47143
No office ratePrep donor liver whole
47143 covers standard backbench preparation of a whole donor liver graft without reconstruction. Choose 47147 when arterial reconstruction is performed.
On this page
CMS RVU26D · Effective 2026-10-01
47147 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$325.49
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.
Transplant surgery
About 47147: Donor liver arterial reconstruction
Reports backbench preparation of a whole cadaveric donor liver graft when the transplant surgeon performs arterial reconstruction before transplantation.
A transplant surgeon performs this backbench service on a cadaveric whole-liver graft before it is implanted in the recipient. The work includes preparing the graft and reconstructing its arterial supply to make it suitable for transplantation. It is generally performed in the operating room during a liver transplant episode, separate from the recipient operation itself.
Choose this code when the documented graft preparation includes arterial reconstruction; preparation without that work or preparation involving venous reconstruction belongs to a different code in the series. The operative report should identify the donor graft, the backbench preparation performed, and the arterial reconstruction. Medicare applies the standard multiple procedure reduction when other procedures subject to that rule are performed in the same session: the highest-valued procedure is paid in full, and the others are paid at 50%.
CMS billing rules for 47147
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU6.83 · 66%
- Practice expense (office) RVU1.67 · 16%
- Malpractice RVU1.79 · 17%
174
Medicare services in 2024 · #4449 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.
47147 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Both describe backbench graft preparation, but 47146 identifies venous reconstruction and 47147 identifies arterial reconstruction.
47144
No office ratePrep donor liver 3-segment
47144 concerns preparation of a three-segment donor liver graft. 47147 is distinguished by arterial reconstruction of a whole donor liver graft.
The same code, a different location
How does El Centro compare?
47147 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 47147
Office
Unavailable
Facility
$325.19
No comparable office rate is available.
Modesto
California · 47147
Office
Unavailable
Facility
$325.19
No comparable office rate is available.
Napa
California · 47147
Office
Unavailable
Facility
$346.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47147
Office
Unavailable
Facility
$337.69
No comparable office rate is available.
Redding
California · 47147
Office
Unavailable
Facility
$325.19
No comparable office rate is available.
Rest Of California
California · 47147
Office
Unavailable
Facility
$325.19
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47147
Office
Unavailable
Facility
$344.37
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47147
Office
Unavailable
Facility
$333.26
No comparable office rate is available.
Salinas
California · 47147
Office
Unavailable
Facility
$331.89
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47147
Office
Unavailable
Facility
$334.09
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47147
Office
Unavailable
Facility
$355.89
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47147
Office
Unavailable
Facility
$353.86
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47147
Office
Unavailable
Facility
$365.70
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47147
Office
Unavailable
Facility
$357.39
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47147
Office
Unavailable
Facility
$327.59
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47147
Office
Unavailable
Facility
$332.74
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47147
Office
Unavailable
Facility
$331.60
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47147
Office
Unavailable
Facility
$335.52
No comparable office rate is available.
Stockton
California · 47147
Office
Unavailable
Facility
$325.19
No comparable office rate is available.
Vallejo
California · 47147
Office
Unavailable
Facility
$343.46
No comparable office rate is available.
Visalia
California · 47147
Office
Unavailable
Facility
$325.19
No comparable office rate is available.
Yuba City
California · 47147
Office
Unavailable
Facility
$325.19
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47147
Office
Unavailable
Facility
$372.70
No comparable office rate is available.
Miami
Florida · 47147
Office
Unavailable
Facility
$437.40
No comparable office rate is available.
Chicago
Illinois · 47147
Office
Unavailable
Facility
$423.00
No comparable office rate is available.
Manhattan
New York · 47147
Office
Unavailable
Facility
$402.37
No comparable office rate is available.
Alaska*
Alaska · 47147
Office
Unavailable
Facility
$434.54
No comparable office rate is available.
Alabama
Alabama · 47147
Office
Unavailable
Facility
$310.77
No comparable office rate is available.
Arkansas
Arkansas · 47147
Office
Unavailable
Facility
$306.83
No comparable office rate is available.
Arizona
Arizona · 47147
Office
Unavailable
Facility
$333.36
No comparable office rate is available.
Colorado
Colorado · 47147
Office
Unavailable
Facility
$336.91
No comparable office rate is available.
Connecticut
Connecticut · 47147
Office
Unavailable
Facility
$365.11
No comparable office rate is available.
Delaware
Delaware · 47147
Office
Unavailable
Facility
$338.13
No comparable office rate is available.
Fort Lauderdale
Florida · 47147
Office
Unavailable
Facility
$392.73
No comparable office rate is available.
Rest Of Florida
Florida · 47147
Office
Unavailable
Facility
$371.31
No comparable office rate is available.
