CPT 47360 Complex Hepatic Hemorrhage Repair Reimbursement | OpenPayer

Summary & Overview

CPT 47360: Complex Repair of Hepatic Hemorrhage

CPT code 47360 designates a complex surgical repair to control hemorrhage within the liver. This code captures operative procedures intended to achieve hemostasis in hepatic tissue and is used in hospital surgical billing for significant hepatic bleeding that requires advanced repair techniques. Nationally, accurate use of this code is important for surgical quality reporting, appropriate case-mix capture, and aligning reimbursement with resource-intensive operative care.

Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context for hepatic hemorrhage repair, payer coverage considerations, common modifiers associated with the service, and benchmarks where available. The publication explains typical sites of service and service type, clarifies documentation elements that support code selection, and summarizes related coding considerations for hospitals and surgical providers.

This overview is intended to inform coding professionals, surgical billing teams, and policy analysts about the scope and application of CPT code 47360, supporting consistent national reporting and billing practices for complex liver hemorrhage repair.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare47360CPThepatic hemorrhageliver surgeryhemostasissurgical billinginpatient surgeryoperative repair

Billing Code Overview

CPT code 47360 describes a surgical procedure involving complex repair of hepatic hemorrhage, where the provider repairs any site of bleeding within the liver using advanced repair techniques. This procedure is categorized as surgical control of liver hemorrhage and typically involves operative management to achieve hemostasis in the hepatic parenchyma.

Service Type: Surgical — complex hepatic hemorrhage repair

Typical Site of Service: Inpatient operating room or surgical suite (hospital)

Clinical & Coding Specifications

Clinical Context

A patient is brought to the operating room after sustaining blunt abdominal trauma with suspected liver laceration and active intrahepatic hemorrhage identified on CT imaging or at exploratory laparotomy. The patient is typically hemodynamically unstable or has ongoing bleeding despite initial conservative measures. The surgical team performs operative control of hemorrhage in the liver using complex repair techniques (suture hepatorrhaphy, topical hemostatic agents, vascular control, segmental resection or oversewing of bleeding vessels). Intraoperative steps include exposure of the liver, identification of hemorrhage sources, temporary vascular control as needed, definitive repair of bleeding sites with complex maneuvers, and assessment for biliary injury. Postoperative workflow includes monitoring in the intensive care unit, serial hemoglobin/hematocrit checks, transfusion management as indicated, imaging follow-up if rebleeding is suspected, and coordination with interventional radiology if angioembolization is required later.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work, time, or complexity substantially exceeds typical for the procedure due to extensive liver repair.
`23`

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

CPT-47361-HEPATIC-HEMORRHAGE-CONTROL-DEBRIDEMENT-AND-CLOSURE

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

CPT-47350-HEPATIC-HEMORRHAGE-SIMPLE-REPAIR

CPT 47350: Simple Repair of Hepatic Hemorrhage

Taxonomy Code	Specialty	Notes
Data not available in the input.	General Surgery	Most common specialty performing operative liver hemorrhage repair.
Data not available in the input.	Trauma Surgery	Frequent provider for emergent control of hepatic bleeding.
Data not available in the input.	Hepatobiliary Surgery	Specialized surgeons for complex liver parenchymal repairs and resections.
Data not available in the input.	Transplant Surgery	May be involved in complex hepatic vascular reconstruction or transplant-related hemorrhage.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`K72.90`	Hepatic failure, unspecified, without coma	Severe liver injury with compromised function that may accompany major hepatic trauma and complicate hemorrhage control.
`S36.011A`	Laceration of liver, initial encounter	Direct indication for operative repair of hepatic hemorrhage.
`S36.019A`	Unspecified injury of liver, initial encounter	Used when liver injury with bleeding is documented but not further specified.
`S36.012A`	Laceration of liver with intraperitoneal hemorrhage, initial encounter	Specifies liver laceration with active intraperitoneal bleeding requiring repair.
`S36.099A`	Other injury of liver, initial encounter	Captures less common or complex hepatic injuries associated with hemorrhage.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`32551`	Thoracotomy, with exploration, evacuation of retained hemothorax; initial	Performed if associated thoracic bleeding or concurrent chest exploration is required during trauma care.
`44120`	Enterotomy, repair of small intestine simple closure; single layer	May be performed concurrently if intra-abdominal bowel injury is identified during exploration for hepatic hemorrhage.
`43840`	Partial hepatectomy, lobectomy or segmental resection	May be performed when devitalized liver tissue requires resection as part of definitive hemorrhage control.
`36147`	Introduction of needle or catheter, superior or inferior vena cava, central venous access	Commonly performed for central venous access and massive transfusion management in patients with hepatic hemorrhage.
`37184`	Endovascular repair, embolization, any method, radiological supervision and interpretation	Performed by interventional radiology when angioembolization is used adjunctively or as an alternative to operative hepatic hemorrhage control.

OpenPayer