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.
In Montana, Medicare pays $1,343.99 for 47380 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Montana · this page$1,343.99
- Los Angeles, CA · California$1,375.23+$31.24
- Washington, DC area · District of Columbia$1,471.77+$127.78
- Miami, FL · Florida$1,657.95+$313.96
- Chicago, IL · Illinois$1,605.20+$261.21
- Manhattan, NY · New York$1,566.77+$222.78
- Alaska · Alaska$1,679.15+$335.16
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $1,300.64 |
| Merced, CACalifornia | — | $1,300.64 |
| Modesto, CACalifornia | — | $1,300.64 |
| Napa, CACalifornia | — | $1,409.37 |
| Oxnard, CACalifornia | — | $1,356.46 |
| Redding, CACalifornia | — | $1,300.64 |
| Rest of CaliforniaCalifornia | — | $1,300.64 |
| Riverside, CACalifornia | — | $1,363.49 |
| Sacramento, CACalifornia | — | $1,339.21 |
| Salinas, CACalifornia | — | $1,333.81 |
| San Diego, CACalifornia | — | $1,347.09 |
| Marin County, CACalifornia | — | $1,457.46 |
| San Francisco, CACalifornia | — | $1,450.81 |
| San Benito County, CACalifornia | — | $1,495.69 |
| Santa Clara County, CACalifornia | — | $1,468.48 |
| San Luis Obispo, CACalifornia | — | $1,315.64 |
| Santa Cruz, CACalifornia | — | $1,345.34 |
| Santa Maria, CACalifornia | — | $1,333.85 |
| Santa Rosa, CACalifornia | — | $1,357.07 |
| Stockton, CACalifornia | — | $1,300.64 |
| Vallejo, CACalifornia | — | $1,399.78 |
| Visalia, CACalifornia | — | $1,300.64 |
| Yuba City, CACalifornia | — | $1,300.64 |
| ColoradoColorado | — | $1,333.44 |
| ConnecticutConnecticut | — | $1,428.34 |
| DelawareDelaware | — | $1,324.43 |
| Fort Lauderdale, FLFlorida | — | $1,507.07 |
| Rest of FloridaFlorida | — | $1,427.50 |
| Atlanta, GAGeorgia | — | $1,391.71 |
| Rest of GeorgiaGeorgia | — | $1,344.31 |
| Hawaii, Guam, HIHawaii | — | $1,309.76 |
| IowaIowa | — | $1,196.72 |
| IdahoIdaho | — | $1,213.34 |
| East St. Louis, ILIllinois | — | $1,514.96 |
| Rest of IllinoisIllinois | — | $1,424.24 |
| Suburban Chicago, ILIllinois | — | $1,510.50 |
| IndianaIndiana | — | $1,218.33 |
| KansasKansas | — | $1,213.83 |
| KentuckyKentucky | — | $1,289.04 |
| New Orleans, LALouisiana | — | $1,350.43 |
| Rest of LouisianaLouisiana | — | $1,296.06 |
| Metropolitan Boston, MAMassachusetts | — | $1,423.30 |
| Rest of MassachusettsMassachusetts | — | $1,335.93 |
| Baltimore area, MDMaryland | — | $1,429.03 |
| Rest of MarylandMaryland | — | $1,340.52 |
| Rest of MaineMaine | — | $1,242.50 |
| Southern Maine, MEMaine | — | $1,269.02 |
| Detroit, MIMichigan | — | $1,466.45 |
| Rest of MichiganMichigan | — | $1,339.30 |
| MinnesotaMinnesota | — | $1,216.71 |
| Metropolitan Kansas City, MOMissouri | — | $1,318.61 |
| Metropolitan St. Louis, MOMissouri | — | $1,328.04 |
| Rest of MissouriMissouri | — | $1,291.18 |
| MississippiMississippi | — | $1,244.83 |
| North CarolinaNorth Carolina | — | $1,250.36 |
| North DakotaNorth Dakota | — | $1,228.12 |
| NebraskaNebraska | — | $1,195.79 |
| New HampshireNew Hampshire | — | $1,334.22 |
| Northern New JerseyNew Jersey | — | $1,463.89 |
| Rest of New JerseyNew Jersey | — | $1,427.45 |
| New MexicoNew Mexico | — | $1,354.79 |
| NevadaNevada | — | $1,312.05 |
| NYC suburbs and Long Island, NYNew York | — | $1,629.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,454.61 |
| Queens, NYNew York | — | $1,545.56 |
| Rest of New YorkNew York | — | $1,268.82 |
| OhioOhio | — | $1,315.61 |
| OklahomaOklahoma | — | $1,263.43 |
| Portland, OROregon | — | $1,345.79 |
| Rest of OregonOregon | — | $1,284.86 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,410.86 |
| Rest of PennsylvaniaPennsylvania | — | $1,305.03 |
| Puerto RicoPuerto Rico | — | $1,345.29 |
| Rhode IslandRhode Island | — | $1,349.95 |
| South CarolinaSouth Carolina | — | $1,288.53 |
| South DakotaSouth Dakota | — | $1,214.42 |
| TennesseeTennessee | — | $1,222.03 |
| Austin, TXTexas | — | $1,343.90 |
| Beaumont, TXTexas | — | $1,299.11 |
| Brazoria, TXTexas | — | $1,304.59 |
| Dallas, TXTexas | — | $1,322.40 |
| Fort Worth, TXTexas | — | $1,321.45 |
| Galveston, TXTexas | — | $1,314.68 |
| Houston, TXTexas | — | $1,421.94 |
| Rest of TexasTexas | — | $1,307.62 |
| UtahUtah | — | $1,303.50 |
| VirginiaVirginia | — | $1,280.91 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,345.29 |
| VermontVermont | — | $1,244.21 |
| Rest of WashingtonWashington | — | $1,326.49 |
| King County, WAWashington | — | $1,427.72 |
| WisconsinWisconsin | — | $1,194.30 |
| West VirginiaWest Virginia | — | $1,383.07 |
| WyomingWyoming | — | $1,293.50 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.95 | × 1.000 | 23.9500 |
| Practice expense | 10.44 | × 1.000 | 10.4400 |
| Malpractice | 5.86 | × 0.998 | 5.8483 |
| Total RVUs | 40.2383 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1343.99
Facility: (23.95 × 1 + 10.44 × 1 + 5.86 × 0.998) × $33.4009 = $1343.99
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share 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.
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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,343.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,343.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,343.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,343.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,405.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,405.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,405.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,405.48 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,439.66 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,439.66 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,439.66 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,439.66 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,416.16 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,457.22 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,457.22 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,457.22 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,457.22 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,486.15 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,486.15 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,486.15 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,486.15 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,483.72 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,483.72 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,483.72 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,483.72 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,580.62 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,580.62 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,580.62 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,580.62 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,632.49 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,632.49 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,632.49 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,632.49 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,624.26 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,624.26 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,624.26 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,624.26 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,581.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,581.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,581.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,581.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,542.49 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,542.49 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,542.49 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,542.49 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,542.26 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,542.26 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,534.58 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,534.58 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,497.41 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,497.41 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,497.41 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,497.41 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,457.20 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,457.20 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,457.20 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,457.20 | RVU13AR |
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
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
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