Billing code 47362: Liver wound repairMedicare rate & RVUs in Virginia
Report operative repair of a traumatic liver wound when the documented repair includes packing or vascular control beyond a simple wound closure.
CMS doesn’t publish an office rate for 47362 in Virginia.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 47362 covers
This code describes operative repair of an injured liver, commonly during emergency surgery for blunt or penetrating abdominal trauma with hepatic bleeding. A trauma, acute care, or general surgeon may explore the abdomen, control bleeding, and repair the hepatic wound; packing or hepatic artery ligation may be part of the work when needed. These cases are typically performed in a hospital operating room.
Select the repair code that matches the work documented in the operative report, including the wound’s complexity and whether packing or vascular control was performed. Document the injury, repair technique, and hemostatic measures. The code has a 90-day global period that 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 other procedures are subject to the standard 50% multiple procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 47362 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $1,469.07 |
| Virginia | Unavailable | $1,276.79 |
How the 47362 rate is calculated
Each of 47362’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 47362
RVUs × geographic indexes × conversion factor
Work22.95
22.95 RVUs× 1.000 GPCI
Practice expense11.54
11.54 RVUs× 1.000 GPCI
Malpractice5.57
5.57 RVUs× 1.000 GPCI
Adjusted RVUs
40.0600
Conversion factor
$33.4009
Medicare rate
$1,338.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47362
47362 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47362
Liver wound repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 47362
Liver wound repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47362 without 51 · national facility
$1,338.04
Liver wound repair
47362-51 · Second procedure: 50%
$669.02
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
47362 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 47350Liver wound repair
- 47350 describes simple liver wound repair. Choose 47362 when the operative work supports the more extensive repair level, such as packing or vascular control.
- 47360Liver wound repair
- 47360 is the complex repair option. Distinguish it from 47362 by the specific repair and hemostatic measures documented in the operative report.
- 47361Liver repair
- 47361 is another liver wound repair level involving vascular control. Use the code whose stated repair features match the operative work, including whether packing is part of the service.
47362 billing questions
When should I choose 47362 rather than a simpler liver wound repair code?
Use 47362 when the operative documentation supports the repair level involving measures such as packing or vascular control. A simple or otherwise less extensive repair may fit a different code in the liver wound repair family.
What documentation supports reporting 47362?
The operative report should identify the liver injury and describe the repair, including packing or vascular control when performed. The documented work should support the selected repair level.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The period begins in connection with this major surgery.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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