No office rate
47552 describes diagnostic percutaneous biliary endoscopy with optional brushing or washing. Choose 47543 when tissue biopsy is performed.
On this page
CMS RVU26D · Effective 2026-10-01
47543 Biliary biopsy Medicare reimbursement rates in Michigan
Reports percutaneous tissue sampling from inside the biliary tree, such as biopsy of a duct lesion or stricture during a biliary intervention. Compare 47543 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 47543 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
$352.13–$372.05
2 of 2 localities have a supported rate.
Facility setting
$123.12–$129.99
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.
Interventional radiology
About 47543: Percutaneous biliary tree biopsy
Reports percutaneous tissue sampling from inside the biliary tree, such as biopsy of a duct lesion or stricture during a biliary intervention.
An interventional radiologist or other qualified physician obtains tissue from within the bile ducts through percutaneous biliary access. Sampling may use a brush, forceps, needle, or another method, and may target a suspicious duct lesion or a stricture being evaluated for a cause. The code covers single or multiple samples; the route is through the skin rather than through the gastrointestinal tract.
Select this service when tissue biopsy of the biliary tree is performed, not merely diagnostic inspection or cytology collection by brushing or washing. Document the biliary site sampled, the percutaneous route, the biopsy method, and the clinical reason for tissue evaluation. This is an add-on code: report it only with a primary procedure, and CMS payment falls within that primary procedure’s global period. The primary procedure and biopsy should be supported by the operative or procedure record.
CMS billing rules for 47543
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.93 · 26%
- Practice expense (office) RVU7.93 · 71%
- Malpractice RVU0.33 · 3%
479
Medicare services in 2024 · #3602 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.
47543 compared with similar codes
Office rates for Michigan, from the same CMS release.
$445.01–$470.50
47542 is for dilation of a biliary duct or the ampulla. It does not describe tissue sampling, though dilation and biopsy may occur in one session.
$735.62–$777.51
47544 addresses removal of calculi from the bile duct or gallbladder. Use 47543 for tissue sampling, not stone removal.
Compare 47543 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
$372.05
Facility
$129.99
Rest Of Michigan →
Office / nonfacility
$352.13
Facility
$123.12
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.
47543 billing questions
When should this code be selected instead of 47552?
Use 47543 for tissue biopsy from within the biliary tree. Code 47552 describes percutaneous diagnostic biliary endoscopy with or without brushing or washing for specimen collection.
Can 47543 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure; payment is within that procedure’s global period.
Does one code cover multiple biopsy samples?
Yes. The code covers single or multiple samples, so the number of tissue bites or specimens does not by itself determine the code.
What documentation supports reporting the biopsy?
Document the percutaneous biliary route, the duct site or lesion sampled, the sampling method, and the reason tissue was obtained.
Is brushing or washing alone enough to report 47543?
No. The service is for endoluminal tissue biopsy. Brushing or washing for specimen collection during diagnostic biliary endoscopy is described by 47552.
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.
5,69247540,,Perq plmt bile duct stent,A,,8.80,108.70,,1.51,,0.96,118.46,11.27,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69347541,,Plmt access bil tree sm bwl,A,,6.58,27.98,,1.36,,0.85,35.41,8.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69447542,,Dilate biliary duct/ampulla,A,,2.78,11.14,,0.40,,0.33,14.25,3.51,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69547543,,Endoluminal bx biliary tree,A,,2.93,7.93,,0.42,,0.33,11.19,3.68,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,69647544,,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