No office rate
Choose 47552 for diagnostic percutaneous biliary endoscopy with brushing or washing specimen collection. Choose 47553 when the physician obtains tissue by biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
47553 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$245.29
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 procedures
About 47553: Percutaneous biliary endoscopy with biopsy
Reports percutaneous endoscopic inspection of the bile ducts when the physician obtains one or more tissue samples, such as during evaluation of a stricture.
A physician advances an endoscope through percutaneous access to inspect the biliary tree and obtain tissue from a ductal abnormality. Interventional radiologists and other physicians who perform percutaneous biliary procedures may use this approach to evaluate an indeterminate stricture or suspected duct lesion, often through access established for biliary drainage.
Report this code when endoscopic visualization is paired with biopsy; the code covers one or multiple samples in the session. Documentation should identify the access route, endoscopic findings, biopsy site or sites, and tissue sampling performed. Distinguish biopsy from diagnostic endoscopy with brushing or washing alone and from endoscopy performed for another therapeutic intervention. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. The anatomy makes modifier 50 inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 47553
- 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 RVU6.18 · 82%
- Practice expense (office) RVU0.57 · 8%
- Malpractice RVU0.81 · 11%
48
Medicare services in 2024 · #5378 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.
47553 compared with similar codes
Office rates for Madera, from the same CMS release.
$395.73
47543 is for percutaneous endoluminal biopsy of the biliary tree by a biopsy method; 47553 requires endoscopic visualization with biopsy.
No office rate
47554 is the sibling endoscopy code for calculus removal. Report 47553 when biopsy, rather than that therapeutic intervention, defines the endoscopic service.
The same code, a different location
How does Madera compare?
47553 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
Unavailable
No comparable rate is available in this setting.
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 · 47553
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
Modesto
California · 47553
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
Napa
California · 47553
Office
Unavailable
Facility
$258.26
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47553
Office
Unavailable
Facility
$251.56
No comparable office rate is available.
Redding
California · 47553
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
Rest Of California
California · 47553
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47553
Office
Unavailable
Facility
$254.08
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47553
Office
Unavailable
Facility
$250.49
No comparable office rate is available.
Salinas
California · 47553
Office
Unavailable
Facility
$249.38
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47553
Office
Unavailable
Facility
$250.04
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47553
Office
Unavailable
Facility
$265.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47553
Office
Unavailable
Facility
$264.37
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47553
Office
Unavailable
Facility
$271.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47553
Office
Unavailable
Facility
$267.32
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47553
Office
Unavailable
Facility
$246.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47553
Office
Unavailable
Facility
$248.39
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47553
Office
Unavailable
Facility
$248.90
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47553
Office
Unavailable
Facility
$250.49
No comparable office rate is available.
Stockton
California · 47553
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
Vallejo
California · 47553
Office
Unavailable
Facility
$256.93
No comparable office rate is available.
Visalia
California · 47553
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
Yuba City
California · 47553
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47553
Office
Unavailable
Facility
$270.10
No comparable office rate is available.
Miami
Florida · 47553
Office
Unavailable
Facility
$294.66
No comparable office rate is available.
Chicago
Illinois · 47553
Office
Unavailable
Facility
$289.09
No comparable office rate is available.
Manhattan
New York · 47553
Office
Unavailable
Facility
$284.66
No comparable office rate is available.
Alaska*
Alaska · 47553
Office
Unavailable
Facility
$344.81
No comparable office rate is available.
Alabama
Alabama · 47553
Office
Unavailable
Facility
$238.39
No comparable office rate is available.
Arkansas
Arkansas · 47553
Office
Unavailable
Facility
$236.70
No comparable office rate is available.
Arizona
Arizona · 47553
Office
Unavailable
Facility
$248.02
No comparable office rate is available.
Colorado
Colorado · 47553
Office
Unavailable
Facility
$250.28
No comparable office rate is available.
Connecticut
Connecticut · 47553
Office
Unavailable
Facility
$263.79
No comparable office rate is available.
Delaware
Delaware · 47553
Office
Unavailable
Facility
$250.58
No comparable office rate is available.
Fort Lauderdale
Florida · 47553
Office
Unavailable
Facility
$274.62
No comparable office rate is available.
