$252.95–$392.18
47000 is for percutaneous needle sampling of the liver. This code is for open operative drainage of a hepatic abscess or cyst.
On this page
CMS RVU26D · Effective 2026-10-01
47010 Liver drainage Medicare reimbursement rates
Reports open surgical drainage of a hepatic abscess or cyst when the surgeon treats the lesion through one or two operative stages. Compare 47010 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 47010?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 47010 pays more and less
Hepatobiliary surgery
About 47010: Open hepatic abscess or cyst drainage
Reports open surgical drainage of a hepatic abscess or cyst when the surgeon treats the lesion through one or two operative stages.
A surgeon uses an open approach to access and drain an abscess or cyst in the liver. The service is performed in an operating room, commonly when a hepatic collection requires operative drainage rather than needle sampling or laparoscopic aspiration. The code covers treatment in one or two stages; the operative report should identify the lesion, the open approach, and the drainage performed.
Choose this code for open drainage, not for a liver biopsy or laparoscopic cyst aspiration. Document the indication, operative method, and number of stages to support code selection. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47010
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.92 · 55%
- Practice expense (office) RVU10.44 · 31%
- Malpractice RVU4.86 · 14%
232
Medicare services in 2024 · #4195 by national volume
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.
47010 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
47001 describes a liver needle biopsy performed during another major procedure. It does not represent drainage of an abscess or cyst.
No office rate
47015 represents laparoscopic aspiration or injection of a hepatic cavity or cyst; this code is for open drainage in one or two stages.
No office rate
47100 is a wedge biopsy of liver tissue. Choose this code when the operative service is drainage of an abscess or cyst, rather than tissue sampling.
See how rates vary across the country
47010 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 47010 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1028.94 |
| Alaska* | Office Unavailable | Facility $1408.73 |
| Arizona | Office Unavailable | Facility $1108.79 |
| Arkansas | Office Unavailable | Facility $1015.08 |
| Atlanta | Office Unavailable | Facility $1183.08 |
| Austin | Office Unavailable | Facility $1145.96 |
| Bakersfield | Office Unavailable | Facility $1124.99 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1217.02 |
| Beaumont | Office Unavailable | Facility $1100.07 |
| Brazoria | Office Unavailable | Facility $1109.18 |
| Chicago | Office Unavailable | Facility $1359.36 |
| Chico | Office Unavailable | Facility $1111.88 |
| Colorado | Office Unavailable | Facility $1137.33 |
| Connecticut | Office Unavailable | Facility $1216.56 |
| Dallas | Office Unavailable | Facility $1124.22 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1257.52 |
| Delaware | Office Unavailable | Facility $1125.56 |
| Detroit | Office Unavailable | Facility $1242.13 |
| East St. Louis | Office Unavailable | Facility $1279.68 |
| El Centro | Office Unavailable | Facility $1112.69 |
| Fort Lauderdale | Office Unavailable | Facility $1278.67 |
| Fort Worth | Office Unavailable | Facility $1122.84 |
| Fresno | Office Unavailable | Facility $1111.88 |
| Galveston | Office Unavailable | Facility $1117.67 |
| Hanford-Corcoran | Office Unavailable | Facility $1111.88 |
| Hawaii, Guam | Office Unavailable | Facility $1122.41 |
| Houston | Office Unavailable | Facility $1206.63 |
| Idaho | Office Unavailable | Facility $1029.54 |
| Indiana | Office Unavailable | Facility $1034.09 |
| Iowa | Office Unavailable | Facility $1015.45 |
| Kansas | Office Unavailable | Facility $1028.99 |
| Kentucky | Office Unavailable | Facility $1090.47 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1178.16 |
| Madera | Office Unavailable | Facility $1111.88 |
| Manhattan | Office Unavailable | Facility $1335.04 |
| Merced | Office Unavailable | Facility $1111.88 |
| Metropolitan Boston | Office Unavailable | Facility $1218.68 |
| Metropolitan Kansas City | Office Unavailable | Facility $1117.97 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1199.98 |
| Metropolitan St. Louis | Office Unavailable | Facility $1126.57 |
| Miami | Office Unavailable | Facility $1405.48 |
| Minnesota | Office Unavailable | Facility $1038.81 |
| Mississippi | Office Unavailable | Facility $1052.14 |
| Modesto | Office Unavailable | Facility $1111.88 |
| Montana** | Office Unavailable | Facility $1142.65 |
| Napa | Office Unavailable | Facility $1213.81 |
| Nebraska | Office Unavailable | Facility $1015.16 |
| Nevada** | Office Unavailable | Facility $1116.22 |
| New Hampshire | Office Unavailable | Facility $1136.98 |
| New Mexico | Office Unavailable | Facility $1146.66 |
