CPT code 47381: Liver tumor ablation, open cryosurgical approach2026 Medicare rate & RVUs in South Carolina
Reports open surgical destruction of a liver tumor using cryosurgery, typically when the surgeon exposes the liver and treats the lesion directly.
In South Carolina, Medicare pays $1,323.27 for 47381 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 47381 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 47381 covers
The surgeon exposes the liver through an open operation and uses a cryoprobe to freeze and destroy a tumor. This may be used for a primary liver tumor or a metastatic lesion. Hepatobiliary, transplant, or general surgeons typically perform the procedure in an operating room, with the approach and treatment documented in the operative report.
Report this code when the tumor is ablated by cryosurgery through an open approach; laparoscopic and percutaneous access use different codes. Documentation should identify the open approach, cryosurgical method, treated tumor, and operative work. The service has a 90-day 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 others at 50%. Bilateral adjustment 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.
How South Carolina compares for 47381
Across 109 of 109 payment localities, the facility rate for 47381 runs from $1,218.07 in Wisconsin to $1,728.33 in Miami, FL. South Carolina pays $1,323.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$1,323.27
- Los Angeles, CA · California$1,408.45+$85.18
- Washington, DC area · District of Columbia$1,514.39+$191.12
- Miami, FL · Florida$1,728.33+$405.06
- Chicago, IL · Illinois$1,670.54+$347.27
- Manhattan, NY · New York$1,619.17+$295.90
- Alaska · Alaska$1,713.91+$390.64
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,244.36 |
| ArkansasArkansas | — | $1,227.62 |
| ArizonaArizona | — | $1,340.59 |
| Bakersfield, CACalifornia | — | $1,347.75 |
| Chico, CACalifornia | — | $1,330.33 |
| El Centro, CACalifornia | — | $1,331.41 |
| Fresno, CACalifornia | — | $1,330.33 |
| Hanford, CACalifornia | — | $1,330.33 |
| Madera, CACalifornia | — | $1,330.33 |
| Merced, CACalifornia | — | $1,330.33 |
| Modesto, CACalifornia | — | $1,330.33 |
| Napa, CACalifornia | — | $1,440.58 |
| Oxnard, CACalifornia | — | $1,388.69 |
| Redding, CACalifornia | — | $1,330.33 |
| Rest of CaliforniaCalifornia | — | $1,330.33 |
| Riverside, CACalifornia | — | $1,399.75 |
| Sacramento, CACalifornia | — | $1,369.58 |
| Salinas, CACalifornia | — | $1,364.10 |
| San Diego, CACalifornia | — | $1,377.76 |
| Marin County, CACalifornia | — | $1,488.67 |
| San Francisco, CACalifornia | — | $1,481.31 |
| San Benito County, CACalifornia | — | $1,528.88 |
| Santa Clara County, CACalifornia | — | $1,498.79 |
| San Luis Obispo, CACalifornia | — | $1,345.64 |
| Santa Cruz, CACalifornia | — | $1,375.94 |
| Santa Maria, CACalifornia | — | $1,364.16 |
| Santa Rosa, CACalifornia | — | $1,387.86 |
| Stockton, CACalifornia | — | $1,330.33 |
| Vallejo, CACalifornia | — | $1,429.98 |
| Visalia, CACalifornia | — | $1,330.33 |
| Yuba City, CACalifornia | — | $1,330.33 |
| ColoradoColorado | — | $1,367.91 |
| ConnecticutConnecticut | — | $1,471.87 |
| DelawareDelaware | — | $1,360.72 |
| Fort Lauderdale, FLFlorida | — | $1,562.31 |
| Rest of FloridaFlorida | — | $1,476.00 |
| Atlanta, GAGeorgia | — | $1,434.43 |
| Rest of GeorgiaGeorgia | — | $1,385.90 |
| Hawaii, Guam, HIHawaii | — | $1,340.46 |
| IowaIowa | — | $1,222.02 |
| IdahoIdaho | — | $1,240.25 |
| East St. Louis, ILIllinois | — | $1,573.78 |
| Rest of IllinoisIllinois | — | $1,473.68 |
| Suburban Chicago, ILIllinois | — | $1,565.17 |
| IndianaIndiana | — | $1,245.56 |
| KansasKansas | — | $1,241.26 |
| KentuckyKentucky | — | $1,324.88 |
| New Orleans, LALouisiana | — | $1,391.23 |
| Rest of LouisianaLouisiana | — | $1,332.76 |
| Metropolitan Boston, MAMassachusetts | — | $1,461.29 |
| Rest of MassachusettsMassachusetts | — | $1,370.70 |
| Baltimore area, MDMaryland | — | $1,473.05 |
| Rest of MarylandMaryland | — | $1,377.43 |
| Rest of MaineMaine | — | $1,272.50 |
| Southern Maine, MEMaine | — | $1,299.73 |
| Detroit, MIMichigan | — | $1,518.81 |
| Rest of MichiganMichigan | — | $1,379.74 |
| MinnesotaMinnesota | — | $1,240.75 |
| Metropolitan Kansas City, MOMissouri | — | $1,356.10 |
| Metropolitan St. Louis, MOMissouri | — | $1,366.14 |
| Rest of MissouriMissouri | — | $1,328.03 |
| MississippiMississippi | — | $1,276.82 |
| MontanaMontana | — | $1,382.36 |
| North CarolinaNorth Carolina | — | $1,280.81 |
| North DakotaNorth Dakota | — | $1,254.23 |
| NebraskaNebraska | — | $1,220.76 |
| New HampshireNew Hampshire | — | $1,370.34 |
| Northern New JerseyNew Jersey | — | $1,505.53 |
| Rest of New JerseyNew Jersey | — | $1,468.96 |
| New MexicoNew Mexico | — | $1,396.75 |
| NevadaNevada | — | $1,347.01 |
| NYC suburbs and Long Island, NYNew York | — | $1,687.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,498.54 |
| Queens, NYNew York | — | $1,595.12 |
| Rest of New YorkNew York | — | $1,300.71 |
| OhioOhio | — | $1,353.55 |
| OklahomaOklahoma | — | $1,296.43 |
| Portland, OROregon | — | $1,379.88 |
| Rest of OregonOregon | — | $1,317.09 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,453.75 |
| Rest of PennsylvaniaPennsylvania | — | $1,341.70 |
| Puerto RicoPuerto Rico | — | $1,383.47 |
| Rhode IslandRhode Island | — | $1,386.57 |
| South DakotaSouth Dakota | — | $1,239.08 |
| TennesseeTennessee | — | $1,250.19 |
| Austin, TXTexas | — | $1,380.40 |
| Beaumont, TXTexas | — | $1,335.39 |
| Brazoria, TXTexas | — | $1,338.46 |
| Dallas, TXTexas | — | $1,357.93 |
| Fort Worth, TXTexas | — | $1,357.18 |
| Galveston, TXTexas | — | $1,349.56 |
| Houston, TXTexas | — | $1,468.17 |
| Rest of TexasTexas | — | $1,343.64 |
| UtahUtah | — | $1,339.36 |
| VirginiaVirginia | — | $1,313.11 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,383.47 |
| VermontVermont | — | $1,272.32 |
| Rest of WashingtonWashington | — | $1,360.47 |
| King County, WAWashington | — | $1,464.53 |
| WisconsinWisconsin | — | $1,218.07 |
