47350 is the simple liver wound repair level. Report 47361 when the operative report supports a complex repair.
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CMS RVU26D · Effective 2026-10-01
47361 Liver repair Medicare reimbursement rates in Maine
Complex liver wound repair is reported for operative treatment of a liver injury requiring more than a simple suture repair, such as a traumatic laceration. Compare 47361 office and facility rates across CMS payment localities in Maine.
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 47361 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2555.59–$2603.66
2 of 2 localities have a supported rate.
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.
General surgery
About 47361: Complex liver wound repair
Complex liver wound repair is reported for operative treatment of a liver injury requiring more than a simple suture repair, such as a traumatic laceration.
This service treats a significant liver wound or injury during an operation, commonly in an emergency setting after blunt or penetrating abdominal trauma. A trauma, acute care, or hepatobiliary surgeon may repair the injured liver, control bleeding, and address related operative findings. The operative report should establish the injury and the complexity of the repair performed.
Select this code based on the documented repair and its complexity, not simply the presence of a liver injury. The record should describe the wound, repair technique, and any associated operative maneuvers that distinguish the service from a simple repair or another complex-repair level. 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 is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this liver repair. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47361
- 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 RVU51.29 · 62%
- Practice expense (office) RVU18.62 · 22%
- Malpractice RVU13.01 · 16%
163
Medicare services in 2024 · #4498 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.
47361 compared with similar codes
Office rates for Maine, from the same CMS release.
47362 is a related complex repair level with additional associated repair detail. Use the code whose full descriptor matches the work documented in the operative report.
Compare 47361 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$2555.59
Southern Maine →
Office / nonfacility
Unavailable
Facility
$2603.66
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47361 billing questions
How does 47361 differ from a simple liver wound repair?
47361 is for a complex repair. Use the simple-repair level when the operative work and documentation support a simple liver wound repair rather than a complex one.
What documentation supports reporting 47361?
Document the liver injury, the repair performed, and the operative details that support the complex level. Include associated maneuvers when they help distinguish the repair from another code in the wound-repair family.
Is postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the liver repair.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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 the other procedures are paid 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.
