$266.95–$300.63
Use 47000 for percutaneous needle sampling. Use 47100 when the surgeon removes a wedge-shaped sample.
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CMS RVU26D · Effective 2026-10-01
47100 Liver biopsy Medicare reimbursement rates in Texas
Reports surgical removal of a wedge-shaped liver sample for tissue diagnosis, rather than a needle sample or therapeutic liver resection. Compare 47100 office and facility rates across CMS payment localities in Texas.
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 47100 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 47100 pays more and less in Texas
Digestive system surgery
About 47100: Surgical liver wedge biopsy
Reports surgical removal of a wedge-shaped liver sample for tissue diagnosis, rather than a needle sample or therapeutic liver resection.
The surgeon removes a wedge-shaped piece of liver tissue for diagnostic examination, commonly during an abdominal operation when direct surgical access to the liver is available. The specimen is sent for pathology to assess suspected disease or clarify findings such as a liver lesion or diffuse tissue abnormality. This is distinct from sampling the liver with a needle and from removing liver tissue as treatment.
Report the service when the operative documentation supports an actual wedge-shaped tissue biopsy; document the specimen and the reason for sampling. A pathology examination may be reported separately by the laboratory or pathologist. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When performed in the same session as other procedures subject to the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47100
- 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 RVU12.59 · 52%
- Practice expense (office) RVU8.62 · 35%
- Malpractice RVU3.18 · 13%
2.8K
Medicare services in 2024 · #2218 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.
47100 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
47001 describes needle biopsy performed during another major procedure. 47100 describes a wedge biopsy, not needle sampling.
No office rate
47120 represents partial liver removal, rather than tissue sampling for diagnosis. The operative purpose and extent of tissue removal distinguish it from 47100.
Compare 47100 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $820.08 |
| Beaumont | Office Unavailable | Facility $781.19 |
| Brazoria | Office Unavailable | Facility $792.05 |
| Dallas | Office Unavailable | Facility $802.20 |
| Fort Worth | Office Unavailable | Facility $800.70 |
| Galveston | Office Unavailable | Facility $797.73 |
| Houston | Office Unavailable | Facility $855.93 |
| Rest Of Texas | Office Unavailable | Facility $789.66 |
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47100 billing questions
How does 47100 differ from a needle liver biopsy?
47100 is for surgical removal of a wedge-shaped piece of liver. A needle biopsy uses a needle to obtain the sample; use the code that matches the documented sampling method.
Can the pathology examination be reported separately?
Yes. The pathologist or laboratory may report the applicable surgical pathology service for examination of the liver biopsy specimen, such as 88307.
What documentation supports 47100?
The operative report should describe removal of a wedge-shaped liver sample, the reason for the biopsy, and the specimen submitted for examination.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is 47100 paid when performed with another procedure in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
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.
5,64547001,,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
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