$709.06
Use 47532 for a percutaneous cholangiography injection through newly placed access. Code 47541 describes establishing access through the biliary tree into the small bowel.
On this page
CMS RVU26D · Effective 2026-10-01
47541 Biliary access Medicare reimbursement rates in Arkansas
Reports percutaneous creation of access through the biliary tree into the small bowel, typically to enable biliary intervention through that route. Compare 47541 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 47541 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$1037.18
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$273.42
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Biliary intervention
About 47541: Percutaneous biliary-to-bowel access placement
Reports percutaneous creation of access through the biliary tree into the small bowel, typically to enable biliary intervention through that route.
An interventional radiologist or other qualified physician creates a percutaneous route through the biliary tree and across into the small bowel. The service is used when access across the biliary pathway is needed for an intervention, rather than placement of a biliary drainage catheter or stent. Imaging guidance and associated radiological supervision and interpretation are included, as is diagnostic cholangiography when performed.
Report the code when documentation supports percutaneous access traversing the biliary tree into the small bowel. Record the route, access achieved, imaging guidance, and any cholangiography performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral adjustment is inappropriate for this anatomy and service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted for this code.
CMS billing rules for 47541
- 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 RVU6.58 · 19%
- Practice expense (office) RVU27.98 · 79%
- Malpractice RVU0.85 · 2%
137
Medicare services in 2024 · #4623 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.
47541 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$972.45
Use 47533 when a biliary drainage catheter is placed. Code 47541 describes access extending into the small bowel, not catheter drainage.
$1,071.85
Use 47534 for placement of a biliary drainage catheter; choose 47541 when the documented service is percutaneous access through the biliary tree into the small bowel.
$3,018.33
Use 47538 when a biliary stent is placed. Code 47541 describes access placement rather than stent treatment.
Compare 47541 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$1037.18
Facility
$273.42
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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 47541 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
5,693
- Code
- 47541
- Physician work
- 6.58
- Practice expense
- 27.98
- Malpractice
- 0.85
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.58 | × 1.000 | 6.5800 |
| Practice expense | 27.98 | × 0.859 | 24.0348 |
| Malpractice | 0.85 | × 0.515 | 0.4377 |
| Total RVUs | 31.0526 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$1037.18
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.58 | 1 |
| Practice expense | 27.98 | 0.859 |
| Malpractice | 0.85 | 0.515 |
(6.58 × 1 + 27.98 × 0.859 + 0.85 × 0.515) × $33.4009 = $1037.18
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.58 | 1 |
| Practice expense | 1.36 | 0.859 |
| Malpractice | 0.85 | 0.515 |
(6.58 × 1 + 1.36 × 0.859 + 0.85 × 0.515) × $33.4009 = $273.42
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.
47541 billing questions
How does this differ from biliary drainage catheter placement?
This code describes establishing percutaneous access through the biliary tree into the small bowel. Codes 47533 and 47534 describe placement of a biliary drainage catheter.
Is diagnostic cholangiography reported separately?
Diagnostic cholangiography performed as part of this access service is included. The documentation should identify whether it was performed and support the access route.
Can modifier 50 be used?
No bilateral adjustment applies; the anatomy and service make modifier 50 inappropriate.
Does Medicare allow an assistant or co-surgeon?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What same-session payment reduction should billers expect?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session are paid at 50%.
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.
5,69047538,,Perq plmt bile duct stent,A,,4.63,99.51,,0.92,,0.50,104.64,6.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69147539,,Perq plmt bile duct stent,A,,8.53,109.41,,1.46,,0.99,118.93,10.98,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69247540,,Perq plmt bile duct stent,A,,8.80,108.70,,1.51,,0.96,118.46,11.27,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69347541,,Plmt access bil tree sm bwl,A,,6.58,27.98,,1.36,,0.85,35.41,8.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69447542,,Dilate biliary duct/ampulla,A,,2.78,11.14,,0.40,,0.33,14.25,3.51,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69547543,,Endoluminal bx biliary tree,A,,2.93,7.93,,0.42,,0.33,11.19,3.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69647544,,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
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541