No office rate
Choose 47552 for diagnostic percutaneous biliary endoscopy with brushing or washing specimen collection. Choose 47553 when the physician obtains tissue by biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
47553 Biliary endoscopy Medicare reimbursement rates in Kentucky
Reports percutaneous endoscopic inspection of the bile ducts when the physician obtains one or more tissue samples, such as during evaluation of a stricture. Compare 47553 office and facility rates across CMS payment localities in Kentucky.
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 47553 in Kentucky?
Kentucky 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
$248.10
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 procedures
About 47553: Percutaneous biliary endoscopy with biopsy
Reports percutaneous endoscopic inspection of the bile ducts when the physician obtains one or more tissue samples, such as during evaluation of a stricture.
A physician advances an endoscope through percutaneous access to inspect the biliary tree and obtain tissue from a ductal abnormality. Interventional radiologists and other physicians who perform percutaneous biliary procedures may use this approach to evaluate an indeterminate stricture or suspected duct lesion, often through access established for biliary drainage.
Report this code when endoscopic visualization is paired with biopsy; the code covers one or multiple samples in the session. Documentation should identify the access route, endoscopic findings, biopsy site or sites, and tissue sampling performed. Distinguish biopsy from diagnostic endoscopy with brushing or washing alone and from endoscopy performed for another therapeutic intervention. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. The anatomy makes modifier 50 inappropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 47553
- 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 RVU6.18 · 82%
- Practice expense (office) RVU0.57 · 8%
- Malpractice RVU0.81 · 11%
48
Medicare services in 2024 · #5378 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.
47553 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$343.42
47543 is for percutaneous endoluminal biopsy of the biliary tree by a biopsy method; 47553 requires endoscopic visualization with biopsy.
No office rate
47554 is the sibling endoscopy code for calculus removal. Report 47553 when biopsy, rather than that therapeutic intervention, defines the endoscopic service.
Compare 47553 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$248.10
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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 47553 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,699
- Code
- 47553
- Physician work
- 6.18
- Practice expense
- 0.57
- Malpractice
- 0.81
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.18 | × 1.000 | 6.1800 |
| Practice expense | 0.57 | × 0.889 | 0.5067 |
| Malpractice | 0.81 | × 0.915 | 0.7412 |
| Total RVUs | 7.4279 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$248.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.18 | 1 |
| Practice expense | 0.57 | 0.889 |
| Malpractice | 0.81 | 0.915 |
(6.18 × 1 + 0.57 × 0.889 + 0.81 × 0.915) × $33.4009 = $248.10
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.
47553 billing questions
When should I report this instead of 47552?
Use 47553 when the percutaneous endoscopy includes tissue biopsy. Code 47552 describes diagnostic endoscopy with specimen collection by brushing or washing.
Can I report multiple units for several biopsies?
The code includes single or multiple biopsies during the endoscopic session. Document the biopsy sites and sampling performed rather than counting each specimen as a separate unit.
Is brushing or washing included when a biopsy is performed?
The defining service is endoscopic biopsy. Do not separately report 47552 for diagnostic brushing or washing performed as part of the same endoscopy without support for a separately reportable service.
What global-period services are included?
The 0-day global period includes same-day preoperative and postoperative care. It does not create a multi-day postoperative period for this procedure.
Can an assistant or co-surgeon be paid for this procedure?
CMS statutorily restricts assistant-at-surgery payment 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.
5,69647544,,Removal duct glbldr calculi,A,,3.20,20.16,,0.46,,0.37,23.73,4.03,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69747550,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631