Rest Of Florida
Florida · 47553
Office
Unavailable
Facility
$265.28
No comparable office rate is available.
Atlanta
Georgia · 47553
Office
Unavailable
Facility
$258.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 47553
Office
Unavailable
Facility
$255.65
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47553
Office
Unavailable
Facility
$243.73
No comparable office rate is available.
Iowa
Iowa · 47553
Office
Unavailable
Facility
$234.58
No comparable office rate is available.
Idaho
Idaho · 47553
Office
Unavailable
Facility
$236.73
No comparable office rate is available.
East St. Louis
Illinois · 47553
Office
Unavailable
Facility
$278.42
No comparable office rate is available.
Rest Of Illinois
Illinois · 47553
Office
Unavailable
Facility
$266.09
No comparable office rate is available.
Suburban Chicago
Illinois · 47553
Office
Unavailable
Facility
$275.36
No comparable office rate is available.
Indiana
Indiana · 47553
Office
Unavailable
Facility
$237.21
No comparable office rate is available.
Kansas
Kansas · 47553
Office
Unavailable
Facility
$237.26
No comparable office rate is available.
Kentucky
Kentucky · 47553
Office
Unavailable
Facility
$248.10
No comparable office rate is available.
New Orleans
Louisiana · 47553
Office
Unavailable
Facility
$255.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47553
Office
Unavailable
Facility
$249.19
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47553
Office
Unavailable
Facility
$261.69
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47553
Office
Unavailable
Facility
$251.33
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47553
Office
Unavailable
Facility
$263.62
No comparable office rate is available.
Rest Of Maryland
Maryland · 47553
Office
Unavailable
Facility
$252.58
No comparable office rate is available.
Rest Of Maine
Maine · 47553
Office
Unavailable
Facility
$240.76
No comparable office rate is available.
Southern Maine
Maine · 47553
Office
Unavailable
Facility
$242.36
No comparable office rate is available.
Detroit
Michigan · 47553
Office
Unavailable
Facility
$270.40
No comparable office rate is available.
Rest Of Michigan
Michigan · 47553
Office
Unavailable
Facility
$254.34
No comparable office rate is available.
Minnesota
Minnesota · 47553
Office
Unavailable
Facility
$234.02
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47553
Office
Unavailable
Facility
$250.73
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47553
Office
Unavailable
Facility
$251.65
No comparable office rate is available.
Rest Of Missouri
Missouri · 47553
Office
Unavailable
Facility
$249.18
No comparable office rate is available.
Mississippi
Mississippi · 47553
Office
Unavailable
Facility
$242.80
No comparable office rate is available.
Montana**
Montana · 47553
Office
Unavailable
Facility
$252.46
No comparable office rate is available.
North Carolina
North Carolina · 47553
Office
Unavailable
Facility
$241.47
No comparable office rate is available.
North Dakota**
North Dakota · 47553
Office
Unavailable
Facility
$236.44
No comparable office rate is available.
Nebraska
Nebraska · 47553
Office
Unavailable
Facility
$234.22
No comparable office rate is available.
New Hampshire
New Hampshire · 47553
Office
Unavailable
Facility
$249.91
No comparable office rate is available.
Northern Nj
New Jersey · 47553
Office
Unavailable
Facility
$270.40
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47553
Office
Unavailable
Facility
$265.14
No comparable office rate is available.
New Mexico
New Mexico · 47553
Office
Unavailable
Facility
$256.37
No comparable office rate is available.
Nevada**
Nevada · 47553
Office
Unavailable
Facility
$248.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47553
Office
Unavailable
Facility
$292.51
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47553
Office
Unavailable
Facility
$269.29
No comparable office rate is available.
Queens
New York · 47553
Office
Unavailable
Facility
$281.14
No comparable office rate is available.
Rest Of New York
New York · 47553
Office
Unavailable
Facility
$243.52
No comparable office rate is available.
Ohio
Ohio · 47553
Office
Unavailable
Facility
$251.07
No comparable office rate is available.
Oklahoma
Oklahoma · 47553
Office
Unavailable
Facility
$244.44
No comparable office rate is available.
Portland
Oregon · 47553
Office
Unavailable
Facility
$251.00
No comparable office rate is available.
