No office rate
47552 is for diagnostic percutaneous biliary endoscopy, including specimen collection when performed. Choose 47554 when the endoscopic service includes removing biliary stones.
On this page
CMS RVU26D · Effective 2026-10-01
47554 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$385.61
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 47554: Percutaneous biliary endoscopy with stone removal
Report percutaneous biliary endoscopy with stone removal when a clinician uses endoscopic access through the skin to clear biliary duct calculi.
This service uses an endoscope passed through a percutaneous route to directly examine the biliary ducts and remove one or more stones. Interventional radiologists commonly perform it in a hospital facility, including when duct stones need treatment through percutaneous biliary access rather than an endoscopic route through the digestive tract. The service is distinct from diagnostic inspection or biopsy alone: the endoscopic procedure includes calculus removal.
Select the code when documentation supports percutaneous biliary endoscopy and stone extraction, rather than a different therapeutic endoscopic maneuver or nonendoscopic calculus removal. The record should identify the access route, biliary site, stones treated, and removal performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Bilateral adjustment is inappropriate. Assistant-at-surgery services are not paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 47554
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.82 · 74%
- Practice expense (office) RVU1.80 · 15%
- Malpractice RVU1.25 · 11%
274
Medicare services in 2024 · #4062 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.
47554 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
47553 centers on biopsy during percutaneous biliary endoscopy. 47554 is selected when calculus removal is performed.
$789.39
47544 represents percutaneous calculus removal without the endoscopic service described by 47554. Base the choice on whether the documented procedure includes biliary endoscopy.
The same code, a different location
How does Wyoming** compare?
47554 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 47554
Office
Unavailable
Facility
$370.83
No comparable office rate is available.
Arkansas
Arkansas · 47554
Office
Unavailable
Facility
$367.74
No comparable office rate is available.
Arizona
Arizona · 47554
Office
Unavailable
Facility
$388.59
No comparable office rate is available.
Bakersfield
California · 47554
Office
Unavailable
Facility
$391.51
No comparable office rate is available.
Chico
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
El Centro
California · 47554
Office
Unavailable
Facility
$388.08
No comparable office rate is available.
Fresno
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Hanford-Corcoran
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Madera
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Merced
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Modesto
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Napa
California · 47554
Office
Unavailable
Facility
$413.61
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47554
Office
Unavailable
Facility
$399.92
No comparable office rate is available.
Redding
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Rest Of California
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47554
Office
Unavailable
Facility
$401.41
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47554
Office
Unavailable
Facility
$397.50
No comparable office rate is available.
Salinas
California · 47554
Office
Unavailable
Facility
$395.79
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47554
Office
Unavailable
Facility
$397.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47554
Office
Unavailable
Facility
$426.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47554
Office
Unavailable
Facility
$425.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47554
Office
Unavailable
Facility
$436.08
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47554
Office
Unavailable
Facility
$430.27
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47554
Office
Unavailable
Facility
$390.46
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47554
Office
Unavailable
Facility
$396.21
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47554
Office
Unavailable
Facility
$395.33
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47554
Office
Unavailable
Facility
$399.64
No comparable office rate is available.
Stockton
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Vallejo
California · 47554
Office
Unavailable
Facility
$411.56
No comparable office rate is available.
Visalia
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Yuba City
California · 47554
Office
Unavailable
Facility
$387.88
No comparable office rate is available.
Colorado
Colorado · 47554
Office
Unavailable
Facility
$394.71
No comparable office rate is available.
Connecticut
Connecticut · 47554
Office
Unavailable
Facility
$415.76
No comparable office rate is available.
Delaware
Delaware · 47554
Office
Unavailable
Facility
$393.00
No comparable office rate is available.
Fort Lauderdale
Florida · 47554
Office
Unavailable
Facility
$430.99
No comparable office rate is available.
Rest Of Florida
Florida · 47554
Office
Unavailable
Facility
$414.82
No comparable office rate is available.
Atlanta
Georgia · 47554
Office
Unavailable
Facility
$406.71
No comparable office rate is available.
Rest Of Georgia
Georgia · 47554
Office
Unavailable
Facility
$397.99
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47554
Office
Unavailable
Facility
$387.13
No comparable office rate is available.
