CPT code 47383: Liver ablation, percutaneous cryoablation2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $6,821.33 for 47383 in the office and $436.61 when it’s performed in a hospital or facility.

$6,821.33Office (non-facility)
$436.61Hospital or facility
+17.1%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $6,821.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

47383 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$6,821.33
  2. Los Angeles, CA · California$6,828.25+$6.92
  3. Miami, FL · Florida$6,105.67−$715.66
  4. Chicago, IL · Illinois$5,901.06−$920.27
  5. Manhattan, NY · New York$6,753.97−$67.36
  6. Alaska · Alaska$6,308.21−$513.12
  7. Alabama · Alabama$5,119.82−$1,701.51

Other areas in District of Columbia 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.

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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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 47383 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work8.66× 1.0549.1276
Practice expense164.56× 1.178193.8517
Malpractice1.12× 1.1131.2466
Total RVUs204.2259
Conversion factor× 33.4009

Office rate, Washington, DC area$6821.33

Office: (8.66 × 1.054 + 164.56 × 1.178 + 1.12 × 1.113) × $33.4009 = $6821.33

Facility: (8.66 × 1.054 + 2.29 × 1.178 + 1.12 × 1.113) × $33.4009 = $436.61

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 Washington, DC area

47383 · Office / nonfacility

$6821.33

Effective 2026-10-01

The base rate is $342.04 higher than on 2025-10-01, moving from $6479.29 to $6821.33 (5.3%).

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

    $6479.29changed to$6821.33

    • 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
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $6813.45changed to$6479.29

    • 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

    $6702.25changed to$6813.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $7379.81changed to$6702.25

    • 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
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $7880.62changed to$7379.81

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $8450.84changed to$7880.62

    • 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

    $8543.76changed to$8450.84

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $8470.04changed to$8543.76

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 186.45 changed to 185.37
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $8412.88changed to$8470.04

    • 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. January 1, 2018

    RVU18AR1

    $8288.35changed to$8412.88

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 183.10 changed to 185.43
    • Malpractice RVU 0.79 changed to 0.77
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $9205.42changed to$8288.35

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 9.13 changed to 8.88
    • Practice expense RVU 204.02 changed to 183.10
    • Malpractice RVU 1.30 changed to 0.79
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $9283.51changed to$9205.42

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 205.46 changed to 204.02
    • Malpractice RVU 0.92 changed to 1.30

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $9237.32changed to$9283.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$9237.32

    Held through RVU15B.

  15. 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$6,821.33$436.61RVU26D
2026-07-01$6,821.33$436.61RVU26C
2026-04-01$6,821.33$436.61RVU26B
2026-01-01$6,821.33$436.61RVU26A
2025-10-01$6,479.29$476.73RVU25D
2025-07-01$6,479.29$476.73RVU25C
2025-04-01$6,479.29$476.73RVU25B
2025-01-01$6,479.29$476.73RVU25A
2024-10-01$6,813.45$479.54RVU24D
2024-07-01$6,813.45$479.54RVU24C
2024-04-01$6,813.45$479.54RVU24B
2024-03-09$6,813.45$479.54RVU24AR
2024-01-01$6,702.25$471.71RVU24A
2023-10-01$7,379.81$495.19RVU23D
2023-07-01$7,379.81$495.19RVU23C
2023-04-01$7,379.81$495.19RVU23B
2023-01-01$7,379.81$495.19RVU23A
2022-10-01$7,880.62$500.53RVU22D
2022-07-01$7,880.62$500.53RVU22C
2022-04-01$7,880.62$500.53RVU22B
2022-01-01$7,880.62$500.53RVU22A
2021-10-01$8,450.84$501.95RVU21D
2021-07-01$8,450.84$501.95RVU21C
2021-04-01$8,450.84$501.95RVU21B
2021-01-01$8,450.84$501.95RVU21A
2020-10-01$8,543.76$527.38RVU20D
2020-07-01$8,543.76$527.38RVU20C
2020-04-01$8,543.76$527.38RVU20B
2020-01-01$8,543.76$527.38RVU20A
2019-10-01$8,470.04$525.92RVU19D
2019-07-01$8,470.04$525.92RVU19C
2019-04-01$8,470.04$525.92RVU19B
2019-01-01$8,470.04$525.92RVU19A
2018-10-01$8,412.88$521.28RVU18D
2018-07-01$8,412.88$521.28RVU18C
2018-04-01$8,412.88$521.28RVU18B
2018-01-01$8,412.88$521.28RVU18AR1
2017-10-01$8,288.35$520.95RVU17D
2017-07-01$8,288.35$520.95RVU17C
2017-04-01$8,288.35$520.95RVU17B
2017-01-01$8,288.35$520.95RVU17A
2016-10-01$9,205.42$566.23RVU16D
2016-07-01$9,205.42$566.23RVU16C
2016-04-01$9,205.42$566.23RVU16B
2016-01-01$9,205.42$566.23RVU16A
2015-10-01$9,283.51$552.53RVU15D
2015-07-01$9,283.51$552.53RVU15C
2015-04-01$9,237.32$549.78RVU15B
2015-01-01$9,237.32$549.78RVU15A
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 Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

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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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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