$300.63
Use 47000 for percutaneous needle sampling. Use 47100 when the surgeon removes a wedge-shaped sample.
On this page
CMS RVU26D · Effective 2026-10-01
47100 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$820.08
Base rate per service
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.
Digestive system surgery
About 47100: Surgical liver wedge biopsy
Reports surgical removal of a wedge-shaped liver sample for tissue diagnosis, rather than a needle sample or therapeutic liver resection.
The surgeon removes a wedge-shaped piece of liver tissue for diagnostic examination, commonly during an abdominal operation when direct surgical access to the liver is available. The specimen is sent for pathology to assess suspected disease or clarify findings such as a liver lesion or diffuse tissue abnormality. This is distinct from sampling the liver with a needle and from removing liver tissue as treatment.
Report the service when the operative documentation supports an actual wedge-shaped tissue biopsy; document the specimen and the reason for sampling. A pathology examination may be reported separately by the laboratory or pathologist. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When performed in the same session as other procedures subject to the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47100
- 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 RVU12.59 · 52%
- Practice expense (office) RVU8.62 · 35%
- Malpractice RVU3.18 · 13%
2.8K
Medicare services in 2024 · #2218 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.
47100 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
47001 describes needle biopsy performed during another major procedure. 47100 describes a wedge biopsy, not needle sampling.
No office rate
47120 represents partial liver removal, rather than tissue sampling for diagnosis. The operative purpose and extent of tissue removal distinguish it from 47100.
The same code, a different location
How does Austin compare?
47100 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 47100
Office
Unavailable
Facility
$789.66
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 47100
Office
Unavailable
Facility
$848.89
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47100
Office
Unavailable
Facility
$900.61
No comparable office rate is available.
Miami
Florida · 47100
Office
Unavailable
Facility
$988.86
No comparable office rate is available.
Chicago
Illinois · 47100
Office
Unavailable
Facility
$956.58
No comparable office rate is available.
Manhattan
New York · 47100
Office
Unavailable
Facility
$950.45
No comparable office rate is available.
Alaska*
Alaska · 47100
Office
Unavailable
Facility
$995.93
No comparable office rate is available.
Alabama
Alabama · 47100
Office
Unavailable
Facility
$732.56
No comparable office rate is available.
Arkansas
Arkansas · 47100
Office
Unavailable
Facility
$722.54
No comparable office rate is available.
Arizona
Arizona · 47100
Office
Unavailable
Facility
$790.43
No comparable office rate is available.
Bakersfield
California · 47100
Office
Unavailable
Facility
$808.75
No comparable office rate is available.
Chico
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
El Centro
California · 47100
Office
Unavailable
Facility
$800.68
No comparable office rate is available.
Fresno
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Hanford-Corcoran
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Madera
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Merced
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Modesto
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Napa
California · 47100
Office
Unavailable
Facility
$880.44
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47100
Office
Unavailable
Facility
$838.78
No comparable office rate is available.
Redding
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Rest Of California
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47100
Office
Unavailable
Facility
$834.24
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47100
Office
Unavailable
Facility
$827.43
No comparable office rate is available.
Salinas
California · 47100
Office
Unavailable
Facility
$824.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47100
Office
Unavailable
Facility
$835.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47100
Office
Unavailable
Facility
$915.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47100
Office
Unavailable
Facility
$911.57
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47100
Office
Unavailable
Facility
$938.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47100
Office
Unavailable
Facility
$924.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47100
Office
Unavailable
Facility
$812.53
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47100
Office
Unavailable
Facility
$836.10
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47100
Office
Unavailable
Facility
$824.93
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47100
Office
Unavailable
Facility
$843.62
No comparable office rate is available.
Stockton
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Vallejo
California · 47100
Office
Unavailable
Facility
$875.24
No comparable office rate is available.
Visalia
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Yuba City
California · 47100
Office
Unavailable
Facility
$800.15
No comparable office rate is available.
Colorado
Colorado · 47100
Office
Unavailable
Facility
$814.86
No comparable office rate is available.
