CPT code 47380: Liver ablation, open approach, radiofrequency2026 Medicare rate & RVUs in Montana

Reports open surgical radiofrequency ablation of one or more liver tumors, when the surgeon treats the tumor through an operative exposure rather than laparoscopically or percutaneously.

CMS RVU26DEffective Oct 1, 2026One payment locality437 Medicare services in 2024

In Montana, Medicare pays $1,343.99 for 47380 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,343.99Hospital or facility

Check a contract rate as a % of Medicare · 47380 nationwide

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

We’ll open 47380 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 47380 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 47380 covers

The surgeon exposes the liver through an open operative approach and uses a radiofrequency probe to destroy one or more tumors. This may be performed for primary liver cancer or metastatic tumors when ablation is selected instead of, or alongside, tumor resection. The service is typically provided by a surgeon in a hospital operating room; the open approach distinguishes it from laparoscopic and image-guided percutaneous ablation.

Report the code based on the open approach and radiofrequency method, not as a separate unit for each tumor treated. The operative report should support the approach, use of radiofrequency energy, and the treated tumor or tumors. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this service.

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.

How Montana compares for 47380

Across 109 of 109 payment localities, the facility rate for 47380 runs from $1,194.30 in Wisconsin to $1,679.15 in Alaska. Montana pays $1,343.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

47380 in Montana vs other payment areas
  1. Montana · this page$1,343.99
  2. Los Angeles, CA · California$1,375.23+$31.24
  3. Washington, DC area · District of Columbia$1,471.77+$127.78
  4. Miami, FL · Florida$1,657.95+$313.96
  5. Chicago, IL · Illinois$1,605.20+$261.21
  6. Manhattan, NY · New York$1,566.77+$222.78
  7. Alaska · Alaska$1,679.15+$335.16

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

47380 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,215.85
ArkansasArkansas—$1,200.29
ArizonaArizona—$1,305.39
Bakersfield, CACalifornia—$1,316.53
Chico, CACalifornia—$1,300.64
El Centro, CACalifornia—$1,301.62
Fresno, CACalifornia—$1,300.64
Hanford, CACalifornia—$1,300.64

47380 rates by state

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

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
47380 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

See 47380 in every payment locality

How the 47380 rate is calculated

Each of 47380’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 · 47380

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.95

23.95 RVUs× 1.000 GPCI

Practice expense10.44

10.44 RVUs× 1.000 GPCI

Malpractice5.86

5.86 RVUs× 1.000 GPCI

Adjusted RVUs

40.2500

Conversion factor

$33.4009

Medicare rate

$1,344.39

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,671

Code
47380
Physician work
23.95
Practice expense
10.44
Malpractice
5.86

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 47380 in Montana
ComponentRVULocality factorAdjusted
Physician work23.95× 1.00023.9500
Practice expense10.44× 1.00010.4400
Malpractice5.86× 0.9985.8483
Total RVUs40.2383
Conversion factor× 33.4009

