CPT code 47383: Liver ablation, percutaneous cryoablation2026 Medicare rate & RVUs in Alabama

Percutaneous liver tumor cryoablation covers needle-based freezing of hepatic tumor tissue and is reported when the treatment is performed through a percutaneous approach.

CMS RVU26DEffective Oct 1, 2026One payment locality388 Medicare services in 2024

In Alabama, Medicare pays $5,119.82 for 47383 in the office and $377.35 when it’s performed in a hospital or facility.

$5,119.82Office (non-facility)
$377.35Hospital or facility
−12.1%vs the national office rate ($5,823.11)

Check a contract rate as a % of Medicare · 47383 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 47383 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 47383 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 47383 covers

An interventional radiologist or other qualified proceduralist uses percutaneously placed probes to freeze liver tumor tissue. The approach is through the skin rather than laparoscopic or open surgery. The service is performed in a procedural or operating-room setting, commonly with imaging used to guide access and probe placement. The procedural report should identify the target and describe the percutaneous cryoablation performed.

Select this code for cryoablation of liver tumor(s) by the percutaneous route; the ablation method and approach distinguish it from radiofrequency, laparoscopic, open, and irreversible electroporation procedures. Related postoperative visits during the 10-day global period are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. CMS treats this as a unilateral service for payment, so modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are 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 Alabama compares for 47383

Across 109 of 109 payment localities, the office rate for 47383 runs from $5,029.97 in Arkansas to $8,267.00 in San Benito County, CA. Alabama pays $5,119.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

47383 in Alabama vs other payment areas
  1. Alabama · this page$5,119.82
  2. Los Angeles, CA · California$6,828.25+$1,708.43
  3. Washington, DC area · District of Columbia$6,821.33+$1,701.51
  4. Miami, FL · Florida$6,105.67+$985.85
  5. Chicago, IL · Illinois$5,901.06+$781.24
  6. Manhattan, NY · New York$6,753.97+$1,634.15
  7. Alaska · Alaska$6,308.21+$1,188.39

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

Every other payment area

47383 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$5,029.97$374.22
ArizonaArizona$5,647.34$395.39
Bakersfield, CACalifornia$6,341.64$401.36
Chico, CACalifornia$6,338.33$398.05
El Centro, CACalifornia$6,338.52$398.24
Fresno, CACalifornia$6,338.33$398.05
Hanford, CACalifornia$6,338.33$398.05
Madera, CACalifornia$6,338.33$398.05

47383 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.

$5,029.97

$7,302.67

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
47383 office rate range by state
State / territoryOffice rate rangeLocalities
AK$6,308.211
AL$5,119.821
AR$5,029.971
AZ$5,647.341
CA$6,338.33–$8,267.0029
CO$6,170.161
CT$6,259.981
DC$6,821.331
DE$5,754.821
FL$5,600.09–$6,105.673
GA$5,236.68–$5,919.442
GU$6,560.381
HI$6,560.381
IA$5,333.361
ID$5,363.681
IL$5,365.98–$6,002.424
IN$5,402.641
KS$5,276.901
KY$5,209.831
LA$5,189.45–$5,503.912
MA$6,111.46–$6,897.172
MD$5,888.90–$6,821.333
ME$5,369.26–$5,759.842
MI$5,349.75–$5,656.402
MN$5,956.171
MO$5,063.63–$5,559.363
MS$5,049.341
MT$5,823.041
NC$5,441.351
ND$5,800.891
NE$5,376.621
NH$6,043.791
NJ$6,343.99–$6,723.312
NM$5,374.431
NV$5,822.361
NY$5,537.18–$6,912.515
OH$5,345.221
OK$5,226.651
OR$5,790.02–$6,428.272
PA$5,370.35–$6,060.892
PR$5,883.011
RI$6,005.951
SC$5,399.771
SD$5,798.271
TN$5,305.621
TX$5,325.78–$6,138.228
UT$5,489.511
VA$5,718.67–$6,821.332
VI$5,883.011
VT$5,749.671
WA$6,109.24–$7,078.422
WI$5,566.371
WV$5,119.201
WY$5,813.391

See 47383 in every payment locality

How the 47383 rate is calculated

Each of 47383’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 · 47383

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.66

8.66 RVUs× 1.000 GPCI

Practice expense164.56

164.56 RVUs× 1.000 GPCI

Malpractice1.12

1.12 RVUs× 1.000 GPCI

Adjusted RVUs

174.3400

Conversion factor

$33.4009

Medicare rate

$5,823.11

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,674

Code
47383
Physician work
8.66
Practice expense
164.56
Malpractice
1.12

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 47383 in Alabama
ComponentRVULocality factorAdjusted
Physician work8.66× 1.0008.6600
Practice expense164.56× 0.875143.9900
Malpractice1.12× 0.5660.6339
Total RVUs153.2839
Conversion factor× 33.4009