Atlanta
Georgia · 47147
Office
Unavailable
Facility
$357.29
No comparable office rate is available.
Rest Of Georgia
Georgia · 47147
Office
Unavailable
Facility
$349.15
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47147
Office
Unavailable
Facility
$326.17
No comparable office rate is available.
Iowa
Iowa · 47147
Office
Unavailable
Facility
$302.90
No comparable office rate is available.
Idaho
Idaho · 47147
Office
Unavailable
Facility
$307.72
No comparable office rate is available.
East St. Louis
Illinois · 47147
Office
Unavailable
Facility
$399.86
No comparable office rate is available.
Rest Of Illinois
Illinois · 47147
Office
Unavailable
Facility
$372.50
No comparable office rate is available.
Suburban Chicago
Illinois · 47147
Office
Unavailable
Facility
$392.95
No comparable office rate is available.
Indiana
Indiana · 47147
Office
Unavailable
Facility
$308.89
No comparable office rate is available.
Kansas
Kansas · 47147
Office
Unavailable
Facility
$308.69
No comparable office rate is available.
Kentucky
Kentucky · 47147
Office
Unavailable
Facility
$332.42
No comparable office rate is available.
New Orleans
Louisiana · 47147
Office
Unavailable
Facility
$348.54
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47147
Office
Unavailable
Facility
$334.77
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47147
Office
Unavailable
Facility
$357.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47147
Office
Unavailable
Facility
$338.16
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47147
Office
Unavailable
Facility
$365.59
No comparable office rate is available.
Rest Of Maryland
Maryland · 47147
Office
Unavailable
Facility
$341.74
No comparable office rate is available.
Rest Of Maine
Maine · 47147
Office
Unavailable
Facility
$316.63
No comparable office rate is available.
Southern Maine
Maine · 47147
Office
Unavailable
Facility
$321.13
No comparable office rate is available.
Detroit
Michigan · 47147
Office
Unavailable
Facility
$382.76
No comparable office rate is available.
Rest Of Michigan
Michigan · 47147
Office
Unavailable
Facility
$346.56
No comparable office rate is available.
Minnesota
Minnesota · 47147
Office
Unavailable
Facility
$303.22
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47147
Office
Unavailable
Facility
$338.92
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47147
Office
Unavailable
Facility
$341.14
No comparable office rate is available.
Rest Of Missouri
Missouri · 47147
Office
Unavailable
Facility
$334.44
No comparable office rate is available.
Mississippi
Mississippi · 47147
Office
Unavailable
Facility
$320.34
No comparable office rate is available.
Montana**
Montana · 47147
Office
Unavailable
Facility
$343.58
No comparable office rate is available.
North Carolina
North Carolina · 47147
Office
Unavailable
Facility
$318.37
No comparable office rate is available.
North Dakota**
North Dakota · 47147
Office
Unavailable
Facility
$308.18
No comparable office rate is available.
Nebraska
Nebraska · 47147
Office
Unavailable
Facility
$302.21
No comparable office rate is available.
New Hampshire
New Hampshire · 47147
Office
Unavailable
Facility
$338.51
No comparable office rate is available.
Northern Nj
New Jersey · 47147
Office
Unavailable
Facility
$371.06
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47147
Office
Unavailable
Facility
$363.75
No comparable office rate is available.
New Mexico
New Mexico · 47147
Office
Unavailable
Facility
$351.08
No comparable office rate is available.
Nevada**
Nevada · 47147
Office
Unavailable
Facility
$333.77
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47147
Office
Unavailable
Facility
$420.08
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47147
Office
Unavailable
Facility
$371.82
No comparable office rate is available.
Queens
New York · 47147
Office
Unavailable
Facility
$394.87
No comparable office rate is available.
Rest Of New York
New York · 47147
Office
Unavailable
Facility
$323.15
No comparable office rate is available.
Ohio
Ohio · 47147
Office
Unavailable
Facility
$339.32
No comparable office rate is available.
Oklahoma
Oklahoma · 47147
Office
Unavailable
Facility
$324.39
No comparable office rate is available.
Portland
Oregon · 47147
Office
Unavailable
Facility
$338.23
No comparable office rate is available.
Rest Of Oregon
Oregon · 47147
Office
Unavailable
Facility
$325.72
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47147
Office
Unavailable
Facility
$361.63
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47147
Office
Unavailable
Facility
$335.83
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47147
Office
Unavailable
Facility
$343.41
No comparable office rate is available.
Rhode Island
Rhode Island · 47147
Office
Unavailable
Facility
$343.41
No comparable office rate is available.
