$823.83
Use 47300 for open drainage through the liver. Use 49405 for image-guided percutaneous catheter drainage of a visceral collection.
On this page
CMS RVU26D · Effective 2026-10-01
47300 Liver drainage Medicare reimbursement rates in Vermont
Report this procedure when a surgeon opens the liver to drain one or more abscesses or cysts, rather than treating them percutaneously. Compare 47300 office and facility rates across CMS payment localities in Vermont.
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 47300 in Vermont?
Vermont 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
$995.11
1 of 1 localities have a supported rate.
Payment area: Vermont
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 47300: Open drainage of liver abscess or cyst
Report this procedure when a surgeon opens the liver to drain one or more abscesses or cysts, rather than treating them percutaneously.
A surgeon performs a hepatotomy to open and drain one or more abscesses or cysts within the liver. This is an operative service, typically performed in a hospital operating room by a general or hepatobiliary surgeon. It describes open drainage, not needle biopsy, tumor ablation, or image-guided catheter drainage through the skin.
Choose the code when the operative report documents open access to the liver and drainage of an abscess or cyst. The code covers one or more such lesions; documentation should identify the treated finding and the approach. 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 procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 47300
- 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 RVU17.69 · 55%
- Practice expense (office) RVU9.92 · 31%
- Malpractice RVU4.51 · 14%
174
Medicare services in 2024 · #4450 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.
47300 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
47300 drains a liver abscess or cyst. 47380 treats a liver tumor by open radiofrequency ablation.
No office rate
47370 is laparoscopic radiofrequency ablation of a liver tumor; 47300 is open drainage of a liver abscess or cyst.
Compare 47300 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
Vermont →
Office / nonfacility
Unavailable
Facility
$995.11
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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 47300 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
5,663
- Code
- 47300
- Physician work
- 17.69
- Practice expense
- 9.92
- Malpractice
- 4.51
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.69 | × 1.000 | 17.6900 |
| Practice expense | 9.92 | × 0.990 | 9.8208 |
| Malpractice | 4.51 | × 0.506 | 2.2821 |
| Total RVUs | 29.7929 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$995.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.69 | 1 |
| Practice expense | 9.92 | 0.99 |
| Malpractice | 4.51 | 0.506 |
(17.69 × 1 + 9.92 × 0.99 + 4.51 × 0.506) × $33.4009 = $995.11
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.
47300 billing questions
How is this different from percutaneous liver drainage?
This code is for open surgical drainage through an incision into the liver. Image-guided percutaneous catheter drainage of a hepatic collection is represented by 49405.
Does the code cover more than one liver abscess or cyst?
Yes. The code covers drainage of one or more abscesses or cysts. Document the treated lesion or lesions and the open approach.
Should modifier 50 be appended for lesions on both sides of the liver?
No. Modifier 50 is inappropriate for this service, even when treated findings involve different parts of the liver.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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 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 performed in the same session.
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.
5,66047145,,Prep donor liver lobe split,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66147146,,Prep donor liver/venous,A,,5.85,1.42,NA,1.42,,1.56,8.83,8.83,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66247147,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817