No office rate
47120 describes a partial lobectomy. Use 47122 when the operative report supports the more extensive resection associated with a trisegmentectomy.
On this page
CMS RVU26D · Effective 2026-10-01
47122 Liver resection Medicare reimbursement rates in Rhode Island
Reports an extensive anatomic liver resection, commonly described as a trisegmentectomy, when the operative plan removes a substantial portion of the liver. Compare 47122 office and facility rates across CMS payment localities in Rhode Island.
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 47122 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$3154.22
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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.
Hepatobiliary surgery
About 47122: Extensive hepatic resection
Reports an extensive anatomic liver resection, commonly described as a trisegmentectomy, when the operative plan removes a substantial portion of the liver.
This code describes an extensive anatomic liver resection, commonly called a trisegmentectomy. Hepatobiliary or transplant surgeons may perform it for a liver tumor or other disease requiring removal of a large portion of the organ. The operative report should establish the resection performed and identify the liver anatomy removed; the name of the procedure alone may not show whether this extent is supported.
Choose this code based on the documented extent of resection, rather than the diagnosis or the fact that liver tissue was removed. A limited partial lobectomy is a different level of service. Medicare treats this as major surgery with 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 50% multiple-procedure reduction. Modifier 50 is inappropriate for this resection. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47122
- 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 RVU57.99 · 62%
- Practice expense (office) RVU21.40 · 23%
- Malpractice RVU14.84 · 16%
216
Medicare services in 2024 · #4260 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.
47122 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
47125 identifies a total left lobectomy. Select between it and 47122 from the documented operation and the specific anatomic extent removed.
No office rate
47130 identifies a total right lobectomy. Code 47122 represents an extensive resection documented as a trisegmentectomy, rather than a right-lobe resection alone.
Compare 47122 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
Unavailable
Facility
$3154.22
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 47122 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,650
- Code
- 47122
- Physician work
- 57.99
- Practice expense
- 21.40
- Malpractice
- 14.84
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 57.99 | × 1.019 | 59.0918 |
| Practice expense | 21.40 | × 1.033 | 22.1062 |
| Malpractice | 14.84 | × 0.892 | 13.2373 |
| Total RVUs | 94.4353 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$3154.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 57.99 | 1.019 |
| Practice expense | 21.4 | 1.033 |
| Malpractice | 14.84 | 0.892 |
(57.99 × 1.019 + 21.4 × 1.033 + 14.84 × 0.892) × $33.4009 = $3154.22
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
47122 billing questions
How is this different from code 47120?
Code 47122 is for an extensive anatomic resection, commonly termed a trisegmentectomy. Code 47120 describes a less extensive partial lobectomy; use the operative details to select the extent actually performed.
Does the global period include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for a resection involving both sides of the liver?
No. Modifier 50 is inappropriate for this code; report the documented anatomic resection.
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 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.
What documentation supports this code?
The operative report should describe the anatomic extent of the liver resection and the tissue removed, supporting an extensive resection rather than a limited partial lobectomy.
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.
5,64747015,,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
5,64847100,,Wedge biopsy of liver,A,,12.59,8.62,NA,8.62,,3.18,24.39,24.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,64947120,,Partial removal of liver,A,,38.03,17.31,NA,17.31,,9.53,64.87,64.87,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65047122,,Extensive removal of liver,A,,57.99,21.40,NA,21.40,,14.84,94.23,94.23,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65147125,,Partial removal of liver,A,,51.71,19.64,NA,19.64,,13.27,84.62,84.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65247130,,Partial removal of liver,A,,55.76,20.56,NA,20.56,,14.19,90.51,90.51,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65347133,,Removal of donor liver,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537