CPT code 47000: Liver biopsy, percutaneous needle2026 Medicare rate & RVUs in Nebraska
Reports percutaneous needle sampling of liver tissue for diagnostic evaluation, performed by a physician in an office, outpatient, or hospital setting.
In Nebraska, Medicare pays $266.79 for 47000 in the office and $71.64 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 47000 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 47000 covers
A physician passes a biopsy needle through the skin into the liver to obtain tissue for diagnostic examination. Gastroenterologists, hepatologists, radiologists, and other physicians may perform the procedure, often in an outpatient department or hospital; some biopsies are performed in an office. The service is distinct from obtaining a wedge specimen during open surgery. The specimen is submitted for pathological examination, and imaging guidance may be used when clinically indicated.
Report 47000 for the percutaneous needle biopsy itself. The procedure note should support the liver as the sampled site, the percutaneous approach, and tissue acquisition; document guidance separately when performed. Pathological examination of the tissue is a separate service when performed and reportable. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Nebraska compares for 47000
Across 109 of 109 payment localities, the office rate for 47000 runs from $252.95 in Arkansas to $392.18 in San Benito County, CA. Nebraska pays $266.79. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nebraska · this page$266.79
- Los Angeles, CA · California$330.02+$63.23
- Washington, DC area · District of Columbia$332.13+$65.34
- Miami, FL · Florida$305.96+$39.17
- Chicago, IL · Illinois$296.79+$30.00
- Manhattan, NY · New York$331.70+$64.91
- Alaska · Alaska$327.10+$60.31
Other areas in Nebraska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $256.89 | $71.89 |
| ArkansasArkansas | $252.95 | $71.33 |
| ArizonaArizona | $280.02 | $75.14 |
| Bakersfield, CACalifornia | $308.65 | $76.92 |
| Chico, CACalifornia | $308.13 | $76.40 |
| El Centro, CACalifornia | $308.16 | $76.43 |
| Fresno, CACalifornia | $308.13 | $76.40 |
| Hanford, CACalifornia | $308.13 | $76.40 |
| Madera, CACalifornia | $308.13 | $76.40 |
| Merced, CACalifornia | $308.13 | $76.40 |
| Modesto, CACalifornia | $308.13 | $76.40 |
| Napa, CACalifornia | $361.16 | $82.50 |
| Oxnard, CACalifornia | $328.86 | $78.95 |
| Redding, CACalifornia | $308.13 | $76.40 |
| Rest of CaliforniaCalifornia | $308.13 | $76.40 |
| Riverside, CACalifornia | $309.98 | $78.26 |
| Sacramento, CACalifornia | $324.46 | $78.57 |
| Salinas, CACalifornia | $323.27 | $78.23 |
| San Diego, CACalifornia | $331.71 | $78.84 |
| Marin County, CACalifornia | $383.62 | $85.51 |
| San Francisco, CACalifornia | $383.43 | $85.32 |
| San Benito County, CACalifornia | $392.18 | $87.30 |
| Santa Clara County, CACalifornia | $391.39 | $86.51 |
| San Luis Obispo, CACalifornia | $317.95 | $77.14 |
| Santa Cruz, CACalifornia | $335.53 | $78.65 |