| West VirginiaWest Virginia | — | $1,429.44 |
| WyomingWyoming | — | $1,326.52 |
47381 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 47381 rate is calculated
Each of 47381’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 · 47381
RVUs × geographic indexes × conversion factor
Work24.26
24.26 RVUs× 1.000 GPCI
Practice expense10.66
10.66 RVUs× 1.000 GPCI
Malpractice6.48
6.48 RVUs× 1.000 GPCI
Adjusted RVUs
41.4000
Conversion factor
$33.4009
Medicare rate
$1,382.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,672
- Code
- 47381
- Physician work
- 24.26
- Practice expense
- 10.66
- Malpractice
- 6.48
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.26 | × 1.000 | 24.2600 |
| Practice expense | 10.66 | × 0.924 | 9.8498 |
| Malpractice | 6.48 | × 0.850 | 5.5080 |
| Total RVUs | 39.6178 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Carolina$1323.27
Facility: (24.26 × 1 + 10.66 × 0.924 + 6.48 × 0.85) × $33.4009 = $1323.27
Payment rules and modifiers for 47381
47381 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47381
Liver tumor ablation, open cryosurgical approach
| 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 · 47381
Liver tumor ablation, open cryosurgical approach
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
47381 without 51 · national facility
$1,382.80
Liver tumor ablation, open cryosurgical approach
47381-51 · Second procedure: 50%
$691.40
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 47381 has changed in South Carolina
47381 · 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 | $1,323.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,323.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,323.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,323.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,370.36 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,370.36 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,370.36 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,370.36 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,401.89 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,401.89 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,401.89 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,401.89 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,379.01 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,406.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,406.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,406.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,406.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,420.79 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,420.79 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,420.79 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,420.79 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,421.66 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,421.66 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,421.66 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,421.66 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,436.22 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,436.22 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,436.22 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,436.22 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,414.73 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,414.73 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,403.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,403.77 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,410.67 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,410.67 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,410.67 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,410.67 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,354.23 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,354.23 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,354.23 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,354.23 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,325.54 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,325.54 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,325.54 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,325.54 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,336.86 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,336.86 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,330.21 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,330.21 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,375.77 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,375.77 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,375.77 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,375.77 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,357.02 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,357.02 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,357.02 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,357.02 | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
47381 billing questions
How does this code differ from laparoscopic liver cryoablation?
Use 47381 when the surgeon treats the liver tumor through an open approach. Laparoscopic cryoablation is reported with 47371.
How does this code differ from open radiofrequency ablation?
Both describe open treatment of a liver tumor, but 47381 identifies cryosurgery and 47380 identifies radiofrequency ablation. The operative report should support the energy modality used.
What documentation supports reporting 47381?
Document the open surgical approach, use of a cryoprobe or cryosurgical technique, the treated liver tumor, and the work performed to ablate it.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The CMS multiple-procedure reduction applies when other procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Should modifier 50 be used for tumors in both lobes?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
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
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