CPT 47350 Hepatic Hemorrhage Reimbursement | OpenPayer

Summary & Overview

CPT 47350: Simple Repair of Hepatic Hemorrhage

CPT code 47350 denotes surgical simple repair to control hemorrhage within the liver. This code captures operative work focused on identifying bleeding sites in hepatic tissue and performing direct, uncomplicated repair to achieve hemostasis. Nationally, procedures addressing hepatic hemorrhage are critical in trauma and perioperative settings because timely surgical control of liver bleeding can be life-saving and resource-intensive.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for the procedure, coding and billing considerations, common modifiers used with similar surgical codes, and where available, benchmark references for utilization and reimbursement patterns. The publication also highlights policy and documentation elements that commonly affect claim adjudication for operative hepatic hemostasis.

This summary is written for a national audience and provides practical reference material for coding professionals, revenue cycle teams, and clinicians involved in surgical management of hepatic bleeding. Data not available in the input is noted where applicable.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareCPT 47350hepatic hemorrhageliver repairsurgical hemostasisoperative codingtrauma surgerygeneral surgeryprocedure coding

Billing Code Overview

CPT code 47350 describes surgical repair of hemorrhage in the liver using simple repair techniques. The procedure involves identifying and repairing any site of bleeding within the hepatic tissue to control hemorrhage.

Service type: Surgical hemostasis / simple repair of hepatic hemorrhage
Typical site of service: Operating room or other surgical suite where open or direct hepatic surgical control is performed

Clinical & Coding Specifications

Clinical Context

A 42-year-old male presents to the emergency department after a motor vehicle collision with right upper quadrant abdominal pain, hypotension, and evidence of intra-abdominal bleeding on focused assessment with sonography for trauma (FAST). CT abdomen with contrast shows a hepatic laceration with active extravasation. The patient is taken to the operating room for exploratory laparotomy. During the operation, the surgeon identifies a bleeding site on the liver capsule and parenchyma and performs hemostasis using suture ligation and simple repair techniques to control hemorrhage. Postoperative care includes monitoring in a surgical intensive care unit, serial hemoglobin checks, hemodynamic support, and wound care. The procedure 47350 (repair of hepatic hemorrhage using simple repair) is documented with operative findings, method of hemostasis, estimated blood loss, and any concurrent procedures or interventions such as transfusion or abdominal drainage.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, or complexity substantially exceeds the typical service for `47350`.

CPT 47361: Operative Control of Liver Hemorrhage, Debridement and Closure

CPT-47360-COMPLEX-HEPATIC-HEMORRHAGE-REPAIR

CPT 47360: Complex Repair of Hepatic Hemorrhage

CPT-47362-LIVER-HEMORRHAGE-REVISION-EXPLORATION

CPT 47362: Re-entry for Liver Hemorrhage, Clot and Packing Removal

CPT-47300-OPEN-SURGICAL-DRAINAGE-LIVER-ABSCESS-CYST

CPT 47300: Open Surgical Drainage of Liver Cyst or Abscess

23

Taxonomy Code	Specialty	Notes
207L00000X	General Surgery	General surgeons commonly perform exploratory laparotomy and hepatic repair.
208000000X	Colon & Rectal Surgery	May assist when colorectal injury is present or for complex abdominal trauma.
2086S0124X	Trauma Surgery	Trauma/acute care surgeons frequently manage liver hemorrhage in emergent settings.
207P00000X	Surgical Critical Care	Surgical critical care specialists provide perioperative and ICU management for these patients.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S36.119A`	Laceration of liver, initial encounter	Directly describes a hepatic laceration requiring operative repair such as `47350`.
`S36.191A`	Other injury of liver, initial encounter	Captures other traumatic hepatic injuries that may require hemostatic repair.
`S36.1XXA`	Injury of liver, initial encounter	General category for liver injury presenting with hemorrhage managed by surgical repair.
`R58`	Hemorrhage, not elsewhere classified	Used when the primary clinical problem is active hemorrhage from the liver requiring operative control.
`T81.0XXA`	Hemorrhage and hematoma complicating a procedure, initial encounter	Used if postoperative bleeding from the liver repair requires return to the OR or additional intervention.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`32551`	Tube thoracostomy, includes water seal (eg, for hemothorax)	Performed if hemothorax is present from thoracoabdominal trauma accompanying hepatic injury.
`44120`	Enterolysis (freeing of intestinal adhesions)	May be performed if concomitant intra-abdominal injuries require adhesiolysis during exploratory laparotomy.
`36415`	Collection of venous blood by venipuncture	Routine laboratory blood draws for hemoglobin, coagulation studies, and type/crossmatch in perioperative care.
`11042`	Debridement, subcutaneous tissue	Used if abdominal wall or wound debridement is required at the time of abdominal entry or later wound management.
`96365`	Intravenous infusion for therapeutic, prophylactic, or diagnostic purposes	Used when blood products, fluids, or medications are administered perioperatively; transfusion codes may also apply.
`33010`	Pericardiocentesis (diagnostic or therapeutic)	Listed for comprehensive trauma context when associated thoracic injuries require separate invasive procedures.

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