$252.95–$392.18
This code describes percutaneous needle biopsy of liver tissue. Code 47015 is for laparoscopic treatment of a hepatic cyst, not tissue sampling.
On this page
CMS RVU26D · Effective 2026-10-01
47015 Liver cyst procedure Medicare reimbursement rates
Report laparoscopic aspiration of a hepatic cyst or injection for sclerosis when the surgeon treats the cyst through a laparoscopic approach. Compare 47015 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 47015?
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 47015 pays more and less
Hepatobiliary surgery
About 47015: Laparoscopic hepatic cyst aspiration or injection
Report laparoscopic aspiration of a hepatic cyst or injection for sclerosis when the surgeon treats the cyst through a laparoscopic approach.
A surgeon uses laparoscopy to aspirate fluid from a hepatic cyst or inject it for sclerosis. This is an operative treatment of a liver cyst, typically performed in a hospital or surgical facility by a general or hepatobiliary surgeon. The laparoscopic approach distinguishes this service from open drainage and from needle biopsy of liver tissue.
Select the code when the operative report documents the laparoscopic approach and cyst aspiration or injection. The 90-day global period 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% multiple-procedure reduction. CMS may pay for an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47015
- 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 RVU18.04 · 55%
- Practice expense (office) RVU10.20 · 31%
- Malpractice RVU4.82 · 15%
18
Medicare services in 2024 · #5979 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.
47015 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Use 47001 for a liver needle biopsy performed with another major procedure. Code 47015 describes cyst aspiration or injection, not biopsy.
No office rate
Use 47010 for open drainage of a hepatic abscess or cyst. Code 47015 describes laparoscopic aspiration or injection of a hepatic cyst.
See how rates vary across the country
47015 · 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 47015 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 $991.78 |
| Alaska* | Office Unavailable | Facility $1355.37 |
| Arizona | Office Unavailable | Facility $1070.49 |
| Arkansas | Office Unavailable | Facility $978.12 |
| Atlanta | Office Unavailable | Facility $1143.85 |
| Austin | Office Unavailable | Facility $1106.85 |
| Bakersfield | Office Unavailable | Facility $1085.44 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1176.90 |
| Beaumont | Office Unavailable | Facility $1062.14 |
| Brazoria | Office Unavailable | Facility $1070.57 |
| Chicago | Office Unavailable | Facility $1318.64 |
| Chico | Office Unavailable | Facility $1072.48 |
| Colorado | Office Unavailable | Facility $1098.01 |
| Connecticut | Office Unavailable | Facility $1176.33 |
| Dallas | Office Unavailable | Facility $1085.43 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1215.61 |
| Delaware | Office Unavailable | Facility $1086.90 |
| Detroit | Office Unavailable | Facility $1202.75 |
| East St. Louis | Office Unavailable | Facility $1240.22 |
| El Centro | Office Unavailable | Facility $1073.29 |
| Fort Lauderdale | Office Unavailable | Facility $1238.74 |
| Fort Worth | Office Unavailable | Facility $1084.12 |
| Fresno | Office Unavailable | Facility $1072.48 |
| Galveston | Office Unavailable | Facility $1078.98 |
| Hanford-Corcoran | Office Unavailable | Facility $1072.48 |
| Hawaii, Guam | Office Unavailable | Facility $1083.13 |
| Houston | Office Unavailable | Facility $1167.20 |
| Idaho | Office Unavailable | Facility $992.14 |
| Indiana | Office Unavailable | Facility $996.61 |
| Iowa | Office Unavailable | Facility $978.20 |
| Kansas | Office Unavailable | Facility $991.68 |
| Kentucky | Office Unavailable | Facility $1052.73 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1137.19 |
| Madera | Office Unavailable | Facility $1072.48 |
| Manhattan | Office Unavailable | Facility $1292.33 |
| Merced | Office Unavailable | Facility $1072.48 |
| Metropolitan Boston | Office Unavailable | Facility $1177.32 |
| Metropolitan Kansas City | Office Unavailable | Facility $1079.75 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1160.12 |
| Metropolitan St. Louis | Office Unavailable | Facility $1088.20 |
| Miami | Office Unavailable | Facility $1364.36 |
| Minnesota | Office Unavailable | Facility $1000.78 |
| Mississippi | Office Unavailable | Facility $1014.86 |
| Modesto | Office Unavailable | Facility $1072.48 |
| Montana** | Office Unavailable | Facility $1103.91 |
