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See a sample rate comparisonCPT 47125 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Hepatectomy,Resection Liver;Total Left L
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 82 - Assistant surgeon - no qualified resident 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47125 |
| Medicaid Fee Schedule | View Medicaid rates for 47125 |
National average reimbursement for CPT 47125 by major payers:
$3,689.24
$4,104.86
$4,450.78
$4,864.17
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CPT 47125
5 of 25 sample ratesHigher to lower in this preview
North State Surgery Centers Lp, Court Street Surgery Center
$2,945.00Published rateCapital City Surgery Center, LLC
Capital City Surgery Center LLC
$1,504.00Published rateNorth Shore Same Day Surgery LLC, North Shore Surgical Center
North Shore Same Day Surgery LLC
$983.00Published rateFasa Family Wellness, PLLC
Fasa Family Wellness PLLC
$555.00Published rateSchaumburg Surgery Center, LLC
Schaumburg Surgery Center LLC
$303.00Published rate
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See a sample payer proposalCPT 47125 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47125 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 47125 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47125. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47125 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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