Find policies, billing codes, payers, states, and providers
CPT 47552: Endoscopic Diagnostic Examination of Biliary Tract
CPT code 47552 denotes an endoscopic diagnostic examination of the biliary tract, inclusive of specimen collection by brushing or washing when performed. This code captures a focused diagnostic procedure used to evaluate biliary pathology such as obstructive symptoms, suspected strictures, or biliary leaks. Nationally, accurate coding for this procedure supports appropriate clinical documentation, resource allocation, and billing for endoscopy services in both hospital-based and outpatient endoscopy settings.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The summary outlines payer coverage patterns and coding considerations relevant across commercial and public programs but does not provide plan-specific reimbursement rates.
Readers will learn the clinical context in which CPT code 47552 is used, common service settings, and the types of documentation elements that typically accompany biliary endoscopic diagnostics. The publication also highlights national benchmarks and policy updates affecting endoscopic biliary procedures where available. Data not available in the input will be noted in the detailed sections.
Customize your policy alerts
Sign up for cpt 47552 policy alerts
Get alerted when payer policies referencing 47552 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 47552 describes an endoscopic diagnostic examination of the biliary tract. The procedure uses an endoscope to directly visualize the bile ducts and the biliary tree; collection of one or more specimens by brushing or washing is included in this code.
-
Service type: Endoscopic diagnostic biliary tract procedure
-
Typical site of service: Hospital-based endoscopy suite or outpatient endoscopy center