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.
In Plain Language
Creating connection between bile ducts and intestine through skin
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 |
| Total RVU | 6.58 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 6.58, this code ranks in the 43rd percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47541?
CPT 47541 (Plmt access bil tree sm bwl) is a Surgery code. 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.
What is the wRVU value for CPT 47541?
The work RVU for CPT 47541 is 6.58. This code is primarily used by Interventional Radiology, Hepatobiliary Surgery.
When is CPT 47541 used?
Performed for chronic biliary obstruction when internal drainage and direct ductal-enteric anastomosis are needed. Allows elimination of external drainage.
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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.