CPT code 47130: Liver resection, with hepatic duct reconstruction2026 Medicare rate & RVUs in Michigan
Reports a liver resection performed with reconstruction of a hepatic duct, such as when tumor removal requires rebuilding the bile drainage pathway.
CMS doesn’t publish an office rate for 47130 in Michigan.
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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On this page 9 sections
What 47130 covers
This code describes removal of liver tissue together with reconstruction of a hepatic duct. It is used for complex hepatobiliary operations in which the resection and duct reconstruction are part of the same surgical service, such as selected resections for tumors involving the liver hilum or bile ducts. Hepatobiliary or general surgeons typically perform the operation in a hospital operating room.
Select this code when the operative report supports both liver resection and hepatic duct reconstruction; the amount of liver removed alone does not establish the code. Documentation should describe the resection, the duct defect or planned duct removal, and the reconstruction performed. The service has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this liver procedure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. 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 47130 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | $3,324.22 |
| Rest of Michigan | Unavailable | $3,024.51 |
How the 47130 rate is calculated
Each of 47130’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 · 47130
RVUs × geographic indexes × conversion factor
Work55.76
55.76 RVUs× 1.000 GPCI
Practice expense20.56
20.56 RVUs× 1.000 GPCI
Malpractice14.19
14.19 RVUs× 1.000 GPCI
Adjusted RVUs
90.5100
Conversion factor
$33.4009
Medicare rate
$3,023.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47130
47130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47130
Liver resection, with hepatic duct reconstruction
| 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 · 47130
Liver resection, with hepatic duct reconstruction
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
47130 without 51 · national facility
$3,023.12
Liver resection, with hepatic duct reconstruction
47130-51 · Second procedure: 50%
$1,511.56
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%).
47130 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 47120Liver resectionPartial hepatectomy
- 47120 describes a partial liver lobectomy. Report 47130 when the liver resection also includes hepatic duct reconstruction.
- 47122Liver resectionTrisegmentectomy
- 47122 is for total left lobectomy. 47130 is distinguished by hepatic duct reconstruction, not simply by the side or amount of liver removed.
- 47125Liver resectionComplete left-lobe resection
- 47125 is for total right lobectomy. Use 47130 when the operative service includes hepatic duct reconstruction with the liver resection.
47130 billing questions
How does this differ from 47120?
Use 47130 when the liver resection includes hepatic duct reconstruction. A liver resection without that reconstruction is selected according to its extent, such as 47120 for a partial lobectomy.
What documentation supports reporting 47130?
The operative report should establish that liver tissue was resected and describe the hepatic duct reconstruction performed. A liver resection alone does not support this code.
Is related postoperative care separately reported?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The code's global period does not include unrelated care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Can modifier 50 be used for the resection?
No. Modifier 50 is inappropriate because this liver procedure is not a bilateral service.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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
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