No office rate
Choose 47552 for diagnostic inspection with brush or wash sampling when performed. Choose 47553 when the endoscopic service includes biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
47552 Biliary endoscopy Medicare reimbursement rates in Tennessee
Reports diagnostic inspection of the biliary tree through an existing percutaneous access, with brush or wash specimen collection when performed. Compare 47552 office and facility rates across CMS payment localities in Tennessee.
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 47552 in Tennessee?
Tennessee 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
$239.84
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 endoscopy
About 47552: Percutaneous diagnostic biliary endoscopy
Reports diagnostic inspection of the biliary tree through an existing percutaneous access, with brush or wash specimen collection when performed.
An interventional radiologist typically passes an endoscope through an established percutaneous biliary tract to inspect the ducts, often while evaluating a stricture, unexplained obstruction, or suspected intraductal lesion. The service may include collecting cells with brushings or washings. It uses existing access rather than creating a new tract, and is generally performed in a hospital procedural setting.
Report this code when the documented service is diagnostic endoscopy through that existing access; brushings or washings are included when performed. A biopsy is distinguished from brush or wash sampling and may point to code 47553. The code has a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47552
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.88 · 77%
- Practice expense (office) RVU0.97 · 13%
- Malpractice RVU0.78 · 10%
31
Medicare services in 2024 · #5648 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.
47552 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$364.33
47531 reports contrast injection through existing access for cholangiographic imaging. 47552 reports endoscopic inspection through existing access.
$344.55
47543 describes endoluminal biopsy of the biliary tree. 47552 is the diagnostic endoscopic service with brushing or washing when performed.
Compare 47552 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$239.84
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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 47552 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
5,698
- Code
- 47552
- Physician work
- 5.88
- Practice expense
- 0.97
- Malpractice
- 0.78
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.88 | × 1.000 | 5.8800 |
| Practice expense | 0.97 | × 0.909 | 0.8817 |
| Malpractice | 0.78 | × 0.537 | 0.4189 |
| Total RVUs | 7.1806 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$239.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.88 | 1 |
| Practice expense | 0.97 | 0.909 |
| Malpractice | 0.78 | 0.537 |
(5.88 × 1 + 0.97 × 0.909 + 0.78 × 0.537) × $33.4009 = $239.84
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.
47552 billing questions
How does 47552 differ from 47553?
47552 is for diagnostic inspection through existing percutaneous access, including brush or wash sampling when performed. Use 47553 when the documented endoscopy includes biopsy.
Does 47552 include brushings or washings?
Yes. Collection of specimens by brushing or washing is included when performed as part of the diagnostic endoscopy.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is same-day recovery care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is supplied.
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.
5,69547543,,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
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
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780