$3,705.99
Both codes concern percutaneous biliary stent placement. Use the code whose full descriptor matches the circumstances and device configuration documented for the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
47540 Biliary stent Medicare reimbursement rates in Colorado
Percutaneous biliary stent placement treats a bile duct obstruction or narrowing through an access route created through the skin. Compare 47540 office and facility rates across CMS payment localities in Colorado.
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 47540 in Colorado?
Colorado 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
$4185.54
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$376.16
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
Interventional radiology
About 47540: Percutaneous biliary stent placement
Percutaneous biliary stent placement treats a bile duct obstruction or narrowing through an access route created through the skin.
An interventional radiologist or other physician with appropriate procedural training places a stent in the bile ducts through percutaneous access, commonly using imaging to guide the device across an obstructed or narrowed segment. The procedure is generally performed in a hospital or another setting equipped for image-guided biliary intervention. Diagnostic cholangiography may be performed as part of the stent procedure.
Select this code when the documented service meets its specific percutaneous stent-placement circumstances; distinguish it from biliary drainage catheter placement, exchange, or duct dilation. The record should identify the biliary access, target duct or obstruction, stent placement, and imaging performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 47540
- 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 RVU8.80 · 7%
- Practice expense (office) RVU108.70 · 92%
- Malpractice RVU0.96 · 1%
131
Medicare services in 2024 · #4662 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.
47540 compared with similar codes
Office rates for Colorado, from the same CMS release.
$4,202.43
This is a related percutaneous biliary stent code. Check its full descriptor against the documented stent and drainage-catheter circumstances before selecting between the codes.
$1,167.51
47533 reports placement of an external biliary drainage catheter. Select 47540 when the documented service is the applicable percutaneous biliary stent placement.
$498.48
47542 describes dilation of a biliary duct or ampulla. It is not a substitute for reporting the applicable stent-placement service.
Compare 47540 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
Colorado →
Office / nonfacility
$4185.54
Facility
$376.16
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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 47540 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
5,692
- Code
- 47540
- Physician work
- 8.80
- Practice expense
- 108.70
- Malpractice
- 0.96
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.80 | × 1.012 | 8.9056 |
| Practice expense | 108.70 | × 1.064 | 115.6568 |
| Malpractice | 0.96 | × 0.781 | 0.7498 |
| Total RVUs | 125.3122 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$4185.54
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.8 | 1.012 |
| Practice expense | 108.7 | 1.064 |
| Malpractice | 0.96 | 0.781 |
(8.8 × 1.012 + 108.7 × 1.064 + 0.96 × 0.781) × $33.4009 = $4185.54
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.8 | 1.012 |
| Practice expense | 1.51 | 1.064 |
| Malpractice | 0.96 | 0.781 |
(8.8 × 1.012 + 1.51 × 1.064 + 0.96 × 0.781) × $33.4009 = $376.16
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.
47540 billing questions
How is this different from biliary drainage catheter placement?
This code describes placement of a biliary stent. Codes 47533 and 47534 describe placement of biliary drainage catheters rather than stent placement.
Is diagnostic cholangiography separately reported with the stent placement?
Diagnostic cholangiography may be part of the stent procedure. Review the code descriptor and documentation before considering a separate cholangiography code.
Does this code have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures 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.
5,68947537,,Removal biliary drg cath,A,,1.79,11.86,,0.52,,0.20,13.85,2.51,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69047538,,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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899