No office rate
Choose 47554 when the endoscopic target is biliary calculi. Use 47555 for foreign material rather than stones.
On this page
CMS RVU26D · Effective 2026-10-01
47555 Biliary endoscopy Medicare reimbursement rates in California
Reports percutaneous endoscopic removal of foreign material from the biliary tree, such as a retained device fragment, through a skin access route. Compare 47555 office and facility rates across CMS payment localities in California.
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 47555 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$292.09–$322.81
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $30.72 per service.
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.
Where 47555 pays more and less in California
Biliary endoscopy
About 47555: Percutaneous biliary endoscopy with foreign-body removal
Reports percutaneous endoscopic removal of foreign material from the biliary tree, such as a retained device fragment, through a skin access route.
A physician passes an endoscope through a percutaneous tract into the biliary tree and removes foreign material. This may be performed by an interventional radiologist when an object or device fragment remains in the ducts after prior biliary access or treatment. The service is distinct from routine exchange or removal of a biliary drainage catheter and from endoscopic extraction of duct stones, which have separate codes.
Report the service when the procedure documentation supports endoscopic access and removal of foreign material; identify the access route and the material removed. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 is inappropriate for this service. CMS does not pay for an assistant at surgery, co-surgeons, or team surgery for this code.
CMS billing rules for 47555
- 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 RVU7.36 · 82%
- Practice expense (office) RVU0.68 · 8%
- Malpractice RVU0.96 · 11%
45
Medicare services in 2024 · #5422 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.
47555 compared with similar codes
Office rates for California, from the same CMS release.
$650.65–$835.13
47536 describes exchange of a biliary drainage catheter. It does not represent endoscopic removal of foreign material from the biliary tree.
$498.55–$641.17
47537 describes removal of a biliary drainage catheter. Use 47555 when the documented service is percutaneous endoscopic removal of foreign material.
Compare 47555 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $294.92 |
| Chico | Office Unavailable | Facility $292.09 |
| El Centro | Office Unavailable | Facility $292.25 |
| Fresno | Office Unavailable | Facility $292.09 |
| Hanford-Corcoran | Office Unavailable | Facility $292.09 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $304.07 |
| Madera | Office Unavailable | Facility $292.09 |
| Merced | Office Unavailable | Facility $292.09 |
| Modesto | Office Unavailable | Facility $292.09 |
| Napa | Office Unavailable | Facility $307.54 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $299.54 |
| Redding | Office Unavailable | Facility $292.09 |
| Rest Of California | Office Unavailable | Facility $292.09 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $302.50 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $298.28 |
| Salinas | Office Unavailable | Facility $296.96 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $297.75 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $315.93 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $314.84 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $322.81 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $318.35 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $293.07 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $295.78 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $296.38 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $298.28 |
| Stockton | Office Unavailable | Facility $292.09 |
| Vallejo | Office Unavailable | Facility $305.97 |
| Visalia | Office Unavailable | Facility $292.09 |
| Yuba City | Office Unavailable | Facility $292.09 |
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47555 billing questions
How is this different from 47554?
Use 47555 for endoscopic removal of foreign material. Code 47554 is the related endoscopy code for removal of biliary calculi.
Can this code describe a routine biliary drain exchange?
No. A routine exchange of a biliary drainage catheter is a different service; 47555 describes endoscopic removal of foreign material.
What documentation supports reporting 47555?
The procedure note should establish percutaneous endoscopic access into the biliary tree and identify the foreign material removed.
Should modifier 50 be appended?
No. The service is not billed as bilateral, making modifier 50 inappropriate.
How does CMS price related endoscopies performed together?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The record should support each service reported.
Are assistant surgeons or co-surgeons payable?
CMS does not pay an assistant at surgery for this code, and 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.
5,69847552,,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
5,70447563,,Laparo cholecystectomy/graph,A,,11.18,6.37,NA,6.37,,2.94,20.49,20.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00