47541 Plmt access bil tree sm bwl
Also known as: Percutaneous biliary-enteric access, PTBE fistula
Percutaneous placement of access catheter into the biliary tree with creation of a fistula between the bile ducts and small intestine (choledochoduodenostomy), allowing internal drainage.
Clinical Context
Performed for chronic biliary obstruction when internal drainage and direct ductal-enteric anastomosis are needed. Allows elimination of external drainage.
RVU Breakdown
| Work RVU | 6.58 |
| Practice Expense RVU | 27.98 |
| Malpractice RVU | 0.85 |
| Total RVU | 35.41 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.