CPT 47533
Global 000 ActivePlmt biliary drainage cath
CPT 47533 Billing & Documentation Guide
CPT code 47533 (Plmt biliary drainage cath) is classified under Surgery (Digestive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.25, a non-facility practice expense RVU of 27.44, and a malpractice RVU of 0.57, a total non-facility RVU of 33.26 and facility RVU of 6.79. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1151.75, though rates vary from $972.45 to $1526.47 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 47533, 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 47533 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 1 units of 47533 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 47533
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.25 | 5.25 |
| Practice Expense RVU | 27.44 | 0.97 |
| Malpractice RVU | 0.57 | 0.57 |
| Total RVU | 33.26 | 6.79 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 47533
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 | $1276.46 | $230.3 | $1193.05 - $1526.47 | 29 |
| Florida | $1131.99 | $244.92 | $1080.16 - $1177.6 | 3 |
| Georgia | $1072.76 | $229.31 | $1015.59 - $1129.93 | 2 |
| Illinois | $1097.94 | $243.66 | $1041.9 - $1151.59 | 4 |
| Michigan | $1062.77 | $232.58 | $1033.63 - $1091.9 | 2 |
| North Carolina | $1042.63 | $217.75 | $1042.63 - $1042.63 | 1 |
| New York | $1232.02 | $245.7 | $1059.43 - $1311.68 | 5 |
| Ohio | $1031.33 | $224.13 | $1031.33 - $1031.33 | 1 |
| Pennsylvania | $1095.01 | $229.02 | $1034.71 - $1155.32 | 2 |
| Texas | $1096.32 | $225.9 | $1027.08 - $1162.25 | 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 47533
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 47533 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 47533
What does CPT code 47533 mean? +
CPT code 47533 represents: Plmt biliary drainage cath. It's in the Surgery (Digestive) category with a global period of 000.
What is the Medicare reimbursement for CPT 47533? +
The 2026 Medicare national average non-facility payment for CPT 47533 is $1151.75. Rates range from $972.45 to $1526.47 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 47533? +
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 47533? +
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 June 2, 2026.
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