CPT 47531
Global 000 ActiveInjection for cholangiogram
CPT 47531 Billing & Documentation Guide
CPT code 47531 (Injection for cholangiogram) is classified under Surgery (Digestive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.27, a non-facility practice expense RVU of 10.52, and a malpractice RVU of 0.14, a total non-facility RVU of 11.93 and facility RVU of 1.85. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $414, though rates vary from $346.66 to $556.28 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 47531, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 47531 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 47531 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 47531
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.27 | 1.27 |
| Practice Expense RVU | 10.52 | 0.44 |
| Malpractice RVU | 0.14 | 0.14 |
| Total RVU | 11.93 | 1.85 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 47531
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $462.25 | $63.86 | $430.76 - $556.28 | 29 |
| Florida | $404.07 | $66.27 | $385.36 - $420.03 | 3 |
| Georgia | $383.29 | $62.1 | $361.42 - $405.16 | 2 |
| Illinois | $391.02 | $65.71 | $370.54 - $411.87 | 4 |
| Michigan | $378.95 | $62.8 | $368.51 - $389.38 | 2 |
| North Carolina | $373.24 | $59.12 | $373.24 - $373.24 | 1 |
| New York | $442.79 | $67.18 | $379.52 - $471.61 | 5 |
| Ohio | $367.94 | $60.55 | $367.94 - $367.94 | 1 |
| Pennsylvania | $391.98 | $62.2 | $369.4 - $414.55 | 2 |
| Texas | $392.93 | $61.46 | $366.52 - $418.4 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 47531
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 47531 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 47531
What does CPT code 47531 mean? +
CPT code 47531 represents: Injection for cholangiogram. It's in the Surgery (Digestive) category with a global period of 000.
What is the Medicare reimbursement for CPT 47531? +
The 2026 Medicare national average non-facility payment for CPT 47531 is $414. Rates range from $346.66 to $556.28 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 47531? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 47531? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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