$892.10
Both codes report percutaneous cholangiography. Choose 47531 for injection through an existing catheter and 47532 for imaging through newly created access.
On this page
CMS RVU26D · Effective 2026-10-01
47531 Cholangiogram Medicare reimbursement rates in Hawaii
Reports contrast injection through an existing biliary catheter to outline the bile ducts, with fluoroscopic imaging and interpretation included. Compare 47531 office and facility rates across CMS payment localities in Hawaii.
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 47531 in Hawaii?
Hawaii 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
$444.64
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$61.84
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 imaging
About 47531: Cholangiogram Through Existing Catheter
Reports contrast injection through an existing biliary catheter to outline the bile ducts, with fluoroscopic imaging and interpretation included.
This service uses an existing percutaneous biliary catheter to inject contrast and image the biliary tree under fluoroscopy. It can show duct anatomy, catheter position, or whether contrast passes through the ducts and into the bowel. Interventional radiologists and other physicians performing image-guided biliary procedures commonly provide it in a hospital or outpatient interventional setting. The code includes fluoroscopic guidance, image documentation, and the imaging report.
Report 47531 when the injection is performed through an already established catheter; use 47532 when the cholangiogram is performed through newly created access. The record should identify the existing catheter, document the contrast injection and fluoroscopic findings, and support the medical reason for imaging. This is a minor procedure with 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 multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 47531
- 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 RVU1.27 · 11%
- Practice expense (office) RVU10.52 · 88%
- Malpractice RVU0.14 · 1%
5.5K
Medicare services in 2024 · #1807 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.
47531 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$670.54
47531 describes a contrast study through an existing catheter; 47536 describes exchange of a biliary drainage catheter.
$514.06
47531 images the biliary tree through an existing catheter. 47537 reports removal of a biliary drainage catheter.
Compare 47531 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
Hawaii, Guam →
Office / nonfacility
$444.64
Facility
$61.84
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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 47531 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
5,683
- Code
- 47531
- Physician work
- 1.27
- Practice expense
- 10.52
- Malpractice
- 0.14
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.27 | × 1.000 | 1.2700 |
| Practice expense | 10.52 | × 1.137 | 11.9612 |
| Malpractice | 0.14 | × 0.579 | 0.0811 |
| Total RVUs | 13.3123 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$444.64
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 10.52 | 1.137 |
| Malpractice | 0.14 | 0.579 |
(1.27 × 1 + 10.52 × 1.137 + 0.14 × 0.579) × $33.4009 = $444.64
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 0.44 | 1.137 |
| Malpractice | 0.14 | 0.579 |
(1.27 × 1 + 0.44 × 1.137 + 0.14 × 0.579) × $33.4009 = $61.84
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.
47531 billing questions
When should 47531 be chosen over 47532?
Use 47531 for contrast injection through a catheter already in place. Use 47532 when the cholangiogram is performed through newly created access.
Is fluoroscopic guidance separately reported?
No. Fluoroscopic guidance, image documentation, and the imaging report are included in 47531.
Can modifier 50 be appended?
No. The bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does the multiple procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.
What documentation supports reporting 47531?
Document that an existing biliary catheter was used, the contrast injection and fluoroscopic findings, and the clinical purpose of the study.
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.
5,68047460,,Incise bile duct sphincter,A,,20.01,10.46,NA,10.46,,5.34,35.81,35.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68147480,,Incision of gallbladder,A,,12.92,8.98,NA,8.98,,3.18,25.08,25.08,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68247490,,Incision of gallbladder,A,,4.64,3.80,NA,3.80,,0.49,8.93,8.93,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68347531,,Injection for cholangiogram,A,,1.27,10.52,,0.44,,0.14,11.93,1.85,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68447532,,Injection for cholangiogram,A,,4.14,19.60,,0.84,,0.49,24.23,5.47,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68547533,,Plmt biliary drainage cath,A,,5.25,27.44,,0.97,,0.57,33.26,6.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68647534,,Plmt biliary drainage cath,A,,7.41,28.24,,1.26,,0.82,36.47,9.49,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014