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 Liver wound repair Medicare reimbursement rates in Massachusetts
Reports operative repair of a liver wound that requires exploration, with or without removal of devitalized tissue, such as during trauma surgery. Compare 47360 office and facility rates across CMS payment localities in Massachusetts.
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 47360 in Massachusetts?
Massachusetts 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
$1729.84–$1844.49
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.
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 Massachusetts, 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.
Compare 47360 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1844.49
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1729.84
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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