$367.90
Use 47532 for injection through established access. Use 47531 when percutaneous transhepatic access is involved in performing the cholangiogram.
On this page
CMS RVU26D · Effective 2026-10-01
47532 Cholangiography Medicare reimbursement rates in Idaho
Reports contrast injection through an established biliary access route to image the bile ducts, without creating new percutaneous access or placing a drain. Compare 47532 office and facility rates across CMS payment localities in Idaho.
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 47532 in Idaho?
Idaho 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
$748.31
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$171.83
1 of 1 localities have a supported rate.
Payment area: Idaho
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 47532: Cholangiography injection through existing access
Reports contrast injection through an established biliary access route to image the bile ducts, without creating new percutaneous access or placing a drain.
A physician injects contrast through an established route into the biliary system and obtains cholangiographic images. The route may be an existing biliary catheter or other established access. Interventional radiologists commonly perform this service in a hospital or outpatient procedural setting to assess duct anatomy, drainage, or a suspected obstruction. Fluoroscopy, when used, is part of the service.
Choose this code when imaging is performed through existing access, rather than by establishing new percutaneous access. The record should identify the access route, document the contrast injection and imaging, and include the clinical reason and findings. Same-day preoperative and postoperative care is included in the 0-day global service. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. The biliary anatomy is not treated as a paired bilateral service, so modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service, and does not permit co-surgeon or team-surgery payment.
CMS billing rules for 47532
- 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 RVU4.14 · 17%
- Practice expense (office) RVU19.60 · 81%
- Malpractice RVU0.49 · 2%
339
Medicare services in 2024 · #3890 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.
47532 compared with similar codes
Office rates for Idaho, from the same CMS release.
$1,027.56
47533 describes biliary drainage catheter placement, not an injection-only cholangiogram through existing access.
$558.80
47536 is for exchanging a biliary drainage catheter. Choose 47532 when the reported service is cholangiographic injection through existing access rather than catheter exchange.
Compare 47532 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
Idaho →
Office / nonfacility
$748.31
Facility
$171.83
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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 47532 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
5,684
- Code
- 47532
- Physician work
- 4.14
- Practice expense
- 19.60
- Malpractice
- 0.49
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.14 | × 1.000 | 4.1400 |
| Practice expense | 19.60 | × 0.920 | 18.0320 |
| Malpractice | 0.49 | × 0.473 | 0.2318 |
| Total RVUs | 22.4038 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$748.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.14 | 1 |
| Practice expense | 19.6 | 0.92 |
| Malpractice | 0.49 | 0.473 |
(4.14 × 1 + 19.6 × 0.92 + 0.49 × 0.473) × $33.4009 = $748.31
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.14 | 1 |
| Practice expense | 0.84 | 0.92 |
| Malpractice | 0.49 | 0.473 |
(4.14 × 1 + 0.84 × 0.92 + 0.49 × 0.473) × $33.4009 = $171.83
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.
47532 billing questions
How is 47532 different from 47531?
47532 is for cholangiographic injection through access that is already established. Use 47531 when the service involves percutaneous transhepatic access for the cholangiogram.
Is fluoroscopy separately reported?
Fluoroscopy, when performed as part of this injection service, is included. The documentation should support the contrast injection and resulting biliary imaging.
Can 47532 be reported for placing a biliary drain?
No. Drain placement is a different service; select the applicable placement code when a catheter is placed. This code describes imaging through existing access.
What should the record show to support 47532?
Document the pre-existing access route, contrast injection, cholangiographic imaging, clinical indication, and findings. The record should distinguish this work from new access or catheter placement.
Can modifier 50 be used for bilateral ducts?
No. The service is not treated as a paired bilateral procedure, and modifier 50 is inappropriate.
How does Medicare handle other procedures performed in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and reduces the other procedures to 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.
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.
5,68147480,,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
5,68747535,,Conversion ext bil drg cath,A,,3.85,21.12,,0.79,,0.43,25.40,5.07,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772