| Santa Maria, CACalifornia | $324.71 | $78.19 |
| Santa Rosa, CACalifornia | $338.98 | $79.35 |
| Stockton, CACalifornia | $308.13 | $76.40 |
| Vallejo, CACalifornia | $360.88 | $82.22 |
| Visalia, CACalifornia | $308.13 | $76.40 |
| Yuba City, CACalifornia | $308.13 | $76.40 |
| ColoradoColorado | $301.94 | $76.98 |
| ConnecticutConnecticut | $307.78 | $80.07 |
| DelawareDelaware | $284.87 | $75.98 |
| Fort Lauderdale, FLFlorida | $295.47 | $81.30 |
| Rest of FloridaFlorida | $280.72 | $78.59 |
| Atlanta, GAGeorgia | $292.87 | $78.06 |
| Rest of GeorgiaGeorgia | $264.33 | $75.74 |
| Hawaii, Guam, HIHawaii | $316.82 | $76.43 |
| IowaIowa | $265.07 | $71.62 |
| IdahoIdaho | $266.65 | $72.13 |
| East St. Louis, ILIllinois | $275.40 | $80.88 |
| Rest of IllinoisIllinois | $271.24 | $78.20 |
| Suburban Chicago, ILIllinois | $298.84 | $81.71 |
| IndianaIndiana | $268.32 | $72.33 |
| KansasKansas | $263.17 | $72.04 |
| KentuckyKentucky | $262.07 | $74.11 |
| New Orleans, LALouisiana | $275.21 | $76.26 |
| Rest of LouisianaLouisiana | $261.40 | $74.29 |
| Metropolitan Boston, MAMassachusetts | $333.82 | $81.37 |
| Rest of MassachusettsMassachusetts | $299.73 | $77.10 |
| Baltimore area, MDMaryland | $306.80 | $79.94 |
| Rest of MarylandMaryland | $290.73 | $76.76 |
| Rest of MaineMaine | $267.49 | $72.98 |
| Southern Maine, MEMaine | $283.76 | $74.24 |
| Detroit, MIMichigan | $283.81 | $79.79 |
| Rest of MichiganMichigan | $268.77 | $75.74 |
| MinnesotaMinnesota | $290.54 | $72.98 |
| Metropolitan Kansas City, MOMissouri | $273.85 | $75.32 |
| Metropolitan St. Louis, MOMissouri | $276.96 | $75.68 |
| Rest of MissouriMissouri | $256.24 | $73.99 |
| MississippiMississippi | $254.68 | $72.64 |
| MontanaMontana | $287.90 | $76.48 |
| North CarolinaNorth Carolina | $270.56 | $73.30 |
| North DakotaNorth Dakota | $284.54 | $73.12 |
| New HampshireNew Hampshire | $296.57 | $76.48 |
| Northern New JerseyNew Jersey | $328.24 | $82.99 |
| Rest of New JerseyNew Jersey | $311.64 | $80.76 |
| New MexicoNew Mexico | $270.09 | $76.22 |
| NevadaNevada | $287.20 | $75.56 |
| NYC suburbs and Long Island, NYNew York | $339.40 | $88.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $313.23 | $81.72 |
| Queens, NYNew York | $335.45 | $85.54 |
| Rest of New YorkNew York | $274.81 | $73.95 |
| OhioOhio | $268.08 | $75.05 |
| OklahomaOklahoma | $262.20 | $73.40 |
| Portland, OROregon | $312.68 | $77.79 |
| Rest of OregonOregon | $285.32 | $74.73 |
| Metropolitan Philadelphia, PAPennsylvania | $299.35 | $79.25 |
| Rest of PennsylvaniaPennsylvania | $268.87 | $74.78 |
| Puerto RicoPuerto Rico | $290.34 | $76.59 |
| Rhode IslandRhode Island | $295.86 | $77.46 |
| South CarolinaSouth Carolina | $269.70 | $74.34 |
| South DakotaSouth Dakota | $284.15 | $72.72 |
| TennesseeTennessee | $264.50 | $72.31 |
| Austin, TXTexas | $300.63 | $76.94 |
| Beaumont, TXTexas | $266.95 | $74.55 |
| Brazoria, TXTexas | $285.04 | $75.52 |
| Dallas, TXTexas | $286.68 | $76.10 |
