CPT code 47122: Liver resection, trisegmentectomy2026 Medicare rate & RVUs in Louisiana
Reports an extensive anatomic liver resection, commonly described as a trisegmentectomy, when the operative plan removes a substantial portion of the liver.
CMS doesn’t publish an office rate for 47122 in Louisiana.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 47122 covers
This code describes an extensive anatomic liver resection, commonly called a trisegmentectomy. Hepatobiliary or transplant surgeons may perform it for a liver tumor or other disease requiring removal of a large portion of the organ. The operative report should establish the resection performed and identify the liver anatomy removed; the name of the procedure alone may not show whether this extent is supported.
Choose this code based on the documented extent of resection, rather than the diagnosis or the fact that liver tissue was removed. A limited partial lobectomy is a different level of service. Medicare treats this as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this resection. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
Where 47122 pays more and less in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | Unavailable | $3,172.61 |
| Rest of Louisiana | Unavailable | $3,044.35 |
How the 47122 rate is calculated
Each of 47122’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 · 47122
RVUs × geographic indexes × conversion factor
Work57.99
57.99 RVUs× 1.000 GPCI
Practice expense21.40
21.40 RVUs× 1.000 GPCI
Malpractice14.84
14.84 RVUs× 1.000 GPCI
Adjusted RVUs
94.2300
Conversion factor
$33.4009
Medicare rate
$3,147.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47122
47122 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47122
Liver resection, trisegmentectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 47122
Liver resection, trisegmentectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47122 without 51 · national facility
$3,147.37
Liver resection, trisegmentectomy
47122-51 · Second procedure: 50%
$1,573.69
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%).
47122 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 47120Liver resectionPartial hepatectomy
- 47120 describes a partial lobectomy. Use 47122 when the operative report supports the more extensive resection associated with a trisegmentectomy.
- 47125Liver resectionComplete left-lobe resection
- 47125 identifies a total left lobectomy. Select between it and 47122 from the documented operation and the specific anatomic extent removed.
- 47130Liver resectionWith hepatic duct reconstruction
- 47130 identifies a total right lobectomy. Code 47122 represents an extensive resection documented as a trisegmentectomy, rather than a right-lobe resection alone.
47122 billing questions
How is this different from code 47120?
Code 47122 is for an extensive anatomic resection, commonly termed a trisegmentectomy. Code 47120 describes a less extensive partial lobectomy; use the operative details to select the extent actually performed.
Does the global period include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for a resection involving both sides of the liver?
No. Modifier 50 is inappropriate for this code; report the documented anatomic resection.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
When can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports this code?
The operative report should describe the anatomic extent of the liver resection and the tissue removed, supporting an extensive resection rather than a limited partial lobectomy.
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
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