Iowa
Iowa · 47554
Office
Unavailable
Facility
$366.18
No comparable office rate is available.
Idaho
Idaho · 47554
Office
Unavailable
Facility
$369.66
No comparable office rate is available.
East St. Louis
Illinois · 47554
Office
Unavailable
Facility
$433.99
No comparable office rate is available.
Rest Of Illinois
Illinois · 47554
Office
Unavailable
Facility
$414.74
No comparable office rate is available.
Suburban Chicago
Illinois · 47554
Office
Unavailable
Facility
$432.39
No comparable office rate is available.
Indiana
Indiana · 47554
Office
Unavailable
Facility
$370.62
No comparable office rate is available.
Kansas
Kansas · 47554
Office
Unavailable
Facility
$369.99
No comparable office rate is available.
Kentucky
Kentucky · 47554
Office
Unavailable
Facility
$386.25
No comparable office rate is available.
New Orleans
Louisiana · 47554
Office
Unavailable
Facility
$398.60
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47554
Office
Unavailable
Facility
$387.80
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47554
Office
Unavailable
Facility
$415.62
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47554
Office
Unavailable
Facility
$395.89
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47554
Office
Unavailable
Facility
$415.47
No comparable office rate is available.
Rest Of Maryland
Maryland · 47554
Office
Unavailable
Facility
$396.71
No comparable office rate is available.
Rest Of Maine
Maine · 47554
Office
Unavailable
Facility
$375.88
No comparable office rate is available.
Southern Maine
Maine · 47554
Office
Unavailable
Facility
$380.52
No comparable office rate is available.
Detroit
Michigan · 47554
Office
Unavailable
Facility
$423.01
No comparable office rate is available.
Rest Of Michigan
Michigan · 47554
Office
Unavailable
Facility
$396.62
No comparable office rate is available.
Minnesota
Minnesota · 47554
Office
Unavailable
Facility
$368.82
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47554
Office
Unavailable
Facility
$391.84
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47554
Office
Unavailable
Facility
$393.67
No comparable office rate is available.
Rest Of Missouri
Missouri · 47554
Office
Unavailable
Facility
$387.09
No comparable office rate is available.
Mississippi
Mississippi · 47554
Office
Unavailable
Facility
$377.21
No comparable office rate is available.
Montana**
Montana · 47554
Office
Unavailable
Facility
$396.39
No comparable office rate is available.
North Carolina
North Carolina · 47554
Office
Unavailable
Facility
$377.37
No comparable office rate is available.
North Dakota**
North Dakota · 47554
Office
Unavailable
Facility
$371.67
No comparable office rate is available.
Nebraska
Nebraska · 47554
Office
Unavailable
Facility
$365.87
No comparable office rate is available.
New Hampshire
New Hampshire · 47554
Office
Unavailable
Facility
$393.71
No comparable office rate is available.
Northern Nj
New Jersey · 47554
Office
Unavailable
Facility
$427.49
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47554
Office
Unavailable
Facility
$417.83
No comparable office rate is available.
New Mexico
New Mexico · 47554
Office
Unavailable
Facility
$399.87
No comparable office rate is available.
Nevada**
Nevada · 47554
Office
Unavailable
Facility
$389.56
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47554
Office
Unavailable
Facility
$462.47
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47554
Office
Unavailable
Facility
$424.20
No comparable office rate is available.
Queens
New York · 47554
Office
Unavailable
Facility
$444.72
No comparable office rate is available.
Rest Of New York
New York · 47554
Office
Unavailable
Facility
$381.06
No comparable office rate is available.
Ohio
Ohio · 47554
Office
Unavailable
Facility
$391.57
No comparable office rate is available.
Oklahoma
Oklahoma · 47554
Office
Unavailable
Facility
$380.73
No comparable office rate is available.
Portland
Oregon · 47554
Office
Unavailable
Facility
$397.17
No comparable office rate is available.
Rest Of Oregon
Oregon · 47554
Office
Unavailable
Facility
$383.83
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47554
Office
Unavailable
Facility
$412.29
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47554
Office
Unavailable
Facility
$389.24
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47554
Office
Unavailable
Facility
$396.50
No comparable office rate is available.
