No office rate
Choose 47360 when the surgeon explores the hepatic wound, with or without removing devitalized tissue. 47350 describes simpler suturing of the wound.
On this page
CMS RVU26D · Effective 2026-10-01
47360 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1679.18
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.
Trauma surgery
About 47360: Operative exploration and repair of liver wound
Reports operative repair of a liver wound that requires exploration, with or without removal of devitalized tissue, such as during trauma surgery.
This service addresses an injured liver wound that the surgeon explores during an operation, with or without removing devitalized tissue. It is typically performed by a trauma, general, or hepatobiliary surgeon in an operating room for traumatic liver injury, such as a laceration requiring operative assessment and repair. The operative record should establish that the wound was explored and describe any tissue removal and repair performed.
Report this code when the documented work includes hepatic wound exploration, rather than simple suturing alone. 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 others at 50%. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 47360
- 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 RVU30.53 · 58%
- Practice expense (office) RVU13.55 · 26%
- Malpractice RVU8.16 · 16%
38
Medicare services in 2024 · #5529 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.
47360 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
47361 is distinguished by control of bleeding, with or without packing. 47360 is selected for exploration of the wound, with or without tissue removal.
No office rate
47362 describes repair of extrahepatic hepatic blood vessels. 47360 describes exploration and repair of the liver wound itself.
The same code, a different location
How does Madera compare?
47360 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
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 · 47360
Office
Unavailable
Facility
$1679.18
No comparable office rate is available.
Modesto
California · 47360
Office
Unavailable
Facility
$1679.18
No comparable office rate is available.
Napa
California · 47360
Office
Unavailable
Facility
$1818.93
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47360
Office
Unavailable
Facility
$1753.03
No comparable office rate is available.
Redding
California · 47360
Office
Unavailable
Facility
$1679.18
No comparable office rate is available.
Rest Of California
California · 47360
Office
Unavailable
Facility
$1679.18
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47360
Office
Unavailable
Facility
$1766.60
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47360
Office
Unavailable
Facility
$1728.88
No comparable office rate is available.
Salinas
California · 47360
Office
Unavailable
Facility
$1721.97
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47360
Office
Unavailable
Facility
$1739.33
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47360
Office
Unavailable
Facility
$1879.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47360
Office
Unavailable
Facility
$1870.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47360
Office
Unavailable
Facility
$1930.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47360
Office
Unavailable
Facility
$1892.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47360
Office
Unavailable
Facility
$1698.64
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47360
Office
Unavailable
Facility
$1737.12
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47360
Office
Unavailable
Facility
$1722.08
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47360
Office
Unavailable
Facility
$1752.18
No comparable office rate is available.
Stockton
California · 47360
Office
Unavailable
Facility
$1679.18
No comparable office rate is available.
Vallejo
California · 47360
Office
Unavailable
Facility
$1805.58
No comparable office rate is available.
Visalia
California · 47360
Office
Unavailable
Facility
$1679.18
No comparable office rate is available.
Yuba City
California · 47360
Office
Unavailable
Facility
$1679.18
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 47360
Office
Unavailable
Facility
$1911.29
No comparable office rate is available.
Miami
Florida · 47360
Office
Unavailable
Facility
$2180.15
No comparable office rate is available.
Chicago
Illinois · 47360
Office
Unavailable
Facility
$2107.22
No comparable office rate is available.
Manhattan
New York · 47360
Office
Unavailable
Facility
$2043.16
No comparable office rate is available.
Alaska*
Alaska · 47360
Office
Unavailable
Facility
$2161.77
No comparable office rate is available.
Alabama
Alabama · 47360
Office
Unavailable
Facility
$1570.00
No comparable office rate is available.
Arkansas
Arkansas · 47360
Office
Unavailable
Facility
$1548.86
No comparable office rate is available.
Arizona
Arizona · 47360
Office
Unavailable
Facility
$1691.59
No comparable office rate is available.
Colorado
Colorado · 47360
Office
Unavailable
Facility
$1726.38
No comparable office rate is available.
Connecticut
Connecticut · 47360
Office
Unavailable
Facility
$1857.34
No comparable office rate is available.
Delaware
Delaware · 47360
Office
Unavailable
Facility
$1717.00
No comparable office rate is available.
Fort Lauderdale
Florida · 47360
Office
Unavailable
Facility
$1970.97
No comparable office rate is available.
Rest Of Florida
Florida · 47360
Office
Unavailable
Facility
$1862.04
No comparable office rate is available.
Atlanta
Georgia · 47360
Office
Unavailable
Facility
$1809.95
No comparable office rate is available.
Rest Of Georgia
Georgia · 47360
Office
Unavailable
Facility
$1748.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47360
Office
Unavailable
Facility
$1692.12
No comparable office rate is available.
Iowa
Iowa · 47360
Office
Unavailable
Facility
$1542.05
No comparable office rate is available.
Idaho
Idaho · 47360
Office
Unavailable
Facility
$1565.02
No comparable office rate is available.
East St. Louis
Illinois · 47360
Office
Unavailable
Facility
$1985.02
No comparable office rate is available.
Rest Of Illinois
Illinois · 47360
Office
Unavailable
Facility
$1858.93
No comparable office rate is available.
Suburban Chicago
Illinois · 47360
Office
Unavailable
Facility
$1974.63
No comparable office rate is available.
Indiana
Indiana · 47360
Office
Unavailable
Facility
$1571.73
No comparable office rate is available.
Kansas
Kansas · 47360
Office
Unavailable
Facility
$1566.23
No comparable office rate is available.
Kentucky
Kentucky · 47360
Office
Unavailable
Facility
$1671.46
No comparable office rate is available.
New Orleans
Louisiana · 47360
Office
Unavailable
Facility
$1755.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47360
Office
Unavailable
Facility
$1681.37
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47360
Office
Unavailable
Facility
$1844.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47360
Office
Unavailable
Facility
$1729.84
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47360
Office
Unavailable
Facility
$1858.81
No comparable office rate is available.
Rest Of Maryland
Maryland · 47360
Office
Unavailable
Facility
$1738.14
No comparable office rate is available.
Rest Of Maine
Maine · 47360
Office
Unavailable
Facility
$1605.63
No comparable office rate is available.
Southern Maine
Maine · 47360
Office
Unavailable
Facility
$1640.22
No comparable office rate is available.
Detroit
Michigan · 47360
Office
Unavailable
Facility
$1915.99
No comparable office rate is available.
Rest Of Michigan
Michigan · 47360
Office
Unavailable
Facility
$1740.65
No comparable office rate is available.
Minnesota
Minnesota · 47360
Office
Unavailable
Facility
$1566.11
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47360
Office
Unavailable
Facility
$1710.99
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47360
Office
Unavailable
Facility
$1723.68
No comparable office rate is available.
Rest Of Missouri
Missouri · 47360
Office
Unavailable
Facility
$1675.32
No comparable office rate is available.
Mississippi
Mississippi · 47360
Office
Unavailable
Facility
$1610.82
No comparable office rate is available.
Montana**
Montana · 47360
Office
Unavailable
Facility
$1744.32
No comparable office rate is available.
North Carolina
North Carolina · 47360
Office
Unavailable
Facility
$1616.15
No comparable office rate is available.
North Dakota**
North Dakota · 47360
Office
Unavailable
Facility
$1582.97
No comparable office rate is available.
Nebraska
Nebraska · 47360
Office
Unavailable
Facility
$1540.49
No comparable office rate is available.
New Hampshire
New Hampshire · 47360
Office
Unavailable
Facility
$1729.35
No comparable office rate is available.
Northern Nj
New Jersey · 47360
Office
Unavailable
Facility
$1900.05
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47360
Office
Unavailable
Facility
$1853.73
No comparable office rate is available.
New Mexico
New Mexico · 47360
Office
Unavailable
Facility
$1762.08
No comparable office rate is available.
Nevada**
Nevada · 47360
Office
Unavailable
Facility
$1699.80
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47360
Office
Unavailable
Facility
$2129.24
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47360
Office
Unavailable
Facility
$1890.98
No comparable office rate is available.
Queens
New York · 47360
Office
Unavailable
Facility
$2012.96
No comparable office rate is available.
Rest Of New York
New York · 47360
Office
Unavailable
Facility
$1641.29
No comparable office rate is available.
Ohio
Ohio · 47360
Office
Unavailable
Facility
$1707.67
No comparable office rate is available.
Oklahoma
Oklahoma · 47360
Office
Unavailable
Facility
$1635.66
No comparable office rate is available.
Portland
Oregon · 47360
Office
Unavailable
Facility
$1741.64
No comparable office rate is available.
Rest Of Oregon
Oregon · 47360
Office
Unavailable
Facility
$1662.10
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47360
Office
Unavailable
Facility
$1834.38
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47360
Office
Unavailable
Facility
$1692.76
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47360
Office
Unavailable
Facility
$1745.75
No comparable office rate is available.
Rhode Island
Rhode Island · 47360
Office
Unavailable
Facility
$1749.74
No comparable office rate is available.
South Carolina
South Carolina · 47360
Office
Unavailable
Facility
$1669.58
No comparable office rate is available.
South Dakota**
South Dakota · 47360
Office
Unavailable
Facility
$1563.89
No comparable office rate is available.
Tennessee
Tennessee · 47360
Office
Unavailable
Facility
$1577.49
No comparable office rate is available.
Austin
Texas · 47360
Office
Unavailable
Facility
$1742.08
No comparable office rate is available.
Beaumont
Texas · 47360
Office
Unavailable
Facility
$1684.78
No comparable office rate is available.
Brazoria
Texas · 47360
Office
Unavailable
Facility
$1688.99
No comparable office rate is available.
Dallas
Texas · 47360
Office
Unavailable
Facility
$1713.53
No comparable office rate is available.
Fort Worth
Texas · 47360
Office
Unavailable
Facility
$1712.55
No comparable office rate is available.
Galveston
Texas · 47360
Office
Unavailable
Facility
$1702.97
No comparable office rate is available.
Houston
Texas · 47360
Office
Unavailable
Facility
$1852.33
No comparable office rate is available.
Rest Of Texas
Texas · 47360
Office
Unavailable
Facility
$1695.34
No comparable office rate is available.
Utah
Utah · 47360
Office
Unavailable
Facility
$1689.91
No comparable office rate is available.
Virginia
Virginia · 47360
Office
Unavailable
Facility
$1657.04
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47360
Office
Unavailable
Facility
$1745.75
No comparable office rate is available.
Vermont
Vermont · 47360
Office
Unavailable
Facility
$1605.70
No comparable office rate is available.
Rest Of Washington
Washington · 47360
Office
Unavailable
Facility
$1716.97
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47360
Office
Unavailable
Facility
$1848.71
No comparable office rate is available.
Wisconsin
Wisconsin · 47360
Office
Unavailable
Facility
$1537.25
No comparable office rate is available.
West Virginia
West Virginia · 47360
Office
Unavailable
Facility
$1803.04
No comparable office rate is available.
Wyoming**
Wyoming · 47360
Office
Unavailable
Facility
$1674.00
No comparable office rate is available.
See how rates vary across the country
47360 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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 47360 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1847.10
$1679.18 × 110% = $1847.10
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 47360 in Madera.
PPRRVU2026_Oct_nonQPP.csv
5,665
- Code
- 47360
- Physician work
- 30.53
- Practice expense
- 13.55
- Malpractice
- 8.16
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.53 | × 1.017 | 31.0490 |
| Practice expense | 13.55 | × 1.096 | 14.8508 |
| Malpractice | 8.16 | × 0.536 | 4.3738 |
| Total RVUs | 50.2736 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$1679.18
Open 47360 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.53 | 1.017 |
| Practice expense | 13.55 | 1.096 |
| Malpractice | 8.16 | 0.536 |
(30.53 × 1.017 + 13.55 × 1.096 + 8.16 × 0.536) × $33.4009 = $1679.18
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
47360 · 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 | $1679.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $1679.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $1679.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $1679.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $1774.30 | RVU25D |
| 2025-07-01 | Not available in this setting | $1774.30 | RVU25C |
| 2025-04-01 | Not available in this setting | $1774.30 | RVU25B |
| 2025-01-01 | Not available in this setting | $1774.30 | RVU25A |
47360 billing questions
How does this differ from 47350?
47360 describes exploration of the hepatic wound, with or without removal of devitalized tissue. 47350 is the simpler wound-suturing service.
What documentation supports 47360?
The operative report should describe exploration of the liver wound and any removal of devitalized tissue, along with the repair performed.
Can modifier 50 be reported?
No. Bilateral adjustment is inappropriate for this liver wound repair.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple procedure rule affect same-session services?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
5,66247147,,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
5,66647361,,Repair liver wound,A,,51.29,18.62,NA,18.62,,13.01,82.92,82.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66747362,,Repair liver wound,A,,22.95,11.54,NA,11.54,,5.57,40.06,40.06,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66847370,,Laparo ablate liver tumor rf,A,,20.28,9.66,NA,9.66,,5.16,35.10,35.10,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508