Rest Of Oregon
Oregon · 47553
Office
Unavailable
Facility
$244.40
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47553
Office
Unavailable
Facility
$262.23
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47553
Office
Unavailable
Facility
$249.46
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47553
Office
Unavailable
Facility
$252.31
No comparable office rate is available.
Rhode Island
Rhode Island · 47553
Office
Unavailable
Facility
$254.14
No comparable office rate is available.
South Carolina
South Carolina · 47553
Office
Unavailable
Facility
$247.01
No comparable office rate is available.
South Dakota**
South Dakota · 47553
Office
Unavailable
Facility
$234.55
No comparable office rate is available.
Tennessee
Tennessee · 47553
Office
Unavailable
Facility
$238.25
No comparable office rate is available.
Austin
Texas · 47553
Office
Unavailable
Facility
$250.94
No comparable office rate is available.
Beaumont
Texas · 47553
Office
Unavailable
Facility
$248.88
No comparable office rate is available.
Brazoria
Texas · 47553
Office
Unavailable
Facility
$248.04
No comparable office rate is available.
Dallas
Texas · 47553
Office
Unavailable
Facility
$250.45
No comparable office rate is available.
Fort Worth
Texas · 47553
Office
Unavailable
Facility
$250.61
No comparable office rate is available.
Galveston
Texas · 47553
Office
Unavailable
Facility
$249.38
No comparable office rate is available.
Houston
Texas · 47553
Office
Unavailable
Facility
$264.20
No comparable office rate is available.
Rest Of Texas
Texas · 47553
Office
Unavailable
Facility
$248.92
No comparable office rate is available.
Utah
Utah · 47553
Office
Unavailable
Facility
$248.61
No comparable office rate is available.
Virginia
Virginia · 47553
Office
Unavailable
Facility
$244.23
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47553
Office
Unavailable
Facility
$252.31
No comparable office rate is available.
Vermont
Vermont · 47553
Office
Unavailable
Facility
$238.96
No comparable office rate is available.
Rest Of Washington
Washington · 47553
Office
Unavailable
Facility
$249.74
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47553
Office
Unavailable
Facility
$262.20
No comparable office rate is available.
Wisconsin
Wisconsin · 47553
Office
Unavailable
Facility
$232.99
No comparable office rate is available.
West Virginia
West Virginia · 47553
Office
Unavailable
Facility
$261.68
No comparable office rate is available.
Wyoming**
Wyoming · 47553
Office
Unavailable
Facility
$245.48
No comparable office rate is available.
See how rates vary across the country
47553 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 47553 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$269.82
$245.29 × 110% = $269.82
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 47553 in Madera.
PPRRVU2026_Oct_nonQPP.csv
5,699
- Code
- 47553
- Physician work
- 6.18
- Practice expense
- 0.57
- Malpractice
- 0.81
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.18 | × 1.017 | 6.2851 |
| Practice expense | 0.57 | × 1.096 | 0.6247 |
| Malpractice | 0.81 | × 0.536 | 0.4342 |
| Total RVUs | 7.3439 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$245.29
Open 47553 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.18 | 1.017 |
| Practice expense | 0.57 | 1.096 |
| Malpractice | 0.81 | 0.536 |
(6.18 × 1.017 + 0.57 × 1.096 + 0.81 × 0.536) × $33.4009 = $245.29
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
47553 · 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 | $245.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $245.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $245.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $245.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $262.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $262.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $262.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $262.21 | RVU25A |
47553 billing questions
When should I report this instead of 47552?
Use 47553 when the percutaneous endoscopy includes tissue biopsy. Code 47552 describes diagnostic endoscopy with specimen collection by brushing or washing.
Can I report multiple units for several biopsies?
The code includes single or multiple biopsies during the endoscopic session. Document the biopsy sites and sampling performed rather than counting each specimen as a separate unit.
Is brushing or washing included when a biopsy is performed?
The defining service is endoscopic biopsy. Do not separately report 47552 for diagnostic brushing or washing performed as part of the same endoscopy without support for a separately reportable service.
What global-period services are included?
The 0-day global period includes same-day preoperative and postoperative care. It does not create a multi-day postoperative period for this procedure.
Can an assistant or co-surgeon be paid for this procedure?
CMS statutorily restricts assistant-at-surgery payment for this code. 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.
5,69647544,,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
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
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508