| Fort Worth, TXTexas | $284.47 | $76.00 |
| Galveston, TXTexas | $285.77 | $75.82 |
| Houston, TXTexas | $288.88 | $78.93 |
| Rest of TexasTexas | $275.71 | $75.07 |
| UtahUtah | $273.63 | $74.89 |
| VirginiaVirginia | $282.36 | $74.53 |
| Virgin Islands, VIUnited States Virgin Islands | $290.34 | $76.59 |
| VermontVermont | $282.83 | $73.51 |
| Rest of WashingtonWashington | $299.37 | $76.73 |
| King County, WAWashington | $341.43 | $82.00 |
| WisconsinWisconsin | $274.39 | $71.84 |
| West VirginiaWest Virginia | $260.43 | $76.70 |
| WyomingWyoming | $286.44 | $75.01 |
47000 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$252.95
$350.16
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $327.10 | 1 |
| AL | $256.89 | 1 |
| AR | $252.95 | 1 |
| AZ | $280.02 | 1 |
| CA | $308.13–$392.18 | 29 |
| CO | $301.94 | 1 |
| CT | $307.78 | 1 |
| DC | $332.13 | 1 |
| DE | $284.87 | 1 |
| FL | $280.72–$305.96 | 3 |
| GA | $264.33–$292.87 | 2 |
| GU | $316.82 | 1 |
| HI | $316.82 | 1 |
| IA | $265.07 | 1 |
| ID | $266.65 | 1 |
| IL | $271.24–$298.84 | 4 |
| IN | $268.32 | 1 |
| KS | $263.17 | 1 |
| KY | $262.07 | 1 |
| LA | $261.40–$275.21 | 2 |
| MA | $299.73–$333.82 | 2 |
| MD | $290.73–$332.13 | 3 |
| ME | $267.49–$283.76 | 2 |
| MI | $268.77–$283.81 | 2 |
| MN | $290.54 | 1 |
| MO | $256.24–$276.96 | 3 |
| MS | $254.68 | 1 |
| MT | $287.90 | 1 |
| NC | $270.56 | 1 |
| ND | $284.54 | 1 |
| NE | $266.79 | 1 |
| NH | $296.57 | 1 |
| NJ | $311.64–$328.24 | 2 |
| NM | $270.09 | 1 |
| NV | $287.20 | 1 |
| NY | $274.81–$339.40 | 5 |
| OH | $268.08 | 1 |
| OK | $262.20 | 1 |
| OR | $285.32–$312.68 | 2 |
| PA | $268.87–$299.35 | 2 |
| PR | $290.34 | 1 |
| RI | $295.86 | 1 |
| SC | $269.70 | 1 |
| SD | $284.15 | 1 |
| TN | $264.50 | 1 |
| TX | $266.95–$300.63 | 8 |
| UT | $273.63 | 1 |
| VA | $282.36–$332.13 | 2 |
| VI | $290.34 | 1 |
| VT | $282.83 | 1 |
| WA | $299.37–$341.43 | 2 |
| WI | $274.39 | 1 |
| WV | $260.43 | 1 |
| WY | $286.44 | 1 |
How the 47000 rate is calculated
Each of 47000’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 47000
RVUs × geographic indexes × conversion factor
Work1.61
1.61 RVUs× 1.000 GPCI
Practice expense6.84
6.84 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
8.6200
Conversion factor
$33.4009
Medicare rate
$287.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nebraska inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,644
- Code
- 47000
- Physician work
- 1.61
- Practice expense
- 6.84
- Malpractice
- 0.17
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.61 | × 1.000 | 1.6100 |
| Practice expense | 6.84 | × 0.923 | 6.3133 |
| Malpractice | 0.17 | × 0.378 | 0.0643 |
| Total RVUs | 7.9876 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nebraska$266.79
Office: (1.61 × 1 + 6.84 × 0.923 + 0.17 × 0.378) × $33.4009 = $266.79
Facility: (1.61 × 1 + 0.51 × 0.923 + 0.17 × 0.378) × $33.4009 = $71.64
Payment rules and modifiers for 47000
The CMS indicators that decide how 47000 is paid alongside other services.
