No office rate
47563 reports laparoscopic gallbladder removal with contrast cholangiography. Use 47550 for intraoperative endoscopic viewing of the bile ducts, not for the contrast study.
On this page
CMS RVU26D · Effective 2026-10-01
47550 Biliary endoscopy Medicare reimbursement rates in Michigan
Reports direct endoscopic inspection of the bile ducts during an operation, such as cholecystectomy with duct exploration, as an add-on to the primary procedure. Compare 47550 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 47550 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
No supported rate
Facility setting
$146.01–$160.42
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.
Gastrointestinal surgery
About 47550: Intraoperative biliary endoscopy
Reports direct endoscopic inspection of the bile ducts during an operation, such as cholecystectomy with duct exploration, as an add-on to the primary procedure.
During an operation, the surgeon passes an endoscope into the biliary tree to inspect the ducts directly. This may help assess the common bile duct when stones or another duct abnormality are suspected during gallbladder or bile duct surgery. The service is performed in the operating room as part of the operative encounter; it is not the same as imaging the ducts with contrast or endoscopy through a percutaneous access tract.
Report 47550 only with an eligible primary procedure, not as a stand-alone service. The operative report should identify the primary operation and document that biliary endoscopy was performed, including the duct examined and relevant findings. CMS treats this as an add-on paid within the primary procedure’s global period, so it does not establish a separate global period. The endoscopic inspection is distinct from the primary operation’s description; select the primary code according to the operation actually performed.
CMS billing rules for 47550
- 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 RVU2.94 · 68%
- Practice expense (office) RVU0.69 · 16%
- Malpractice RVU0.71 · 16%
335
Medicare services in 2024 · #3905 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.
47550 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
47564 describes laparoscopic cholecystectomy with common duct exploration. 47550 is the add-on for intraoperative biliary endoscopy when performed with an eligible primary procedure.
No office rate
47552 describes diagnostic biliary endoscopy through percutaneous access, with specimen collection when performed. 47550 is for endoscopy during an operation.
Compare 47550 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
Unavailable
Facility
$160.42
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$146.01
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47550 billing questions
Can 47550 be billed by itself?
No. It is an add-on code and must be reported with an eligible primary procedure.
How is 47550 different from 47563?
47550 represents endoscopic inspection of the bile ducts during surgery. 47563 describes laparoscopic cholecystectomy with cholangiography, which uses contrast imaging rather than direct endoscopic viewing.
Does 47550 create its own global period?
No. CMS places its payment within the primary procedure’s global period; it does not establish a separate global period.
What should the operative note support?
Document the primary operation and the intraoperative endoscopic examination of the biliary tree, including the duct examined and the findings.
Is percutaneous biliary endoscopy reported with 47550?
No. 47550 is for endoscopy performed intraoperatively; percutaneous biliary endoscopy codes describe procedures through percutaneous access.
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.
5,69447542,,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
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