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 RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 2.94 | 0.69 | 0.71 | 4.34 | $144.96 |
| Facility (hospital, ASC) | 2.94 | 0.69 | 0.71 | 4.34 | $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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
76000 | Fluoroscopy <1 hr phys/qhp | 1 - modifier may bypass | Check pair |
77001 | Fluoroguide for vein device | 1 - modifier may bypass | Check pair |
77002 | Needle localization by xray | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
47605 | Cholecystectomy w/cholang | 1 | Check pair |
47612 | Removal of gallbladder | 0 | Check pair |
47620 | Removal of gallbladder | 1 | Check pair |
47711 | Excision of bile duct tumor | 1 | Check pair |
47712 | Excision of bile duct tumor | 1 | Check pair |
47740 | Fuse gallbladder & bowel | 1 | Check pair |
47760 | Fuse bile ducts and bowel | 1 | Check pair |
48150 | Partial removal of pancreas | 0 | Check pair |
48551 | Prep donor pancreas | 1 | Check pair |
48552 | Prep donor pancreas/venous | 1 | Check 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.