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 Biliary endoscopy Medicare reimbursement rates in Colorado
Report percutaneous biliary endoscopy with stone removal when a clinician uses endoscopic access through the skin to clear biliary duct calculi. Compare 47554 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 47554 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
No supported rate
Facility setting
$394.71
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 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 Colorado, from the same CMS release.
No office rate
47553 centers on biopsy during percutaneous biliary endoscopy. 47554 is selected when calculus removal is performed.
$834.27
47544 represents percutaneous calculus removal without the endoscopic service described by 47554. Base the choice on whether the documented procedure includes biliary endoscopy.
Compare 47554 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
Unavailable
Facility
$394.71
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Colorado.
PPRRVU2026_Oct_nonQPP.csv
5,700
- Code
- 47554
- Physician work
- 8.82
- Practice expense
- 1.80
- Malpractice
- 1.25
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.82 | × 1.012 | 8.9258 |
| Practice expense | 1.80 | × 1.064 | 1.9152 |
| Malpractice | 1.25 | × 0.781 | 0.9763 |
| Total RVUs | 11.8173 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$394.71
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.82 | 1.012 |
| Practice expense | 1.8 | 1.064 |
| Malpractice | 1.25 | 0.781 |
(8.82 × 1.012 + 1.8 × 1.064 + 1.25 × 0.781) × $33.4009 = $394.71
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.
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
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