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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None GC - Service performed by resident under supervision 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47360 |
| Medicaid Fee Schedule | View Medicaid rates for 47360 |
National average reimbursement for CPT 47360 by major payers:

$2,271.53

$2,477.11

$2,582.34

$2,953.24
Choose a payer to see a sample of rates for CPT 47360.
Stonesprings Surgicenter LLC
Gcsa Ambulatory Surgery Center LLC
Yuma Advanced Surgical Suites, LLC
Pasadena Surgery Center LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 47360 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47360 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 47360 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 |
|---|---|---|
| 47146-CPT | Moderate | Prep Donor Liver Venous, Backbench Reconstruction Of Cadaver Or Living Donor Liver Graft Prior To Allotransplantation Venous Anastomosis Each |
| 47147-CPT | Moderate | Prep Donor Liver Arterial, Backbench Reconstruction Of Cadaver Or Living Donor Liver Graft Prior To Allotransplantation Arterial Anastomosis Each |
| 47350-CPT | High | Surgery For Bleeding Liver, Surgical Treatment To Stitch A Wound Closed And Stop Excessive Bleeding (Hemorrhage) In The Liver. The Procedure Might Involve Removing Debris Closing Off A Blood Vessel Or Packing The Wound With Absorbent Material. |
| 47360-CPT | High | Surgery For Bleeding Liver, Surgical Treatment To Stitch A Wound Closed And Stop Excessive Bleeding (Hemorrhage) In The Liver. The Procedure Might Involve Removing Debris Closing Off A Blood Vessel Or Packing The Wound With Absorbent Material. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47360 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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