CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 47555 RVU and Medicare Payment (2026)

Biliary endoscopy thru skin — 7.36 work RVU, about $300.61 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
7.36
PE RVU (non-facility)
0.68
PE RVU (facility)
0.68
MP RVU
0.96
Office payment
$300.61
Facility payment
$300.61

How the payment is calculated

Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 47555 in a non-facility setting with national GPCI: (7.36 + 0.68 + 0.96) × $33.4009 ≈ $300.61. The same code in a facility setting pays about $300.61 because facility PE RVU (0.68) replaces office PE RVU.

What changes by locality

GPCI moves 47555 non-facility payment from $277.47 to $410.6 across CMS localities — from Wisconsin to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.

Related codes

Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.

Frequently asked questions

What is the 2026 work RVU for CPT 47555?

7.36. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.

How much does Medicare pay for CPT 47555 in 2026?

About $300.61 non-facility ($300.61 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.

Does the work RVU change between office and facility?

No. Work RVU (7.36) and malpractice RVU stay fixed; only practice expense changes (0.68 office vs 0.68 facility). That is the entire office-vs-facility payment gap.