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See a sample rate comparisonCPT 47001 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.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 47001 |
| Medicaid Fee Schedule | View Medicaid rates for 47001 |
National average reimbursement for CPT 47001 by major payers:
$140.90
$141.12
$150.12
$166.53
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CPT 47001
5 of 25 sample ratesHigher to lower in this preview
Greater Dayton Surgery Center LLC
Greater Dayton Surgery Center
$4,097.00Published rateUtah Surgery Center Lp
$970.00Published rateSurgery Center Partners. LLC, Timberlake Surgery Center
Surgery Center Partners LLC
$175.00Published rateDha Endoscopy LLC
$111.00Published rateNcbh Outpatient Endoscopy Center, L.L.C., Wake Forest Baptist Health Outpatient Endoscopy - Quaker Lane
Ncbh Outpatient Endoscopy Center LLC
$54.00Published rate
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See a sample payer proposalCPT 47001 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47001 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 47001 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) |
| 47100-CPT | High | Biopsy Liver Wedge |
| 47122-CPT | High | Trisegmentectomy Liver |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47001 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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