CMS payment indicators · 47000
Liver biopsy, percutaneous needle
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47000 without 51 · national office
$287.92
Liver biopsy, percutaneous needle
47000-51 · Second procedure: 50%
$143.96
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 47000 has changed in Nebraska
47000 · Office / nonfacility
$266.79
Effective 2026-10-01
The base rate is $4.81 higher than on 2025-10-01, moving from $261.98 to $266.79 (1.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$261.98changed to$266.79
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.65 changed to 1.61
- Practice expense RVU 6.98 changed to 6.84
- Malpractice RVU 0.16 changed to 0.17
- Practice expense GPCI 0.917 changed to 0.923
- Malpractice GPCI 0.304 changed to 0.378
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$273.67changed to$261.98
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.11 changed to 6.98
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$269.21changed to$273.67
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$282.70changed to$269.21
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.28 changed to 7.11
- Practice expense GPCI 0.913 changed to 0.917
- Malpractice GPCI 0.269 changed to 0.304
January 1, 2023
RVU23A
$290.76changed to$282.70
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.40 changed to 7.28
- Malpractice RVU 0.14 changed to 0.17
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.235 changed to 0.269
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$296.74changed to$290.76
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.51 changed to 7.40
- Malpractice RVU 0.15 changed to 0.14
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$292.78changed to$296.74
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.07 changed to 7.51
- Malpractice RVU 0.13 changed to 0.15
- Practice expense GPCI 0.909 changed to 0.908
- Malpractice GPCI 0.277 changed to 0.235
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$288.13changed to$292.78
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.92 changed to 7.07
- Malpractice RVU 0.15 changed to 0.13
- Practice expense GPCI 0.910 changed to 0.909
- Malpractice GPCI 0.318 changed to 0.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$287.49changed to$288.13
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 6.91 changed to 6.92
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$286.14changed to$287.49
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 6.90 changed to 6.91
- Practice expense GPCI 0.909 changed to 0.910
- Malpractice GPCI 0.340 changed to 0.318
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$338.77changed to$286.14
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 1.90 changed to 1.65
- Practice expense RVU 8.26 changed to 6.90
- Malpractice RVU 0.17 changed to 0.15
- Practice expense GPCI 0.908 changed to 0.909
- Malpractice GPCI 0.362 changed to 0.340
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$340.25changed to$338.77
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.19 changed to 0.17
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$338.56changed to$340.25
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$334.90changed to$338.56
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 8.15 changed to 8.26
- Practice expense GPCI 0.906 changed to 0.908
- Malpractice GPCI 0.342 changed to 0.362
Held through RVU15B.
January 1, 2014
RVU14A
$341.49changed to$334.90
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 8.93 changed to 8.15
- Malpractice RVU 0.20 changed to 0.19
- Practice expense GPCI 0.904 changed to 0.906
- Malpractice GPCI 0.322 changed to 0.342
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $341.49
