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Billing code 47130: Liver resectionMedicare rate & RVUs

Reports a liver resection performed with reconstruction of a hepatic duct, such as when tumor removal requires rebuilding the bile drainage pathway.

CMS RVU26DEffective Oct 1, 2026109 payment localities327 Medicare services in 2024

Medicare pays $3,023.12 for 47130 nationally in a facility.

Medicare rate · 47130

Liver resection

Swap in your local Medicare rate.

Work RVUs
55.76
Total RVUs
90.51
Global days
090

National rate · 2026

$3,023.12

Facility setting, before claim adjustments.

See every locality for 47130 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 47130 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47130 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,731.58
Alaska*Unavailable$3,786.16
ArizonaUnavailable$2,933.58
ArkansasUnavailable$2,696.42
AtlantaUnavailable$3,134.96
AustinUnavailable$3,012.64
BakersfieldUnavailable$2,939.11
Baltimore/Surr. CntysUnavailable$3,215.37
BeaumontUnavailable$2,927.66
BrazoriaUnavailable$2,927.56

47130 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
47130 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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

Swap in your local Medicare rate.

Work 55.76Practice expense 20.56Malpractice 14.19

90.5100 adjusted RVUs×$33.4009 conversion factor=$3,023.12

All indexes start 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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 47130

Liver resection

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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

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%).

When to use modifier 51

47130 compared with similar codes

Compare codes

47130 vs 47120 vs 47122 vs 47125: national Medicare rates

Swap in your local Medicare rate.

  • 47130
    Liver resection · 55.76 wRVU
    —
  • 47120
    Liver resection · 38.03 wRVU
    —
  • 47122
    Liver resection · 57.99 wRVU
    —
  • 47125
    Liver resection · 51.71 wRVU
    —

How to choose

47120Liver resection
47120 describes a partial liver lobectomy. Report 47130 when the liver resection also includes hepatic duct reconstruction.
47122Liver resection
47122 is for total left lobectomy. 47130 is distinguished by hepatic duct reconstruction, not simply by the side or amount of liver removed.
47125Liver resection
47125 is for total right lobectomy. Use 47130 when the operative service includes hepatic duct reconstruction with the liver resection.

Codes related to 47130

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 47130
CodeHow it relatesNational office range
Used instead
47120Liver resectionLiver resection without the hepatic duct reconstruction that distinguishes 47130.No office rate
47122Liver resectionTotal left lobectomy when that resection, rather than duct reconstruction, defines the service.No office rate
47125Liver resectionTotal right lobectomy when that resection, rather than duct reconstruction, defines the service.No office rate

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
RVUs for 47130PPRRVU2026_Oct_nonQPP.csv, line 5,652 (RVU26D)

Open CMS sourceHow we calculate rates

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