Billing code 47120: Liver resectionMedicare rate & RVUs in Florida
Reports surgical removal of part of the liver, such as resection of a localized tumor or metastasis when the operation is not an extensive hepatectomy.
CMS doesn’t publish an office rate for 47120 in Florida.
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 9 sections
What 47120 covers
A surgeon removes a portion of the liver as treatment for a localized condition, commonly a primary liver tumor or metastasis such as colorectal cancer spread to the liver. The procedure is performed in an operating room, typically in a hospital facility. The operative report should establish that the surgeon performed a therapeutic resection, rather than taking a wedge solely to obtain a diagnostic specimen.
Select this code from the resection performed, not just the diagnosis or specimen label. Document the indication, the liver tissue removed, and the operative extent so the service can be distinguished from a wedge biopsy and more extensive liver resections. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this single-organ resection. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and 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 47120 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $2,431.43 |
| Miami | Unavailable | $2,677.12 |
| Rest Of Florida | Unavailable | $2,301.39 |
How the 47120 rate is calculated
Each of 47120’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 · 47120
RVUs × geographic indexes × conversion factor
Work38.03
38.03 RVUs× 1.000 GPCI
Practice expense17.31
17.31 RVUs× 1.000 GPCI
Malpractice9.53
9.53 RVUs× 1.000 GPCI
Adjusted RVUs
64.8700
Conversion factor
$33.4009
Medicare rate
$2,166.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47120
47120 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47120
Liver resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 47120
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47120 without 51 · national facility
$2,166.72
Liver resection
47120-51 · Second procedure: 50%
$1,083.36
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%).
47120 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 47100Liver biopsy
- 47100 is for a wedge biopsy of liver tissue. Use 47120 when the surgeon performs a therapeutic partial resection rather than taking a wedge for diagnostic sampling.
- 47122Liver resection
- 47122 describes a trisegmentectomy, a more extensive liver resection. Choose based on the operation documented, not simply the presence of a liver tumor.
- 47125Liver resection
- 47125 is for a left liver lobectomy. Use 47120 when the documented resection is a partial hepatectomy rather than that lobectomy.
- 47130Liver resection
- 47130 is for a right liver lobectomy. Use 47120 when the documented resection is a partial hepatectomy rather than that lobectomy.
47120 billing questions
How is this different from a liver wedge biopsy?
47120 describes a therapeutic partial liver resection. A wedge taken for diagnostic sampling is reported as 47100, rather than as a therapeutic resection.
How should the operative extent guide code selection?
Use the code that matches the resection actually performed. More extensive resections, including a trisegmentectomy or a lobectomy, have separate codes; document the extent in the operative report.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this resection of a single organ.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%.
May an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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
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