Office rate, Alabama$5119.82

Office: (8.66 × 1 + 164.56 × 0.875 + 1.12 × 0.566) × $33.4009 = $5119.82

Facility: (8.66 × 1 + 2.29 × 0.875 + 1.12 × 0.566) × $33.4009 = $377.35

Open 47383 in the RVU calculator

Payment rules and modifiers for 47383

47383 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47383

Liver ablation, percutaneous cryoablation

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 47383

Liver ablation, percutaneous cryoablation

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47383 without 51 · national office

$5,823.11

Liver ablation, percutaneous cryoablation

47383-51 · Second procedure: 50%

$2,911.56

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 47383 has changed in Alabama

47383 · Office / nonfacility

$5119.82

Effective 2026-10-01

The base rate is $339.20 higher than on 2025-10-01, moving from $4780.62 to $5119.82 (7.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $4780.62changed to$5119.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 8.88 changed to 8.66
    • Practice expense RVU 159.20 changed to 164.56
    • Malpractice RVU 0.99 changed to 1.12
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $5026.44changed to$4780.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 162.93 changed to 159.20
    • Malpractice RVU 0.93 changed to 0.99

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $4944.40changed to$5026.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $5404.01changed to$4944.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 170.74 changed to 162.93
    • Malpractice RVU 0.91 changed to 0.93
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $5736.16changed to$5404.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 175.79 changed to 170.74
    • Malpractice RVU 0.84 changed to 0.91
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $6146.47changed to$5736.16

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 187.57 changed to 175.79
    • Malpractice RVU 0.77 changed to 0.84

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $6289.51changed to$6146.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 185.37 changed to 187.57
    • Malpractice RVU 0.85 changed to 0.77
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $6315.45changed to$6289.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 186.45 changed to 185.37
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $6274.43changed to$6315.45

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 185.43 changed to 186.45
    • Malpractice RVU 0.77 changed to 0.85

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$6274.43

    Held through RVU18C, RVU18D.

  11. January 1, 2015

    RVU15A

    No ratechanged toNo rate

    Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$5,119.82$377.35RVU26D
2026-07-01$5,119.82$377.35RVU26C
2026-04-01$5,119.82$377.35RVU26B
2026-01-01$5,119.82$377.35RVU26A
2025-10-01$4,780.62$404.59RVU25D
2025-07-01$4,780.62$404.59RVU25C
2025-04-01$4,780.62$404.59RVU25B
2025-01-01$4,780.62$404.59RVU25A
2024-10-01$5,026.44$408.85RVU24D
2024-07-01$5,026.44$408.85RVU24C
2024-04-01$5,026.44$408.85RVU24B
2024-03-09$5,026.44$408.85RVU24AR
2024-01-01$4,944.40$402.18RVU24A
2023-10-01$5,404.01$424.85RVU23D
2023-07-01$5,404.01$424.85RVU23C
2023-04-01$5,404.01$424.85RVU23B
2023-01-01$5,404.01$424.85RVU23A
2022-10-01$5,736.16$433.95RVU22D
2022-07-01$5,736.16$433.95RVU22C
2022-04-01$5,736.16$433.95RVU22B
2022-01-01$5,736.16$433.95RVU22A
2021-10-01$6,146.47$435.61RVU21D
2021-07-01$6,146.47$435.61RVU21C
2021-04-01$6,146.47$435.61RVU21B
2021-01-01$6,146.47$435.61RVU21A
2020-10-01$6,289.51$452.85RVU20D
2020-07-01$6,289.51$452.85RVU20C
2020-04-01$6,289.51$452.85RVU20B
2020-01-01$6,289.51$452.85RVU20A
2019-10-01$6,315.45$448.00RVU19D
2019-07-01$6,315.45$448.00RVU19C
2019-04-01$6,315.45$448.00RVU19B
2019-01-01$6,315.45$448.00RVU19A
2018-10-01$6,274.43$445.77RVU18D
2018-07-01$6,274.43$445.77RVU18C
2018-04-01$6,274.43$445.77RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 47383 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

47383 billing questions

How is this code distinguished from 47382?

Both describe percutaneous liver tumor ablation, but 47383 is for cryoablation and 47382 is for radiofrequency ablation. The documented ablation method determines the code.

When is 47371 used instead?

47371 describes laparoscopic liver tumor cryoablation. Use 47383 when the probes are placed percutaneously rather than through a laparoscopic approach.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure payment.

Can modifier 50 be reported for treatment on both sides of the liver?

No. CMS treats this as a unilateral service for payment, and modifier 50 is inappropriate.

Can an assistant or co-surgeon be billed for this procedure?

Assistant-at-surgery payment is restricted for this code. Co-surgeon and team-surgery billing are not permitted.

What happens if another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard 50% multiple-procedure reduction.

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 47383PPRRVU2026_Oct_nonQPP.csv, line 5,674 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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