Rhode Island
Rhode Island · 47554
Office
Unavailable
Facility
$399.54
No comparable office rate is available.
South Carolina
South Carolina · 47554
Office
Unavailable
Facility
$385.64
No comparable office rate is available.
South Dakota**
South Dakota · 47554
Office
Unavailable
Facility
$368.75
No comparable office rate is available.
Tennessee
Tennessee · 47554
Office
Unavailable
Facility
$371.67
No comparable office rate is available.
Austin
Texas · 47554
Office
Unavailable
Facility
$395.79
No comparable office rate is available.
Beaumont
Texas · 47554
Office
Unavailable
Facility
$388.09
No comparable office rate is available.
Brazoria
Texas · 47554
Office
Unavailable
Facility
$389.10
No comparable office rate is available.
Dallas
Texas · 47554
Office
Unavailable
Facility
$392.95
No comparable office rate is available.
Fort Worth
Texas · 47554
Office
Unavailable
Facility
$392.89
No comparable office rate is available.
Galveston
Texas · 47554
Office
Unavailable
Facility
$391.22
No comparable office rate is available.
Houston
Texas · 47554
Office
Unavailable
Facility
$414.10
No comparable office rate is available.
Rest Of Texas
Texas · 47554
Office
Unavailable
Facility
$389.35
No comparable office rate is available.
Utah
Utah · 47554
Office
Unavailable
Facility
$388.60
No comparable office rate is available.
Virginia
Virginia · 47554
Office
Unavailable
Facility
$383.17
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47554
Office
Unavailable
Facility
$396.50
No comparable office rate is available.
Vermont
Vermont · 47554
Office
Unavailable
Facility
$375.24
No comparable office rate is available.
Rest Of Washington
Washington · 47554
Office
Unavailable
Facility
$393.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47554
Office
Unavailable
Facility
$417.21
No comparable office rate is available.
Wisconsin
Wisconsin · 47554
Office
Unavailable
Facility
$365.05
No comparable office rate is available.
West Virginia
West Virginia · 47554
Office
Unavailable
Facility
$406.59
No comparable office rate is available.
See how rates vary across the country
47554 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 47554 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$424.17
$385.61 × 110% = $424.17
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 47554 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,700
- Code
- 47554
- Physician work
- 8.82
- Practice expense
- 1.80
- Malpractice
- 1.25
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.82 | × 1.000 | 8.8200 |
| Practice expense | 1.80 | × 1.000 | 1.8000 |
| Malpractice | 1.25 | × 0.740 | 0.9250 |
| Total RVUs | 11.5450 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$385.61
Open 47554 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.82 | 1 |
| Practice expense | 1.8 | 1 |
| Malpractice | 1.25 | 0.74 |
(8.82 × 1 + 1.8 × 1 + 1.25 × 0.74) × $33.4009 = $385.61
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
47554 · 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 | $385.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $385.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $385.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $385.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $418.12 | RVU25D |
| 2025-07-01 | Not available in this setting | $418.12 | RVU25C |
| 2025-04-01 | Not available in this setting | $418.12 | RVU25B |
| 2025-01-01 | Not available in this setting | $418.12 | RVU25A |
47554 billing questions
How does 47554 differ from diagnostic biliary endoscopy?
Use 47554 when the percutaneous endoscopic service includes removal of biliary calculi. Diagnostic inspection or specimen collection without stone removal points to the diagnostic endoscopy code instead.
How is 47554 different from 47544?
47554 describes stone removal performed as part of percutaneous biliary endoscopy. 47544 describes percutaneous calculus removal without the endoscopic service represented by 47554.
Can a related biliary endoscopy be reported during the same session?
Related endoscopies performed together are subject to CMS endoscopy family pricing. The documentation should identify each service actually performed.
Should modifier 50 be used for stones in both sides of the biliary tree?
No. CMS identifies bilateral adjustment as inappropriate for this code; its descriptor or anatomy makes modifier 50 unsuitable.
Can an assistant or co-surgeon be paid for this procedure?
Assistant-at-surgery services are not paid. Co-surgeons are paid only when supporting documentation is submitted; team surgery is not permitted.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic 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.
5,69747550,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,