Connecticut
Connecticut · 47100
Office
Unavailable
Facility
$867.53
No comparable office rate is available.
Delaware
Delaware · 47100
Office
Unavailable
Facility
$802.57
No comparable office rate is available.
Fort Lauderdale
Florida · 47100
Office
Unavailable
Facility
$904.21
No comparable office rate is available.
Rest Of Florida
Florida · 47100
Office
Unavailable
Facility
$855.41
No comparable office rate is available.
Atlanta
Georgia · 47100
Office
Unavailable
Facility
$841.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 47100
Office
Unavailable
Facility
$803.95
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47100
Office
Unavailable
Facility
$809.38
No comparable office rate is available.
Iowa
Iowa · 47100
Office
Unavailable
Facility
$726.13
No comparable office rate is available.
Idaho
Idaho · 47100
Office
Unavailable
Facility
$735.64
No comparable office rate is available.
East St. Louis
Illinois · 47100
Office
Unavailable
Facility
$899.32
No comparable office rate is available.
Rest Of Illinois
Illinois · 47100
Office
Unavailable
Facility
$849.40
No comparable office rate is available.
Suburban Chicago
Illinois · 47100
Office
Unavailable
Facility
$907.36
No comparable office rate is available.
Indiana
Indiana · 47100
Office
Unavailable
Facility
$739.04
No comparable office rate is available.
Kansas
Kansas · 47100
Office
Unavailable
Facility
$734.33
No comparable office rate is available.
Kentucky
Kentucky · 47100
Office
Unavailable
Facility
$773.66
No comparable office rate is available.
New Orleans
Louisiana · 47100
Office
Unavailable
Facility
$812.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47100
Office
Unavailable
Facility
$777.08
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47100
Office
Unavailable
Facility
$876.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47100
Office
Unavailable
Facility
$815.07
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47100
Office
Unavailable
Facility
$867.57
No comparable office rate is available.
Rest Of Maryland
Maryland · 47100
Office
Unavailable
Facility
$813.60
No comparable office rate is available.
Rest Of Maine
Maine · 47100
Office
Unavailable
Facility
$751.47
No comparable office rate is available.
Southern Maine
Maine · 47100
Office
Unavailable
Facility
$772.86
No comparable office rate is available.
Detroit
Michigan · 47100
Office
Unavailable
Facility
$877.43
No comparable office rate is available.
Rest Of Michigan
Michigan · 47100
Office
Unavailable
Facility
$803.30
No comparable office rate is available.
Minnesota
Minnesota · 47100
Office
Unavailable
Facility
$748.22
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47100
Office
Unavailable
Facility
$794.64
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47100
Office
Unavailable
Facility
$801.04
No comparable office rate is available.
Rest Of Missouri
Missouri · 47100
Office
Unavailable
Facility
$772.15
No comparable office rate is available.
Mississippi
Mississippi · 47100
Office
Unavailable
Facility
$746.91
No comparable office rate is available.
Montana**
Montana · 47100
Office
Unavailable
Facility
$814.44
No comparable office rate is available.
North Carolina
North Carolina · 47100
Office
Unavailable
Facility
$757.01
No comparable office rate is available.
North Dakota**
North Dakota · 47100
Office
Unavailable
Facility
$751.56
No comparable office rate is available.
Nebraska
Nebraska · 47100
Office
Unavailable
Facility
$726.41
No comparable office rate is available.
New Hampshire
New Hampshire · 47100
Office
Unavailable
Facility
$813.18
No comparable office rate is available.
Northern Nj
New Jersey · 47100
Office
Unavailable
Facility
$894.43
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47100
Office
Unavailable
Facility
$868.26
No comparable office rate is available.
New Mexico
New Mexico · 47100
Office
Unavailable
Facility
$812.10
No comparable office rate is available.
Nevada**
Nevada · 47100
Office
Unavailable
Facility
$797.20
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47100
Office
Unavailable
Facility
$987.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47100
Office
Unavailable
Facility
$883.23
No comparable office rate is available.
Queens
New York · 47100
Office
Unavailable
Facility
$940.91
No comparable office rate is available.
