Billing code 47300: Liver drainageMedicare rate & RVUs in Florida

Report this procedure when a surgeon opens the liver to drain one or more abscesses or cysts, rather than treating them percutaneously.

CMS RVU26DEffective Oct 1, 20263 payment localities174 Medicare services in 2024

CMS doesn’t publish an office rate for 47300 in Florida.

—Office (non-facility)
$1,134.03–$1,316.75Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 47300 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 47300 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 47300 covers

A surgeon performs a hepatotomy to open and drain one or more abscesses or cysts within the liver. This is an operative service, typically performed in a hospital operating room by a general or hepatobiliary surgeon. It describes open drainage, not needle biopsy, tumor ablation, or image-guided catheter drainage through the skin.

Choose the code when the operative report documents open access to the liver and drainage of an abscess or cyst. The code covers one or more such lesions; documentation should identify the treated finding and the approach. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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. An assistant at surgery 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 47300 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.

47300 office and facility rates by payment locality
Payment localityOfficeFacility
Fort LauderdaleUnavailable$1,198.86
MiamiUnavailable$1,316.75
Rest Of FloridaUnavailable$1,134.03

How the 47300 rate is calculated

Each of 47300’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 · 47300

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 17.69Practice expense 9.92Malpractice 4.51

32.1200 adjusted RVUs×$33.4009 conversion factor=$1,072.84

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 47300

47300 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47300

Liver drainage

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 47300

Liver drainage

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47300 without 51 · national facility

$1,072.84

Liver drainage

47300-51 · Second procedure: 50%

$536.42

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%).

When to use modifier 51

47300 compared with similar codes

Compare codes

47300 vs 49405 vs 47380 vs 47370: national Medicare rates

Swap in your local Medicare rate.

  • 47300
    Liver drainage · 17.69 wRVU
    —
  • 49405
    Visceral drainage · 3.9 wRVU
    $837.69
  • 47380
    Liver ablation · 23.95 wRVU
    —
  • 47370
    Liver tumor ablation · 20.28 wRVU
    —

How to choose

49405Visceral drainage
Use 47300 for open drainage through the liver. Use 49405 for image-guided percutaneous catheter drainage of a visceral collection.
47380Liver ablation
47300 drains a liver abscess or cyst. 47380 treats a liver tumor by open radiofrequency ablation.
47370Liver tumor ablation
47370 is laparoscopic radiofrequency ablation of a liver tumor; 47300 is open drainage of a liver abscess or cyst.

47300 billing questions

How is this different from percutaneous liver drainage?

This code is for open surgical drainage through an incision into the liver. Image-guided percutaneous catheter drainage of a hepatic collection is represented by 49405.

Does the code cover more than one liver abscess or cyst?

Yes. The code covers drainage of one or more abscesses or cysts. Document the treated lesion or lesions and the open approach.

Should modifier 50 be appended for lesions on both sides of the liver?

No. Modifier 50 is inappropriate for this service, even when treated findings involve different parts of the liver.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when 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 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
RVUs for 47300PPRRVU2026_Oct_nonQPP.csv, line 5,663 (RVU26D)

Open CMS sourceHow we calculate rates

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