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See a sample rate comparisonCPT 47554 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Remove Stones From Bile Duct, An Examination Of The Bile Duct Through An Existing Tube Or Tract Using A Scope (Endoscope). The Procedure Removes Stones From The Bile Duct.
| 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 AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 47554 |
| Medicaid Fee Schedule | View Medicaid rates for 47554 |
National average reimbursement for CPT 47554 by major payers:
$605.46
$682.23
$684.56
$772.88
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CPT 47554
5 of 25 sample ratesHigher to lower in this preview
Novant Health Clemmons Outpatient Surgery, LLC
Novant Health Clemmons Outpatient Surgery LLC
$10,126.00Published rateSherman Endoscopy Center, LLC
Sherman Endoscopy Center LLC
$4,704.00Published rateSouthpark Surgery Center LLC, Southpark Surgery Center
Southpark Surgery Center LLC
$3,114.00Published rateMechanicsville Ambulatory Surgery Center, LLC
Mechanicsville Ambulatory Surgery Center LLC
$1,886.00Published rateTarboro Endoscopy Center, LLC
Tarboro Endoscopy Center LLC
$412.00Published rate
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See a sample payer proposalCPT 47554 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47554 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 47554 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 |
|---|---|---|
| 47550-CPT | Moderate | Bile Duct Exam With Scope, An Exam Of The Bile Ducts Using A Scope (Endoscope). The Procedure May Be Done During A Surgery And Cells May Be Collected. |
| 47552-CPT | Moderate | Biliary Endoscopy Percutaneous Via T-Tube Or Other Tract; Diagnostic With Collection Of Specimen(S) By Brushing And/Or Washing When Performed (Separate Procedure) (Revised 01/01/2014) |
| 47553-CPT | Moderate | Biopsy Of Bile Duct, An Exam Of The Bile Duct Using A Scope (Endoscope). The Procedure Removes A Sample Of Tissue For Testing (Biopsy). |
| 47554-CPT | Moderate | Remove Stones From Bile Duct, An Examination Of The Bile Duct Through An Existing Tube Or Tract Using A Scope (Endoscope). The Procedure Removes Stones From The Bile Duct. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47554. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47554 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.
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