South Carolina
South Carolina · 47147
Office
Unavailable
Facility
$330.49
No comparable office rate is available.
South Dakota**
South Dakota · 47147
Office
Unavailable
Facility
$304.00
No comparable office rate is available.
Tennessee
Tennessee · 47147
Office
Unavailable
Facility
$310.94
No comparable office rate is available.
Austin
Texas · 47147
Office
Unavailable
Facility
$340.57
No comparable office rate is available.
Beaumont
Texas · 47147
Office
Unavailable
Facility
$334.43
No comparable office rate is available.
Brazoria
Texas · 47147
Office
Unavailable
Facility
$331.86
No comparable office rate is available.
Dallas
Texas · 47147
Office
Unavailable
Facility
$337.04
No comparable office rate is available.
Fort Worth
Texas · 47147
Office
Unavailable
Facility
$337.25
No comparable office rate is available.
Galveston
Texas · 47147
Office
Unavailable
Facility
$334.85
No comparable office rate is available.
Houston
Texas · 47147
Office
Unavailable
Facility
$367.61
No comparable office rate is available.
Rest Of Texas
Texas · 47147
Office
Unavailable
Facility
$335.05
No comparable office rate is available.
Utah
Utah · 47147
Office
Unavailable
Facility
$334.25
No comparable office rate is available.
Virginia
Virginia · 47147
Office
Unavailable
Facility
$325.17
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47147
Office
Unavailable
Facility
$343.41
No comparable office rate is available.
Vermont
Vermont · 47147
Office
Unavailable
Facility
$313.60
No comparable office rate is available.
Rest Of Washington
Washington · 47147
Office
Unavailable
Facility
$335.33
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47147
Office
Unavailable
Facility
$356.82
No comparable office rate is available.
Wisconsin
Wisconsin · 47147
Office
Unavailable
Facility
$299.98
No comparable office rate is available.
West Virginia
West Virginia · 47147
Office
Unavailable
Facility
$362.16
No comparable office rate is available.
Wyoming**
Wyoming · 47147
Office
Unavailable
Facility
$328.15
No comparable office rate is available.
See how rates vary across the country
47147 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 47147 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$358.04
$325.49 × 110% = $358.04
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 47147 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,662
- Code
- 47147
- Physician work
- 6.83
- Practice expense
- 1.67
- Malpractice
- 1.79
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.83 | × 1.017 | 6.9461 |
| Practice expense | 1.67 | × 1.096 | 1.8303 |
| Malpractice | 1.79 | × 0.541 | 0.9684 |
| Total RVUs | 9.7448 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$325.49
Open 47147 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.83 | 1.017 |
| Practice expense | 1.67 | 1.096 |
| Malpractice | 1.79 | 0.541 |
(6.83 × 1.017 + 1.67 × 1.096 + 1.79 × 0.541) × $33.4009 = $325.49
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
47147 · 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 | $325.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $325.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $325.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $325.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $355.04 | RVU25D |
| 2025-07-01 | Not available in this setting | $355.04 | RVU25C |
| 2025-04-01 | Not available in this setting | $355.04 | RVU25B |
| 2025-01-01 | Not available in this setting | $355.04 | RVU25A |
47147 billing questions
When should 47147 be chosen over 47143?
Use 47147 when backbench preparation of a whole cadaveric donor liver includes arterial reconstruction. Code 47143 describes standard whole-graft preparation without that reconstruction.
How does 47147 differ from 47146?
The distinguishing work is arterial reconstruction for 47147 and venous reconstruction for 47146. Follow the operative report’s description of the graft reconstruction.
Can 47147 be reported with the recipient liver transplant?
The backbench graft preparation and the recipient transplant are distinct services and may be reported in the same transplant episode when both are performed and documented.
What documentation supports 47147?
Document that the graft was prepared on the backbench before implantation and describe the arterial reconstruction performed. A record of graft preparation alone does not establish the arterial work that distinguishes this code.
How does Medicare handle multiple procedures in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and pays the others at 50% when the procedures are performed in the same session.
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.
5,65947144,,Prep donor liver 3-segment,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66047145,,Prep donor liver lobe split,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66147146,,Prep donor liver/venous,A,,5.85,1.42,NA,1.42,,1.56,8.83,8.83,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66247147,,Prep donor liver/arterial,A,,6.83,1.67,NA,1.67,,1.79,10.29,10.29,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66347300,,Surgery for liver lesion,A,,17.69,9.92,NA,9.92,,4.51,32.12,32.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66447350,,Repair liver wound,A,,21.93,11.22,NA,11.22,,5.34,38.49,38.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66547360,,Repair liver wound,A,,30.53,13.55,NA,13.55,,8.16,52.24,52.24,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664