Home / Medicare fees / 47550

47550 Bile duct endoscopy add-on

What 47550 is

CMS fee schedule short descriptor: Bile duct endoscopy add-on.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 47550 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)2.940.690.714.34$144.96
Facility (hospital, ASC)2.940.690.714.34$144.96

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.

Advertisement

Medically Unlikely Edit (MUE)

Medicare caps 47550 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 47550? These codes are bundled into it

47550 is a Column 1 code in 6 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
76000Fluoroscopy <1 hr phys/qhp1 - modifier may bypassCheck pair
77001Fluoroguide for vein device1 - modifier may bypassCheck pair
77002Needle localization by xray1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

47550 is bundled into these codes

47550 appears as a Column 2 code in 10 active edits. Reported with one of these Column 1 codes on the same date of service, 47550 is the code that denies.

Column 1 codeShort descriptionModifier indicator
47605Cholecystectomy w/cholang1Check pair
47612Removal of gallbladder0Check pair
47620Removal of gallbladder1Check pair
47711Excision of bile duct tumor1Check pair
47712Excision of bile duct tumor1Check pair
47740Fuse gallbladder & bowel1Check pair
47760Fuse bile ducts and bowel1Check pair
48150Partial removal of pancreas0Check pair
48551Prep donor pancreas1Check pair
48552Prep donor pancreas/venous1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.