Facility rate, Montana$1343.99

Facility: (23.95 × 1 + 10.44 × 1 + 5.86 × 0.998) × $33.4009 = $1343.99

Open 47380 in the RVU calculator

Payment rules and modifiers for 47380

47380 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47380

Liver ablation, open approach, radiofrequency

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 · 47380

Liver ablation, open approach, radiofrequency

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

47380 without 51 · national facility

$1,344.39

Liver ablation, open approach, radiofrequency

47380-51 · Second procedure: 50%

$672.20

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

How 47380 has changed in Montana

47380 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,343.99RVU26D
2026-07-01Not available in this setting$1,343.99RVU26C
2026-04-01Not available in this setting$1,343.99RVU26B
2026-01-01Not available in this setting$1,343.99RVU26A
2025-10-01Not available in this setting$1,405.48RVU25D
2025-07-01Not available in this setting$1,405.48RVU25C
2025-04-01Not available in this setting$1,405.48RVU25B
2025-01-01Not available in this setting$1,405.48RVU25A
2024-10-01Not available in this setting$1,439.66RVU24D
2024-07-01Not available in this setting$1,439.66RVU24C
2024-04-01Not available in this setting$1,439.66RVU24B
2024-03-09Not available in this setting$1,439.66RVU24AR
2024-01-01Not available in this setting$1,416.16RVU24A
2023-10-01Not available in this setting$1,457.22RVU23D
2023-07-01Not available in this setting$1,457.22RVU23C
2023-04-01Not available in this setting$1,457.22RVU23B
2023-01-01Not available in this setting$1,457.22RVU23A
2022-10-01Not available in this setting$1,486.15RVU22D
2022-07-01Not available in this setting$1,486.15RVU22C
2022-04-01Not available in this setting$1,486.15RVU22B
2022-01-01Not available in this setting$1,486.15RVU22A
2021-10-01Not available in this setting$1,483.72RVU21D
2021-07-01Not available in this setting$1,483.72RVU21C
2021-04-01Not available in this setting$1,483.72RVU21B
2021-01-01Not available in this setting$1,483.72RVU21A
2020-10-01Not available in this setting$1,580.62RVU20D
2020-07-01Not available in this setting$1,580.62RVU20C
2020-04-01Not available in this setting$1,580.62RVU20B
2020-01-01Not available in this setting$1,580.62RVU20A
2019-10-01Not available in this setting$1,632.49RVU19D
2019-07-01Not available in this setting$1,632.49RVU19C
2019-04-01Not available in this setting$1,632.49RVU19B
2019-01-01Not available in this setting$1,632.49RVU19A
2018-10-01Not available in this setting$1,624.26RVU18D
2018-07-01Not available in this setting$1,624.26RVU18C
2018-04-01Not available in this setting$1,624.26RVU18B
2018-01-01Not available in this setting$1,624.26RVU18AR1
2017-10-01Not available in this setting$1,581.34RVU17D
2017-07-01Not available in this setting$1,581.34RVU17C
2017-04-01Not available in this setting$1,581.34RVU17B
2017-01-01Not available in this setting$1,581.34RVU17A
2016-10-01Not available in this setting$1,542.49RVU16D
2016-07-01Not available in this setting$1,542.49RVU16C
2016-04-01Not available in this setting$1,542.49RVU16B
2016-01-01Not available in this setting$1,542.49RVU16A
2015-10-01Not available in this setting$1,542.26RVU15D
2015-07-01Not available in this setting$1,542.26RVU15C
2015-04-01Not available in this setting$1,534.58RVU15B
2015-01-01Not available in this setting$1,534.58RVU15A
2014-10-01Not available in this setting$1,497.41RVU14D
2014-07-01Not available in this setting$1,497.41RVU14C
2014-04-01Not available in this setting$1,497.41RVU14B
2014-01-01Not available in this setting$1,497.41RVU14A
2013-10-01Not available in this setting$1,457.20RVU13D
2013-07-01Not available in this setting$1,457.20RVU13C
2013-04-01Not available in this setting$1,457.20RVU13B
2013-01-01Not available in this setting$1,457.20RVU13AR

Price 47380 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

47380 billing questions

How is this different from laparoscopic liver ablation?

This code is for radiofrequency ablation performed through an open surgical exposure. Use the laparoscopic code when the surgeon performs the ablation laparoscopically.

Is a separate unit reported for each tumor?

The code covers treatment of one or more liver tumors. Do not report additional units solely because multiple tumors are ablated; document the tumors treated and the procedure performed.

How does the method affect code selection?

This code describes open radiofrequency ablation. Open cryoablation, laparoscopic ablation, and percutaneous ablation have different codes.

Can modifier 50 be used?

No. Bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.

What payment rules apply when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation.

What postoperative care is included?

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

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 47380PPRRVU2026_Oct_nonQPP.csv, line 5,671 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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