$1,033.63–$1,091.90
Choose 47533 for placement of a percutaneous external biliary drainage catheter. Choose 47536 when an existing catheter is exchanged.
On this page
CMS RVU26D · Effective 2026-10-01
47536 Biliary catheter exchange Medicare reimbursement rates in Michigan
Report this service when a clinician exchanges an existing percutaneous biliary drainage catheter, using the established access route to place its replacement. Compare 47536 office and facility rates across CMS payment localities in Michigan.
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 47536 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$561.36–$593.11
2 of 2 localities have a supported rate.
Facility setting
$114.00–$120.27
2 of 2 localities have a supported rate.
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 intervention
About 47536: Percutaneous biliary catheter exchange
Report this service when a clinician exchanges an existing percutaneous biliary drainage catheter, using the established access route to place its replacement.
An interventional radiologist or other qualified physician exchanges a biliary drainage catheter through an existing percutaneous access route, typically under imaging guidance. The service is used when a catheter needs replacement while biliary drainage access remains necessary, such as during a scheduled catheter change or when the existing catheter is obstructed or no longer functioning as intended. Fluoroscopic guidance is included when performed.
Choose this code for an exchange, not for creating new drainage access, changing an external catheter to an internal-external configuration, or simply removing a catheter. The report should identify the existing catheter and access, explain the exchange, and document the replacement catheter’s position and outcome. The code has 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 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 47536
- 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 RVU2.54 · 14%
- Practice expense (office) RVU15.28 · 84%
- Malpractice RVU0.28 · 2%
13.6K
Medicare services in 2024 · #1312 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.
47536 compared with similar codes
Office rates for Michigan, from the same CMS release.
$1,139.60–$1,203.91
Code 47534 describes placement of an internal-external drainage catheter. Code 47536 describes exchanging an existing biliary drainage catheter.
$788.86–$833.55
Code 47535 applies when the catheter is converted from external to internal-external drainage. A replacement without that configuration change is an exchange.
$429.00–$453.32
Code 47537 is for catheter removal without replacement; 47536 is for exchange with a replacement catheter.
Compare 47536 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$593.11
Facility
$120.27
Rest Of Michigan →
Office / nonfacility
$561.36
Facility
$114.00
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47536 billing questions
How is an exchange different from a new catheter placement?
Report 47536 when an existing percutaneous biliary drainage catheter is exchanged through its established access route. Codes 47533 and 47534 describe placement of a drainage catheter rather than exchange.
When should 47535 be considered instead?
Use 47535 for conversion of an external biliary drainage catheter to an internal-external catheter configuration. An exchange that replaces the catheter without that conversion is reported with 47536.
Is catheter removal reported as an exchange?
No. Code 47537 describes percutaneous removal of a biliary drainage catheter; 47536 describes exchange with a replacement catheter.
Is fluoroscopic guidance included?
Fluoroscopic guidance is included when performed. Document the exchange and the replacement catheter’s final position and outcome.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.
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.
5,68547533,,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
5,68847536,,Exchange biliary drg cath,A,,2.54,15.28,,0.61,,0.28,18.10,3.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,68947537,,Removal biliary drg cath,A,,1.79,11.86,,0.52,,0.20,13.85,2.51,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69047538,,Perq plmt bile duct stent,A,,4.63,99.51,,0.92,,0.50,104.64,6.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69147539,,Perq plmt bile duct stent,A,,8.53,109.41,,1.46,,0.99,118.93,10.98,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00