47554 Biliary endoscopy thru skin
Also known as: Percutaneous cholangioscopic stone removal, POCS lithotripsy
Percutaneous endoscopy of the biliary tree with therapeutic stone removal or lithotripsy to eliminate calculi obstructing the bile ducts.
In Plain Language
Breaking up and removing stones through scope in bile ducts
Clinical Context
Used for intrahepatic or residual choledochal stones, especially large stones that cannot be removed by balloon or basket.
RVU Breakdown
| Work RVU | 8.82 |
| Total RVU | 8.82 |
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 8.82, this code ranks in the 54th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 47554?
CPT 47554 (Biliary endoscopy thru skin) is a Surgery code. Percutaneous endoscopy of the biliary tree with therapeutic stone removal or lithotripsy to eliminate calculi obstructing the bile ducts.
What is the wRVU value for CPT 47554?
The work RVU for CPT 47554 is 8.82. This code is primarily used by Interventional Radiology, Hepatobiliary Surgery.
When is CPT 47554 used?
Used for intrahepatic or residual choledochal stones, especially large stones that cannot be removed by balloon or basket.
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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.