Find policies, billing codes, payers, states, and providers
CPT 47554: Choledochoscopy with Biliary Stone Extraction
CPT code 47554 designates choledochoscopy with extraction of biliary stones performed through an existing transabdominal tube. This endoscopic procedure uses a choledochoscope to visualize the biliary ducts, identify obstructions, and remove one or more calculi. The code is relevant for facilities and clinicians who manage biliary obstruction when percutaneous access is present and is commonly applied in operative or interventional suite settings.
Key payers included in the national analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for the procedure, typical sites of service, and commonly applied billing modifiers. The publication outlines benchmarks and reimbursement context where available, summarizes relevant policy considerations affecting coverage and prior authorization, and highlights coding considerations for accurate reporting of a choledochoscopy with stone extraction performed via an existing abdominal tube.
This summary is intended for national audiences including hospital coding teams, interventional radiology and surgical departments, and revenue cycle professionals seeking a concise reference for CPT code 47554. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 47554 policy alerts
Get alerted when payer policies referencing 47554 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 47554 describes a choledochoscopy with stone extraction performed through an existing transabdominal tube. The provider advances a biliary endoscope (choledochoscope), a tubular instrument with a light source and camera, into the biliary ducts to visualize obstructions and remove one or more stones or calculi.
-
Service type: Endoscopic biliary stone removal via choledochoscope through an existing abdominal tube
-
Typical site of service: Operative or procedural setting such as an operating room or interventional suite where an existing transabdominal tube provides access to the biliary tree