| Napa | Office Unavailable | Facility $1171.33 |
| Nebraska | Office Unavailable | Facility $977.86 |
| Nevada** | Office Unavailable | Facility $1077.69 |
| New Hampshire | Office Unavailable | Facility $1098.08 |
| New Mexico | Office Unavailable | Facility $1108.32 |
| New Orleans | Office Unavailable | Facility $1106.03 |
| North Carolina | Office Unavailable | Facility $1023.29 |
| North Dakota** | Office Unavailable | Facility $1008.60 |
| Northern Nj | Office Unavailable | Facility $1207.65 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1345.16 |
| Ohio | Office Unavailable | Facility $1075.88 |
| Oklahoma | Office Unavailable | Facility $1031.88 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1122.42 |
| Portland | Office Unavailable | Facility $1110.48 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1197.52 |
| Puerto Rico | Office Unavailable | Facility $1105.57 |
| Queens | Office Unavailable | Facility $1275.96 |
| Redding | Office Unavailable | Facility $1072.48 |
| Rest Of California | Office Unavailable | Facility $1072.48 |
| Rest Of Florida | Office Unavailable | Facility $1170.22 |
| Rest Of Georgia | Office Unavailable | Facility $1098.35 |
| Rest Of Illinois | Office Unavailable | Facility $1165.23 |
| Rest Of Louisiana | Office Unavailable | Facility $1058.29 |
| Rest Of Maine | Office Unavailable | Facility $1016.12 |
| Rest Of Maryland | Office Unavailable | Facility $1101.15 |
| Rest Of Massachusetts | Office Unavailable | Facility $1099.25 |
| Rest Of Michigan | Office Unavailable | Facility $1095.36 |
| Rest Of Missouri | Office Unavailable | Facility $1053.03 |
| Rest Of New Jersey | Office Unavailable | Facility $1175.30 |
| Rest Of New York | Office Unavailable | Facility $1039.38 |
| Rest Of Oregon | Office Unavailable | Facility $1055.06 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1067.44 |
| Rest Of Texas | Office Unavailable | Facility $1071.24 |
| Rest Of Washington | Office Unavailable | Facility $1091.65 |
| Rhode Island | Office Unavailable | Facility $1109.54 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1124.12 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1106.76 |
| Salinas | Office Unavailable | Facility $1102.38 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1115.35 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1214.06 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1208.59 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1246.40 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1224.02 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1087.13 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1115.44 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1102.96 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1125.29 |
| Seattle (King Cnty) | Office Unavailable | Facility $1182.24 |
| South Carolina | Office Unavailable | Facility $1054.19 |
| South Dakota** | Office Unavailable | Facility $997.33 |
| Southern Maine | Office Unavailable | Facility $1041.76 |
| Stockton | Office Unavailable | Facility $1072.48 |
| Suburban Chicago | Office Unavailable | Facility $1241.94 |
| Tennessee | Office Unavailable | Facility $998.69 |
| Utah | Office Unavailable | Facility $1067.37 |
| Vallejo | Office Unavailable | Facility $1163.44 |
| Vermont | Office Unavailable | Facility $1021.30 |
| Virgin Islands | Office Unavailable | Facility $1105.57 |
| Virginia | Office Unavailable | Facility $1051.11 |
| Visalia | Office Unavailable | Facility $1072.48 |
| West Virginia | Office Unavailable | Facility $1128.99 |
| Wisconsin | Office Unavailable | Facility $978.52 |
| Wyoming** | Office Unavailable | Facility $1062.38 |
| Yuba City | Office Unavailable | Facility $1072.48 |
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47015 billing questions
How does this differ from open drainage of a hepatic cyst?
This code describes laparoscopic cyst aspiration or injection. Open drainage is reported with 47010 when the surgeon treats the cyst through an open approach.
Can a liver needle biopsy be reported during the same operation?
Code 47001 describes a liver needle biopsy performed in conjunction with another major procedure. Report it only when a distinct biopsy is documented, rather than treating cyst aspiration or injection as a biopsy.
Which postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS may pay for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
5,64447000,,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
5,65047122,,Extensive removal of liver,A,,57.99,21.40,NA,21.40,,14.84,94.23,94.23,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00