No office rate
47000 describes a percutaneous needle biopsy performed as its own procedure. 47001 is for an indicated needle biopsy during another major procedure.
On this page
CMS RVU26D · Effective 2026-10-01
47000 Liver biopsy Medicare reimbursement rates in Pennsylvania
Reports percutaneous needle sampling of liver tissue for diagnostic evaluation, performed by a physician in an office, outpatient, or hospital setting. Compare 47000 office and facility rates across CMS payment localities in Pennsylvania.
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 47000 in Pennsylvania?
Pennsylvania 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
$268.87–$299.35
2 of 2 localities have a supported rate.
Facility setting
$74.78–$79.25
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.
Diagnostic procedure
About 47000: Percutaneous needle liver biopsy
Reports percutaneous needle sampling of liver tissue for diagnostic evaluation, performed by a physician in an office, outpatient, or hospital setting.
A physician passes a biopsy needle through the skin into the liver to obtain tissue for diagnostic examination. Gastroenterologists, hepatologists, radiologists, and other physicians may perform the procedure, often in an outpatient department or hospital; some biopsies are performed in an office. The service is distinct from obtaining a wedge specimen during open surgery. The specimen is submitted for pathological examination, and imaging guidance may be used when clinically indicated.
Report 47000 for the percutaneous needle biopsy itself. The procedure note should support the liver as the sampled site, the percutaneous approach, and tissue acquisition; document guidance separately when performed. Pathological examination of the tissue is a separate service when performed and reportable. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 47000
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.61 · 19%
- Practice expense (office) RVU6.84 · 79%
- Malpractice RVU0.17 · 2%
42.9K
Medicare services in 2024 · #837 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.
47000 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Use 47100 for wedge sampling of liver tissue, generally obtained surgically; use 47000 for tissue obtained through a percutaneous needle approach.
$259.42–$288.45
88307 reports pathological examination of the needle liver biopsy specimen, not the physician's percutaneous tissue-acquisition procedure reported with 47000.
Compare 47000 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 Philadelphia →
Office / nonfacility
$299.35
Facility
$79.25
Rest Of Pennsylvania →
Office / nonfacility
$268.87
Facility
$74.78
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
47000 billing questions
When should 47000 be used instead of 47001?
Use 47000 for a percutaneous needle biopsy performed as a standalone procedure. Code 47001 describes a needle biopsy performed for an indicated purpose during another major procedure.
Is liver pathology included in 47000?
The biopsy code represents tissue acquisition, not the pathologist's examination. A separately performed, reportable examination of a needle liver biopsy specimen may be reported with 88307.
Can modifier 50 be used for a biopsy of both liver lobes?
No. Modifier 50 is inappropriate for 47000, even if sampling involves more than one liver area.
How does the multiple-procedure reduction affect 47000?
When other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
What documentation supports reporting 47000?
Document the clinical reason for sampling, the liver as the site, the percutaneous needle approach, and that tissue was obtained. Record imaging guidance separately when used.
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.
5,64146947,,Hemorrhoidopexy by stapling,A,,5.43,4.71,NA,4.71,,1.22,11.36,11.36,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64246948,,Int hrhc tranal dartlzj 2+,A,,5.43,6.82,NA,6.82,,1.09,13.34,13.34,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64346999,,Unlisted procedure anus,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64447000,,Needle biopsy of liver perq,A,,1.61,6.84,,0.51,,0.17,8.62,2.29,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64547001,,Ndl biopsy lvr tm oth maj px,A,,1.85,0.45,NA,0.45,,0.47,2.77,2.77,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64647010,,Hepatot opn drg absc/cst 1/2,A,,18.92,10.44,NA,10.44,,4.86,34.22,34.22,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64747015,,Lapt aspir&/njx hep prst cst,A,,18.04,10.20,NA,10.20,,4.82,33.06,33.06,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00