Billing code 47361: Liver repairMedicare rate & RVUs in Washington
Complex liver wound repair is reported for operative treatment of a liver injury requiring more than a simple suture repair, such as a traumatic laceration.
CMS doesn’t publish an office rate for 47361 in Washington.
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 47361 covers
This service treats a significant liver wound or injury during an operation, commonly in an emergency setting after blunt or penetrating abdominal trauma. A trauma, acute care, or hepatobiliary surgeon may repair the injured liver, control bleeding, and address related operative findings. The operative report should establish the injury and the complexity of the repair performed.
Select this code based on the documented repair and its complexity, not simply the presence of a liver injury. The record should describe the wound, repair technique, and any associated operative maneuvers that distinguish the service from a simple repair or another complex-repair level. 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 is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this liver repair. 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 47361 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $2,720.98 |
| Seattle (King Cnty) | Unavailable | $2,916.91 |
How the 47361 rate is calculated
Each of 47361’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 · 47361
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 51.29Practice expense 18.62Malpractice 13.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 47361
47361 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47361
Liver 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 · 47361
Liver 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
47361 without 51 · national facility
$2,769.60
Liver repair
47361-51 · Second procedure: 50%
$1,384.80
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%).
47361 compared with similar codes
Compare codes
47361 vs 47350 vs 47362: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 47350Liver wound repair
- 47350 is the simple liver wound repair level. Report 47361 when the operative report supports a complex repair.
- 47362Liver wound repair
- 47362 is a related complex repair level with additional associated repair detail. Use the code whose full descriptor matches the work documented in the operative report.
47361 billing questions
How does 47361 differ from a simple liver wound repair?
47361 is for a complex repair. Use the simple-repair level when the operative work and documentation support a simple liver wound repair rather than a complex one.
What documentation supports reporting 47361?
Document the liver injury, the repair performed, and the operative details that support the complex level. Include associated maneuvers when they help distinguish the repair from another code in the wound-repair family.
Is postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the liver repair.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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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