| New Orleans | Office Unavailable | Facility $1144.48 |
| North Carolina | Office Unavailable | Facility $1061.01 |
| North Dakota** | Office Unavailable | Facility $1046.56 |
| Northern Nj | Office Unavailable | Facility $1249.62 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1388.44 |
| Ohio | Office Unavailable | Facility $1113.94 |
| Oklahoma | Office Unavailable | Facility $1069.47 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1162.94 |
| Portland | Office Unavailable | Facility $1150.24 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1238.63 |
| Puerto Rico | Office Unavailable | Facility $1144.38 |
| Queens | Office Unavailable | Facility $1318.64 |
| Redding | Office Unavailable | Facility $1111.88 |
| Rest Of California | Office Unavailable | Facility $1111.88 |
| Rest Of Florida | Office Unavailable | Facility $1209.29 |
| Rest Of Georgia | Office Unavailable | Facility $1136.49 |
| Rest Of Illinois | Office Unavailable | Facility $1204.03 |
| Rest Of Louisiana | Office Unavailable | Facility $1096.06 |
| Rest Of Maine | Office Unavailable | Facility $1053.72 |
| Rest Of Maryland | Office Unavailable | Facility $1140.17 |
| Rest Of Massachusetts | Office Unavailable | Facility $1138.62 |
| Rest Of Michigan | Office Unavailable | Facility $1133.58 |
| Rest Of Missouri | Office Unavailable | Facility $1090.64 |
| Rest Of New Jersey | Office Unavailable | Facility $1216.08 |
| Rest Of New York | Office Unavailable | Facility $1077.33 |
| Rest Of Oregon | Office Unavailable | Facility $1093.37 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1105.46 |
| Rest Of Texas | Office Unavailable | Facility $1109.45 |
| Rest Of Washington | Office Unavailable | Facility $1130.88 |
| Rhode Island | Office Unavailable | Facility $1148.96 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1163.97 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1147.25 |
| Salinas | Office Unavailable | Facility $1142.69 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1155.94 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1258.16 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1252.64 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1291.30 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1268.74 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1126.87 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1155.90 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1143.24 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1166.12 |
| Seattle (King Cnty) | Office Unavailable | Facility $1224.03 |
| South Carolina | Office Unavailable | Facility $1092.13 |
| South Dakota** | Office Unavailable | Facility $1035.19 |
| Southern Maine | Office Unavailable | Facility $1079.94 |
| Stockton | Office Unavailable | Facility $1111.88 |
| Suburban Chicago | Office Unavailable | Facility $1282.13 |
| Tennessee | Office Unavailable | Facility $1036.09 |
| Utah | Office Unavailable | Facility $1105.50 |
| Vallejo | Office Unavailable | Facility $1205.86 |
| Vermont | Office Unavailable | Facility $1059.30 |
| Virgin Islands | Office Unavailable | Facility $1144.38 |
| Virginia | Office Unavailable | Facility $1089.33 |
| Visalia | Office Unavailable | Facility $1111.88 |
| West Virginia | Office Unavailable | Facility $1167.26 |
| Wisconsin | Office Unavailable | Facility $1016.00 |
| Wyoming** | Office Unavailable | Facility $1100.77 |
| Yuba City | Office Unavailable | Facility $1111.88 |
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47010 billing questions
When should this code be chosen instead of 47015?
Use this code for open drainage of a hepatic abscess or cyst in one or two stages. Code 47015 describes laparoscopic aspiration or injection of a hepatic cavity or cyst.
Is a liver biopsy included in the drainage service?
The drainage service describes treatment of an abscess or cyst, not tissue sampling. A separately indicated biopsy may be reportable when performed and documented; code 47001 is used for needle biopsy during another major procedure.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under the standard multiple-procedure 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,64346999,,Unlisted procedure anus,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64447000,,Needle biopsy of liver perq,A,,1.61,6.84,,0.51,,0.17,8.62,2.29,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64547001,,Ndl biopsy lvr tm oth maj px,A,,1.85,0.45,NA,0.45,,0.47,2.77,2.77,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64647010,,Hepatot opn drg absc/cst 1/2,A,,18.92,10.44,NA,10.44,,4.86,34.22,34.22,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64747015,,Lapt aspir&/njx hep prst cst,A,,18.04,10.20,NA,10.20,,4.82,33.06,33.06,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64847100,,Wedge biopsy of liver,A,,12.59,8.62,NA,8.62,,3.18,24.39,24.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64947120,,Partial removal of liver,A,,38.03,17.31,NA,17.31,,9.53,64.87,64.87,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00