Rest Of New York
New York · 47100
Office
Unavailable
Facility
$768.71
No comparable office rate is available.
Ohio
Ohio · 47100
Office
Unavailable
Facility
$790.45
No comparable office rate is available.
Oklahoma
Oklahoma · 47100
Office
Unavailable
Facility
$760.16
No comparable office rate is available.
Portland
Oregon · 47100
Office
Unavailable
Facility
$826.14
No comparable office rate is available.
Rest Of Oregon
Oregon · 47100
Office
Unavailable
Facility
$781.95
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47100
Office
Unavailable
Facility
$854.52
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47100
Office
Unavailable
Facility
$785.20
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47100
Office
Unavailable
Facility
$816.22
No comparable office rate is available.
Rhode Island
Rhode Island · 47100
Office
Unavailable
Facility
$820.67
No comparable office rate is available.
South Carolina
South Carolina · 47100
Office
Unavailable
Facility
$776.83
No comparable office rate is available.
South Dakota**
South Dakota · 47100
Office
Unavailable
Facility
$744.12
No comparable office rate is available.
Tennessee
Tennessee · 47100
Office
Unavailable
Facility
$739.27
No comparable office rate is available.
Utah
Utah · 47100
Office
Unavailable
Facility
$786.54
No comparable office rate is available.
Virginia
Virginia · 47100
Office
Unavailable
Facility
$778.53
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47100
Office
Unavailable
Facility
$816.22
No comparable office rate is available.
Vermont
Vermont · 47100
Office
Unavailable
Facility
$759.30
No comparable office rate is available.
Rest Of Washington
Washington · 47100
Office
Unavailable
Facility
$809.99
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47100
Office
Unavailable
Facility
$881.59
No comparable office rate is available.
Wisconsin
Wisconsin · 47100
Office
Unavailable
Facility
$729.05
No comparable office rate is available.
West Virginia
West Virginia · 47100
Office
Unavailable
Facility
$822.71
No comparable office rate is available.
Wyoming**
Wyoming · 47100
Office
Unavailable
Facility
$787.03
No comparable office rate is available.
See how rates vary across the country
47100 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 47100 in Austin
Multiple payment areas
- 47100 in Barton Creek
- 47100 in Bee Cave
- 47100 in Briarcliff
- 47100 in Cedar Park
Multiple payment areas
- 47100 in Creedmoor
Multiple payment areas
- 47100 in Elgin
Multiple payment areas
- 47100 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 47100 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$902.09
$820.08 × 110% = $902.09
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 47100 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,648
- Code
- 47100
- Physician work
- 12.59
- Practice expense
- 8.62
- Malpractice
- 3.18
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.59 | × 1.002 | 12.6152 |
| Practice expense | 8.62 | × 1.058 | 9.1200 |
| Malpractice | 3.18 | × 0.886 | 2.8175 |
| Total RVUs | 24.5526 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$820.08
Open 47100 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.59 | 1.002 |
| Practice expense | 8.62 | 1.058 |
| Malpractice | 3.18 | 0.886 |
(12.59 × 1.002 + 8.62 × 1.058 + 3.18 × 0.886) × $33.4009 = $820.08
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
47100 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $820.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $820.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $820.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $820.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $836.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $836.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $836.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $836.55 | RVU25A |
47100 billing questions
How does 47100 differ from a needle liver biopsy?
47100 is for surgical removal of a wedge-shaped piece of liver. A needle biopsy uses a needle to obtain the sample; use the code that matches the documented sampling method.
Can the pathology examination be reported separately?
Yes. The pathologist or laboratory may report the applicable surgical pathology service for examination of the liver biopsy specimen, such as 88307.
What documentation supports 47100?
The operative report should describe removal of a wedge-shaped liver sample, the reason for the biopsy, and the specimen submitted for examination.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is 47100 paid when performed with another procedure in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
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.
5,64547001,,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
5,65147125,,Partial removal of liver,A,,51.71,19.64,NA,19.64,,13.27,84.62,84.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858