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

Headline: CPT code 47362: Surgical Re-entry for Liver Hemorrhage — Procedure Overview and Payer Scope

Lead: CPT code 47362 covers a surgical procedure in which the provider re-enters a prior incision made to control liver bleeding, removes packing and clots, and inspects and addresses any remaining hemorrhage. The code captures an urgent or scheduled operative revision focused on hemostasis and intra-abdominal exploration.

CPT code 47362 matters nationally because hepatic hemorrhage carries high morbidity and requires timely surgical control; accurate coding affects clinical documentation, resource allocation, and hospital workflow. Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on the clinical intent of the code, typical settings where the service is delivered, and the payers that commonly process claims for this service. The publication also provides benchmarking context, common modifier usage (listed elsewhere in the full document), and clinical context relevant to hemorrhage control procedures. Data not available in the input is noted where specific payer rates, associated taxonomies, and ICD-10 pairings would otherwise be presented.

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Billing Code Overview

CPT code 47362 describes a surgical re-entry into a prior incision used to control liver hemorrhage to remove clots and packing and to inspect and control any ongoing bleeding. This procedure is a surgical hemorrhage control revision focused on the liver.

Service type: Surgical procedure for hemorrhage control and exploration
Typical site of service: Operating room or other surgical setting where intra-abdominal exploration and hemostasis can be performed

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

Headline: CPT code 47362: Surgical Re-entry for Liver Hemorrhage — Procedure Overview and Payer Scope

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Billing Code Overview

Service type: Surgical procedure for hemorrhage control and exploration
Typical site of service: Operating room or other surgical setting where intra-abdominal exploration and hemostasis can be performed

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult who previously underwent emergent laparotomy for blunt or penetrating hepatic trauma with hepatic packing placed to control active liver hemorrhage. After initial resuscitation and stabilization in the intensive care unit, the patient returns to the operating room within 24–72 hours for planned re-exploration. In the operating room under general anesthesia, the surgeon re-enters the prior abdominal incision, removes abdominal packs and clot burden from the liver injury site, inspects and controls any ongoing bleeding with hemostatic techniques (sutures, topical agents, cautery), and assesses hepatic viability. The workflow includes review of recent imaging and coagulation status, anesthesia induction, opening the prior incision, removal of packs and irrigation, definitive hemostasis or additional interventions if needed (e.g., hepatic vessel ligation, packing repositioning), dressing and closure or temporary abdominal closure if required. Typical site of service is an operating room in an acute care hospital (inpatient).

Coding Specifications

Modifier	Description	When to Use
`11`	Office or other outpatient service (standard)	When the service represents the usual, non-exceptional service by the surgeon; commonly appended as the primary/standard circumstance when required by payer rules.
`22`	Increased procedural services	When the work required is substantially greater than typically required for `47362` due to complexity, prolonged operative time, or extensive adhesiolysis beyond routine pack removal.
`23`	Unusual anesthesia	When general anesthesia is administered but is considered medically contraindicated and unusually high risk is present (rare for this procedure).
`52`	Reduced services	When the planned exploration is only partially performed (e.g., aborted before full pack removal) and reduced service is documented.
`53`	Discontinued procedure	When the re-exploration is started but halted due to a clinical event and not completed as described by `47362`.
`62`	Two surgeons	When two surgeons work together as primary surgeons during the re-exploration (e.g., complex hepatic repair requiring dual attending surgeons).
`66`	Surgical team (multiple surgeons)	When a recognized surgical team performs portions of the operative visit distinct from assist billing.
`78`	Unplanned return to the OR by the same physician following initial procedure for a related procedure during the postoperative period	When the patient returns emergently to the OR for re-exploration of hepatic hemorrhage within the global period of a recent abdominal operation.
`79`	(Not in provided list)	Data not available in the input.
`52`	Reduced services	Duplicate entry avoided; see prior `52` explanation.

Taxonomy Code	Specialty	Notes
207L00000X	General Surgery	Most common specialty performing hepatic re-exploration and pack removal.
207T00000X	Surgical Critical Care	Surgeons with critical care training frequently manage timing of re-exploration in trauma patients.
2080P0010X	Trauma Surgery	Trauma-focused surgeons perform initial hemorrhage control and follow-up re-exploration.
207K00000X	Vascular Surgery	May be involved when major hepatic vessel repair or ligation is required.
208100000X	Hepatobiliary Surgery	Specialists in complex liver surgery consulted for parenchymal repair or definitive hepatic interventions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`19300`	Mastectomy, simple, complete -- Data not applicable	Data not available in the input.
`49002`	Exploratory laparotomy, initial or repeat, exploratory, exploratory or therapeutic laparotomy; may include control of hemorrhage	Performed before or in conjunction with `47362` when a full abdominal exploration is required.
`32550`	Tube thoracostomy, with or without water-seal (e.g., for associated thoracic injuries)	May be performed in polytrauma patients with concomitant thoracic injuries during the same hospitalization.
`36415`	Collection of venous blood by venipuncture	Routine perioperative laboratory monitoring associated with the re-exploration.
`96365`	Intravenous infusion, initial, up to 1 hour (for chemotherapy)	Data not available in the input.

CPT 47300: Open Surgical Drainage of Liver Cyst or Abscess

CPT-47350-HEPATIC-HEMORRHAGE-SIMPLE-REPAIR

CPT 47350: Simple Repair of Hepatic Hemorrhage

CPT-47360-COMPLEX-HEPATIC-HEMORRHAGE-REPAIR

CPT 47360: Complex Repair of Hepatic Hemorrhage

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

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

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`11`	Office or other outpatient service (standard)	When the service represents the usual, non-exceptional service by the surgeon; commonly appended as the primary/standard circumstance when required by payer rules.
`22`	Increased procedural services	When the work required is substantially greater than typically required for `47362` due to complexity, prolonged operative time, or extensive adhesiolysis beyond routine pack removal.
`23`	Unusual anesthesia	When general anesthesia is administered but is considered medically contraindicated and unusually high risk is present (rare for this procedure).
`52`	Reduced services	When the planned exploration is only partially performed (e.g., aborted before full pack removal) and reduced service is documented.
`53`	Discontinued procedure	When the re-exploration is started but halted due to a clinical event and not completed as described by `47362`.
`62`	Two surgeons	When two surgeons work together as primary surgeons during the re-exploration (e.g., complex hepatic repair requiring dual attending surgeons).
`66`	Surgical team (multiple surgeons)	When a recognized surgical team performs portions of the operative visit distinct from assist billing.
`78`	Unplanned return to the OR by the same physician following initial procedure for a related procedure during the postoperative period	When the patient returns emergently to the OR for re-exploration of hepatic hemorrhage within the global period of a recent abdominal operation.
`79`	(Not in provided list)	Data not available in the input.
`52`	Reduced services	Duplicate entry avoided; see prior `52` explanation.

Taxonomy Code	Specialty	Notes
207L00000X	General Surgery	Most common specialty performing hepatic re-exploration and pack removal.
207T00000X	Surgical Critical Care	Surgeons with critical care training frequently manage timing of re-exploration in trauma patients.
2080P0010X	Trauma Surgery	Trauma-focused surgeons perform initial hemorrhage control and follow-up re-exploration.
207K00000X	Vascular Surgery	May be involved when major hepatic vessel repair or ligation is required.
208100000X	Hepatobiliary Surgery	Specialists in complex liver surgery consulted for parenchymal repair or definitive hepatic interventions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`19300`	Mastectomy, simple, complete -- Data not applicable	Data not available in the input.
`49002`	Exploratory laparotomy, initial or repeat, exploratory, exploratory or therapeutic laparotomy; may include control of hemorrhage	Performed before or in conjunction with `47362` when a full abdominal exploration is required.
`32550`	Tube thoracostomy, with or without water-seal (e.g., for associated thoracic injuries)	May be performed in polytrauma patients with concomitant thoracic injuries during the same hospitalization.
`36415`	Collection of venous blood by venipuncture	Routine perioperative laboratory monitoring associated with the re-exploration.
`96365`	Intravenous infusion, initial, up to 1 hour (for chemotherapy)	Data not available in the input.

CPT 47300: Open Surgical Drainage of Liver Cyst or Abscess

CPT-47350-HEPATIC-HEMORRHAGE-SIMPLE-REPAIR

CPT 47350: Simple Repair of Hepatic Hemorrhage

CPT-47360-COMPLEX-HEPATIC-HEMORRHAGE-REPAIR

CPT 47360: Complex Repair of Hepatic Hemorrhage

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

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

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

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

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Billing Code Overview

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

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References