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See a sample rate comparisonCPT 47000 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Needle Biopsy Of Liver, Insertion Of A Needle Into The Liver To Remove A Sample Of Tissue For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 47000 |
| Medicaid Fee Schedule | View Medicaid rates for 47000 |
National average reimbursement for CPT 47000 by major payers:
$334.01
$404.24
$461.18
$177.81
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CPT 47000
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Mercy Medical Center
$611.94Published rateDaniel Cater
Deaconess Hospital Inc
$537.79Published rateJennifer Donovan
Hudson Headwaters Health Network
$457.61Published rateBradley Boyd
Town Center Orthopaedic Associates, P.C.
$446.31Published rateCamilla Grant
Town Center Orthopaedic Associates, P.C.
$120.77Published rate
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See a sample payer proposalCPT 47000 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47000 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 47000 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 47000-CPT | Moderate | Needle Biopsy Of Liver, Insertion Of A Needle Into The Liver To Remove A Sample Of Tissue For Testing (Biopsy). |
| 47001-CPT | Low | Ndl Biopsy Lvr Tm Oth Maj Px, Biopsy Of Liver Needle; When Done For Indicated Purpose At Time Of Other Major Procedure (List Separately In Addition To Code For Primary Procedure) |
| 47010-CPT | High | Liver Surgery For Drainage, Surgery On The Liver In Order To Drain Fluid Or An Infection That Has Collected In A Pocket Of Tissue (Cyst Or Abscess). |
| 47100-CPT | High | Biopsy Liver Wedge |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47000 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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