$3,605.89
Choose 47539 when the procedure establishes new percutaneous access for stent placement. Choose 47538 when the operator uses existing access.
On this page
CMS RVU26D · Effective 2026-10-01
47539 Biliary stent Medicare reimbursement rates in Rhode Island
Reports percutaneous placement of a biliary stent when the service requires creating new access to the bile ducts rather than using existing access. Compare 47539 office and facility rates across CMS payment localities in Rhode Island.
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 47539 in Rhode Island?
Rhode Island 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
$4094.81
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$370.19
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 intervention
About 47539: Percutaneous biliary stent placement, new access
Reports percutaneous placement of a biliary stent when the service requires creating new access to the bile ducts rather than using existing access.
An interventional radiologist typically uses image guidance to establish percutaneous access to the biliary system and place a stent to relieve an obstructed or narrowed bile duct. This approach may be used for biliary obstruction associated with a stricture or tumor. The defining distinction from 47538 is that this service involves new access, rather than an already established biliary access route. Imaging guidance and related work integral to stent placement are part of the service.
Report 47539 for the stent placement through newly created percutaneous access; documentation should identify the access route and the stent procedure performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 47539
- 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 RVU8.53 · 7%
- Practice expense (office) RVU109.41 · 92%
- Malpractice RVU0.99 · 1%
105
Medicare services in 2024 · #4844 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.
47539 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$4,078.60
47539 represents the primary stent-placement service through new access. 47540 is reported for each additional stent when applicable.
$1,142.43
47533 reports placement of a biliary drainage catheter. 47539 reports placement of a biliary stent.
$1,251.00
47534 reports placement of an internal-external biliary drainage catheter; 47539 is for biliary stent placement through new access.
Compare 47539 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
Rhode Island →
Office / nonfacility
$4094.81
Facility
$370.19
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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 47539 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,691
- Code
- 47539
- Physician work
- 8.53
- Practice expense
- 109.41
- Malpractice
- 0.99
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.53 | × 1.019 | 8.6921 |
| Practice expense | 109.41 | × 1.033 | 113.0205 |
| Malpractice | 0.99 | × 0.892 | 0.8831 |
| Total RVUs | 122.5957 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$4094.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.53 | 1.019 |
| Practice expense | 109.41 | 1.033 |
| Malpractice | 0.99 | 0.892 |
(8.53 × 1.019 + 109.41 × 1.033 + 0.99 × 0.892) × $33.4009 = $4094.81
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.53 | 1.019 |
| Practice expense | 1.46 | 1.033 |
| Malpractice | 0.99 | 0.892 |
(8.53 × 1.019 + 1.46 × 1.033 + 0.99 × 0.892) × $33.4009 = $370.19
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.
47539 billing questions
How does 47539 differ from 47538?
47539 describes biliary stent placement through newly created percutaneous access. Use 47538 when the stent is placed through existing access.
Can diagnostic cholangiography be billed separately?
Diagnostic cholangiography performed as part of the stent-placement service is included. Do not report it separately for that integral work.
When is 47540 reported with 47539?
47540 is the add-on code for each additional biliary stent when applicable. Report it with the appropriate primary stent-placement code, not by itself.
Can modifier 50 be used for bilateral stent placement?
No. The CMS bilateral adjustment does not apply to 47539, and modifier 50 is inappropriate.
What documentation supports 47539?
Document that new percutaneous access was established, the biliary stent placement performed, and the clinical indication, such as biliary obstruction or narrowing.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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.
5,68847536,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537