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $266.79 | $71.64 | RVU26D |
| 2026-07-01 | $266.79 | $71.64 | RVU26C |
| 2026-04-01 | $266.79 | $71.64 | RVU26B |
| 2026-01-01 | $266.79 | $71.64 | RVU26A |
| 2025-10-01 | $261.98 | $78.08 | RVU25D |
| 2025-07-01 | $261.98 | $78.08 | RVU25C |
| 2025-04-01 | $261.98 | $78.08 | RVU25B |
| 2025-01-01 | $261.98 | $78.08 | RVU25A |
| 2024-10-01 | $273.67 | $79.84 | RVU24D |
| 2024-07-01 | $273.67 | $79.84 | RVU24C |
| 2024-04-01 | $273.67 | $79.84 | RVU24B |
| 2024-03-09 | $273.67 | $79.84 | RVU24AR |
| 2024-01-01 | $269.21 | $78.54 | RVU24A |
| 2023-10-01 | $282.70 | $81.29 | RVU23D |
| 2023-07-01 | $282.70 | $81.29 | RVU23C |
| 2023-04-01 | $282.70 | $81.29 | RVU23B |
| 2023-01-01 | $282.70 | $81.29 | RVU23A |
| 2022-10-01 | $290.76 | $82.12 | RVU22D |
| 2022-07-01 | $290.76 | $82.12 | RVU22C |
| 2022-04-01 | $290.76 | $82.12 | RVU22B |
| 2022-01-01 | $290.76 | $82.12 | RVU22A |
| 2021-10-01 | $296.74 | $82.88 | RVU21D |
| 2021-07-01 | $296.74 | $82.88 | RVU21C |
| 2021-04-01 | $296.74 | $82.88 | RVU21B |
| 2021-01-01 | $296.74 | $82.88 | RVU21A |
| 2020-10-01 | $292.78 | $86.44 | RVU20D |
| 2020-07-01 | $292.78 | $86.44 | RVU20C |
| 2020-04-01 | $292.78 | $86.44 | RVU20B |
| 2020-01-01 | $292.78 | $86.44 | RVU20A |
| 2019-10-01 | $288.13 | $86.76 | RVU19D |
| 2019-07-01 | $288.13 | $86.76 | RVU19C |
| 2019-04-01 | $288.13 | $86.76 | RVU19B |
| 2019-01-01 | $288.13 | $86.76 | RVU19A |
| 2018-10-01 | $287.49 | $87.00 | RVU18D |
| 2018-07-01 | $287.49 | $87.00 | RVU18C |
| 2018-04-01 | $287.49 | $87.00 | RVU18B |
| 2018-01-01 | $287.49 | $87.00 | RVU18AR1 |
| 2017-10-01 | $286.14 | $87.47 | RVU17D |
| 2017-07-01 | $286.14 | $87.47 | RVU17C |
| 2017-04-01 | $286.14 | $87.47 | RVU17B |
| 2017-01-01 | $286.14 | $87.47 | RVU17A |
| 2016-10-01 | $338.77 | $99.82 | RVU16D |
| 2016-07-01 | $338.77 | $99.82 | RVU16C |
| 2016-04-01 | $338.77 | $99.82 | RVU16B |
| 2016-01-01 | $338.77 | $99.82 | RVU16A |
| 2015-10-01 | $340.25 | $100.44 | RVU15D |
| 2015-07-01 | $340.25 | $100.44 | RVU15C |
| 2015-04-01 | $338.56 | $99.94 | RVU15B |
| 2015-01-01 | $338.56 | $99.94 | RVU15A |
| 2014-10-01 | $334.90 | $99.93 | RVU14D |
| 2014-07-01 | $334.90 | $99.93 | RVU14C |
| 2014-04-01 | $334.90 | $99.93 | RVU14B |
| 2014-01-01 | $334.90 | $99.93 | RVU14A |
| 2013-10-01 | $341.49 | $96.05 | RVU13D |
| 2013-07-01 | $341.49 | $96.05 | RVU13C |
| 2013-04-01 | $341.49 | $96.05 | RVU13B |
| 2013-01-01 | $341.49 | $96.05 | RVU13AR |
Where the Nebraska rate applies
Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.
- Abie
- Adams
- Agnew
- Ainsworth
- Albion
- Alda
- Alexandria
- Allen
47000 billing questions
When should 47000 be used instead of 47001?
Use 47000 for a percutaneous needle biopsy performed as a standalone procedure. Code 47001 describes a needle biopsy performed for an indicated purpose during another major procedure.
Is liver pathology included in 47000?
The biopsy code represents tissue acquisition, not the pathologist's examination. A separately performed, reportable examination of a needle liver biopsy specimen may be reported with 88307.
Can modifier 50 be used for a biopsy of both liver lobes?
No. Modifier 50 is inappropriate for 47000, even if sampling involves more than one liver area.
How does the multiple-procedure reduction affect 47000?
When other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
What documentation supports reporting 47000?
Document the clinical reason for sampling, the liver as the site, the percutaneous needle approach, and that tissue was obtained. Record imaging guidance separately when used.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 47000 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist