No office rate
47120 describes a partial liver lobectomy. Report 47130 when the liver resection also includes hepatic duct reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
47130 Liver resection Medicare reimbursement rates in Alabama
Reports a liver resection performed with reconstruction of a hepatic duct, such as when tumor removal requires rebuilding the bile drainage pathway. Compare 47130 office and facility rates across CMS payment localities in Alabama.
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 47130 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2731.58
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Hepatobiliary surgery
About 47130: Liver resection with bile duct reconstruction
Reports a liver resection performed with reconstruction of a hepatic duct, such as when tumor removal requires rebuilding the bile drainage pathway.
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.
CMS billing rules for 47130
- 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 RVU55.76 · 62%
- Practice expense (office) RVU20.56 · 23%
- Malpractice RVU14.19 · 16%
327
Medicare services in 2024 · #3931 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.
47130 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
47122 is for total left lobectomy. 47130 is distinguished by hepatic duct reconstruction, not simply by the side or amount of liver removed.
No office rate
47125 is for total right lobectomy. Use 47130 when the operative service includes hepatic duct reconstruction with the liver resection.
Compare 47130 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$2731.58
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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 47130 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
5,652
- Code
- 47130
- Physician work
- 55.76
- Practice expense
- 20.56
- Malpractice
- 14.19
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 55.76 | × 1.000 | 55.7600 |
| Practice expense | 20.56 | × 0.875 | 17.9900 |
| Malpractice | 14.19 | × 0.566 | 8.0315 |
| Total RVUs | 81.7815 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$2731.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 55.76 | 1 |
| Practice expense | 20.56 | 0.875 |
| Malpractice | 14.19 | 0.566 |
(55.76 × 1 + 20.56 × 0.875 + 14.19 × 0.566) × $33.4009 = $2731.58
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.
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 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.
5,64947120,,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
5,65247130,,Partial removal of liver,A,,55.76,20.56,NA,20.56,,14.19,90.51,90.51,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65347133,,Removal of donor liver,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65447135,,Transplantation of liver,R,,87.75,39.91,NA,39.91,,23.20,150.86,150.86,0,090,0.09,0.81,0.10,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65547140,,Partial removal donor liver,A,,57.92,26.71,NA,26.71,,15.52,100.15,100.15,0,090,0.09,0.81,0.10,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515