No office rate
47555 describes endoscopic removal of biliary calculi. Use 47556 when the documented service includes destruction of a lesion, such as lithotripsy.
On this page
CMS RVU26D · Effective 2026-10-01
47556 Biliary endoscopy Medicare reimbursement rates in Indiana
Percutaneous biliary endoscopy with lesion destruction is reported when an endoscope introduced through the skin is used to destroy a lesion in the biliary tree. Compare 47556 office and facility rates across CMS payment localities in Indiana.
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 47556 in Indiana?
Indiana 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
$320.10
1 of 1 localities have a supported rate.
Payment area: Indiana
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 47556: Percutaneous biliary endoscopy with lesion destruction
Percutaneous biliary endoscopy with lesion destruction is reported when an endoscope introduced through the skin is used to destroy a lesion in the biliary tree.
An interventional radiologist or other qualified physician advances an endoscope through percutaneous access into the biliary tree to visualize and destroy a lesion. A typical use is cholangioscopic fragmentation of a bile duct calculus with a destructive technique such as lithotripsy. The service is generally performed in a hospital or other facility with imaging support; it is distinct from simply retrieving a calculus with a basket or other extraction device.
Report this code when documentation supports endoscopic visualization and destruction, rather than diagnostic inspection alone, biopsy, duct dilation, or removal without destruction. Record the target lesion, approach, endoscopic findings, and destruction method. 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. Modifier 50 is inappropriate. CMS does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 47556
- 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 RVU8.34 · 82%
- Practice expense (office) RVU0.77 · 8%
- Malpractice RVU1.09 · 11%
22
Medicare services in 2024 · #5871 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.
47556 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
47554 applies to endoscopic dilation of a biliary duct; 47556 applies to destruction of a lesion.
No office rate
47553 is for endoscopic biopsy of the biliary tree. It does not describe destruction of the target lesion.
No office rate
47552 covers diagnostic endoscopy with specimen collection by brushing or washing. Choose 47556 for documented therapeutic lesion destruction.
Compare 47556 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
Indiana →
Office / nonfacility
Unavailable
Facility
$320.10
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 47556 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,702
- Code
- 47556
- Physician work
- 8.34
- Practice expense
- 0.77
- Malpractice
- 1.09
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.34 | × 1.000 | 8.3400 |
| Practice expense | 0.77 | × 0.927 | 0.7138 |
| Malpractice | 1.09 | × 0.486 | 0.5297 |
| Total RVUs | 9.5835 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$320.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.34 | 1 |
| Practice expense | 0.77 | 0.927 |
| Malpractice | 1.09 | 0.486 |
(8.34 × 1 + 0.77 × 0.927 + 1.09 × 0.486) × $33.4009 = $320.10
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.
47556 billing questions
How does this differ from 47555?
Use 47556 when endoscopic lesion destruction is performed, such as lithotripsy. Code 47555 describes endoscopic removal of calculi without that destruction service.
When should 47554 be considered instead?
47554 is for endoscopic dilation of a biliary duct. Choose 47556 when the documented service is destruction of a lesion rather than duct dilation.
What documentation supports reporting 47556?
Document percutaneous endoscopic access, the target lesion and findings, and the method used to destroy it. The record should distinguish destruction from inspection, biopsy, dilation, or retrieval alone.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy does not support bilateral reporting.
How are related endoscopies paid when performed together?
CMS applies endoscopy family pricing when related endoscopies are performed together. Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant or co-surgeon be reported?
CMS does not pay for an assistant at surgery for this code. 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.
5,69947553,,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
5,70547564,,Laparo cholecystectomy/explr,A,,17.55,9.63,NA,9.63,,4.60,31.78,31.78,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915