Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 47537 |
| Medicaid Fee Schedule | View Medicaid rates for 47537 |
National average reimbursement for CPT 47537 by major payers:

$505.36

$574.01

$647.14

$206.60
Choose a payer to see a sample of rates for CPT 47537.
Duke Health Integrated Practice Inc
Columbia University In The City Of New York
Town Center Orthopaedic Associates, P.C.
Ophthalmic Plastic Surgerypllc
Town Center Orthopaedic Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 47537 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47537 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 47537 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 47531-CPT | Moderate | Injection For Cholangiogram, Injection Procedure For Cholangiography Percutaneous Complete Diagnostic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation Existing Access |
| 47532-CPT | Moderate | Injection For Cholangiogram, Injection Procedure For Cholangiography Percutaneous Complete Diagnostic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation New Access Eg Percutaneous Transhepatic Cholangiogram |
| 47533-CPT | High | Plmt Biliary Drainage Cath, Placement Of Biliary Drainage Catheter Percutaneous Including Diagnostic Cholangiography When Performed Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation External |
| 47537-CPT | Moderate | Removal Biliary Drg Cath, Removal Of Biliary Drainage Catheter Percutaneous Requiring Fluoroscopic Guidance Eg With Concurrent Indwelling Biliary Stents Including Diagnostic Cholangiography When Performed Imaging Guidance Eg Fluoroscopy And All Associated Radiological Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47537. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47537 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Bring your top codes (like CPT 47537) and we'll show you how you compare in 15 minutes or less.