25C
2025-04-01$831.98$147.16RVU25B
2025-01-01$831.98$147.16RVU25A

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.

RVUs for 47544PPRRVU2026_Oct_nonQPP.csv, line 5,696 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet