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CPT code 47371: Liver ablation, laparoscopic cryosurgical technique2026 Medicare rate & RVUs

Reports laparoscopic cryosurgical ablation of hepatic tumor tissue when a surgeon treats a liver lesion through minimally invasive access.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,182.39 for 47371 nationally in a facility.

Medicare rate · 47371

Liver ablation, laparoscopic cryosurgical technique

Office or facility?

Work RVUs
20.28
Total RVUs
35.40
Global days
090

National rate · 2026

$1,182.39

Facility setting, before claim adjustments.

See every locality for 47371 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 47371 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 47371 covers

A surgeon accesses the liver laparoscopically and applies a cryosurgical probe to freeze and destroy tumor tissue. Hepatobiliary surgeons and surgical oncologists typically perform this operation in an operating room when laparoscopic access and cryoablation are selected for treating hepatic tumor tissue. The service is distinct from liver wound repair and from ablation performed through an open or percutaneous approach.

The operative report should identify the laparoscopic approach, cryosurgical technique, and treated tumor site or sites. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 47371 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47371 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,063.32
AlaskaUnavailable$1,460.85
ArizonaUnavailable$1,146.28
ArkansasUnavailable$1,048.91
Atlanta, GAUnavailable$1,226.00
Austin, TXUnavailable$1,181.90
Bakersfield, CAUnavailable$1,155.58
Baltimore area, MDUnavailable$1,259.79
Beaumont, TXUnavailable$1,140.38
Brazoria, TXUnavailable$1,145.07

47371 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
47371 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 47371 rate is calculated

Each of 47371’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 47371

RVUs × geographic indexes × conversion factor

Office or facility?

Work20.28

20.28 RVUs× 1.000 GPCI

Practice expense9.70

9.70 RVUs× 1.000 GPCI

Malpractice5.42

5.42 RVUs× 1.000 GPCI

Adjusted RVUs

35.4000

Conversion factor

$33.4009

Medicare rate

$1,182.39

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 47371

47371 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47371

Liver ablation, laparoscopic cryosurgical technique

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 47371

Liver ablation, laparoscopic cryosurgical technique

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47371 without 51 · national facility

$1,182.39

Liver ablation, laparoscopic cryosurgical technique

47371-51 · Second procedure: 50%

$591.20

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

47371 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 47371

    Liver ablation, laparoscopic cryosurgical technique20.28 wRVU

    Not priced

  • 47370

    Liver tumor ablation, laparoscopic radiofrequency20.28 wRVU

    Not priced

  • 47381

    Liver tumor ablation, open cryosurgical approach24.26 wRVU

    Not priced

  • 47383

    Liver ablation, percutaneous cryoablation8.66 wRVU

    $5,823.11

  • 47382

    Liver ablation, percutaneous radiofrequency14.6 wRVU

    $3,430.27

How to choose

47370Liver tumor ablationLaparoscopic radiofrequency
Both involve laparoscopic liver tumor ablation. Choose 47371 for cryosurgical freezing and 47370 for radiofrequency ablation.
47381Liver tumor ablationOpen cryosurgical approach
Both use cryosurgery for liver tumor tissue, but 47381 is the open approach; 47371 is laparoscopic.
47383Liver ablationPercutaneous cryoablation
Both use cryoablation, but 47383 is performed percutaneously. Report 47371 for laparoscopic access.
47382Liver ablationPercutaneous radiofrequency
47382 describes percutaneous radiofrequency ablation of a liver tumor. It differs from 47371 in both approach and ablation method.

Codes related to 47371

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 47371
CodeHow it relatesNational office range
Used instead
47370Liver tumor ablation, laparoscopic radiofrequencyLaparoscopic liver tumor ablation using radiofrequency energy rather than cryosurgery.No office rate
47381Liver tumor ablation, open cryosurgical approachLiver tumor cryoablation performed through an open approach.No office rate
47383Liver ablation, percutaneous cryoablationLiver tumor cryoablation performed percutaneously rather than laparoscopically.$5,029.97–$8,267.00
47382Liver ablation, percutaneous radiofrequencyPercutaneous liver tumor ablation using radiofrequency energy.$2,996.52–$4,734.92

47371 billing questions

How does 47371 differ from 47370?

Both describe laparoscopic liver tumor ablation, but 47371 involves cryosurgical freezing while 47370 uses radiofrequency energy. Match the code to the documented ablation method.

When would 47383 be reported instead?

47383 describes percutaneous liver cryoablation. Use 47371 when the surgeon performs the cryosurgical treatment laparoscopically.

Should modifier 50 be appended for tumors in both lobes?

No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy does not support modifier 50.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

What should the operative note establish?

Document the laparoscopic approach, use of cryosurgical ablation, and the liver tumor site or sites treated. These details distinguish this service from radiofrequency ablation and from open or percutaneous cryoablation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 47371PPRRVU2026_Oct_nonQPP.csv, line 5,669 (RVU26D)

Open CMS sourceHow we calculate rates

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