$2,996.52–$4,734.92
Both are percutaneous liver tumor ablation procedures. Report 47383 for cryoablation and 47382 for radiofrequency ablation.
On this page
CMS RVU26D · Effective 2026-10-01
47383 Liver ablation Medicare reimbursement rates
Percutaneous liver tumor cryoablation covers needle-based freezing of hepatic tumor tissue and is reported when the treatment is performed through a percutaneous approach. Compare 47383 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 47383?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$5029.97–$8267.00
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $3237.03 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 47383 pays more and less
109 payment localities
$5029.97 to $8267.00
Interventional radiology
About 47383: Percutaneous liver tumor cryoablation
Percutaneous liver tumor cryoablation covers needle-based freezing of hepatic tumor tissue and is reported when the treatment is performed through a percutaneous approach.
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.
CMS billing rules for 47383
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.66 · 5%
- Practice expense (office) RVU164.56 · 94%
- Malpractice RVU1.12 · 1%
388
Medicare services in 2024 · #3763 by national volume
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.
47383 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
This code is for percutaneous cryoablation; 47371 is for laparoscopic cryoablation. The operative approach separates them.
No office rate
This code describes percutaneous cryoablation, while 47381 describes open cryoablation of a liver tumor.
No office rate
Both involve a percutaneous approach, but 47384 is for irreversible electroporation rather than cryoablation.
See how rates vary across the country
47383 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $6,308.21 | 1 |
| AL | $5,119.82 | 1 |
| AR | $5,029.97 | 1 |
| AZ | $5,647.34 | 1 |
| CA | $6,338.33–$8,267.00 | 29 |
| CO | $6,170.16 | 1 |
| CT | $6,259.98 | 1 |
| DC | $6,821.33 | 1 |
| DE | $5,754.82 | 1 |
| FL | $5,600.09–$6,105.67 | 3 |
| GA | $5,236.68–$5,919.44 | 2 |
| GU | $6,560.38 | 1 |
| HI | $6,560.38 | 1 |
| IA | $5,333.36 | 1 |
| ID | $5,363.68 | 1 |
| IL | $5,365.98–$6,002.42 | 4 |
| IN | $5,402.64 | 1 |
| KS | $5,276.90 | 1 |
| KY | $5,209.83 | 1 |
| LA | $5,189.45–$5,503.91 | 2 |
| MA | $6,111.46–$6,897.17 | 2 |
| MD | $5,888.90–$6,821.33 | 3 |
| ME | $5,369.26–$5,759.84 | 2 |
| MI | $5,349.75–$5,656.40 | 2 |
| MN | $5,956.17 | 1 |
| MO | $5,063.63–$5,559.36 | 3 |
| MS | $5,049.34 | 1 |
| MT | $5,823.04 | 1 |
| NC | $5,441.35 | 1 |
| ND | $5,800.89 | 1 |
| NE | $5,376.62 | 1 |
| NH | $6,043.79 | 1 |
| NJ | $6,343.99–$6,723.31 | 2 |
| NM | $5,374.43 | 1 |
| NV | $5,822.36 | 1 |
| NY | $5,537.18–$6,912.51 | 5 |
| OH | $5,345.22 | 1 |
| OK | $5,226.65 | 1 |
| OR | $5,790.02–$6,428.27 | 2 |
| PA | $5,370.35–$6,060.89 | 2 |
| PR | $5,883.01 | 1 |
| RI | $6,005.95 | 1 |
| SC | $5,399.77 | 1 |
| SD | $5,798.27 | 1 |
| TN | $5,305.62 | 1 |
| TX | $5,325.78–$6,138.22 | 8 |
| UT | $5,489.51 | 1 |
| VA | $5,718.67–$6,821.33 | 2 |
| VI | $5,883.01 | 1 |
| VT | $5,749.67 | 1 |
| WA | $6,109.24–$7,078.42 | 2 |
| WI | $5,566.37 | 1 |
| WV | $5,119.20 | 1 |
| WY | $5,813.39 | 1 |
Compare 47383 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $5119.82 | Facility $377.35 |
| Alaska* | Office $6308.21 | Facility $535.95 |
| Arizona | Office $5647.34 | Facility $395.39 |
| Arkansas | Office $5029.97 | Facility $374.22 |
| Atlanta | Office $5919.44 | Facility $412.76 |
| Austin | Office $6138.22 | Facility $403.90 |
| Bakersfield | Office $6341.64 | Facility $401.36 |
| Baltimore/Surr. Cntys | Office $6237.85 | Facility $422.23 |
| Beaumont | Office $5325.78 | Facility $393.61 |
| Brazoria | Office $5767.73 | Facility $396.54 |
| Chicago | Office $5901.06 | Facility $454.00 |
| Chico | Office $6338.33 | Facility $398.05 |
| Colorado | Office $6170.16 | Facility $403.32 |
| Connecticut | Office $6259.98 | Facility $422.68 |
| Dallas | Office $5798.42 | Facility $400.13 |
| Dc + Md/Va Suburbs | Office $6821.33 | Facility $436.61 |
| Delaware | Office $5754.82 | Facility $399.90 |
| Detroit | Office $5656.40 | Facility $426.13 |
| East St. Louis | Office $5421.33 | Facility $434.96 |
| El Centro | Office $6338.52 | Facility $398.24 |
| Fort Lauderdale | Office $5924.79 | Facility $434.37 |
| Fort Worth | Office $5743.94 | Facility $399.86 |
| Fresno | Office $6338.33 | Facility $398.05 |
| Galveston | Office $5780.52 | Facility $398.49 |
| Hanford-Corcoran | Office $6338.33 | Facility $398.05 |
| Hawaii, Guam | Office $6560.38 | Facility $397.88 |
| Houston | Office $5801.02 | Facility $418.99 |
| Idaho | Office $5363.68 | Facility $377.32 |
| Indiana | Office $5402.64 | Facility $378.34 |
| Iowa | Office $5333.36 | Facility $374.09 |
| Kansas | Office $5276.90 | Facility $377.25 |
| Kentucky | Office $5209.83 | Facility $391.48 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $6828.25 | Facility $416.44 |
| Madera | Office $6338.33 | Facility $398.05 |
| Manhattan | Office $6753.97 | Facility $455.97 |
| Merced | Office $6338.33 | Facility $398.05 |
| Metropolitan Boston | Office $6897.17 | Facility $425.73 |
| Metropolitan Kansas City | Office $5486.97 | Facility $397.62 |
| Metropolitan Philadelphia | Office $6060.89 | Facility $418.71 |
| Metropolitan St. Louis | Office $5559.36 | Facility $399.55 |
| Miami | Office $6105.67 | Facility $463.48 |
| Minnesota | Office $5956.17 | Facility $379.03 |
| Mississippi | Office $5049.34 | Facility $382.75 |
| Modesto | Office $6338.33 | Facility $398.05 |
| Montana** | Office $5823.04 | Facility $403.07 |
| Napa | Office $7570.80 | Facility $427.29 |
| Nebraska | Office $5376.62 | Facility $373.99 |
| Nevada** | Office $5822.36 | Facility $396.98 |
| New Hampshire | Office $6043.79 | Facility $401.61 |
| New Mexico | Office $5374.43 | Facility $404.32 |
| New Orleans | Office $5503.91 | Facility $403.72 |
| North Carolina | Office $5441.35 | Facility $384.52 |
| North Dakota** | Office $5800.89 | Facility $380.93 |
| Northern Nj | Office $6723.31 | Facility $436.15 |
| Nyc Suburbs/Long Island | Office $6912.51 | Facility $468.18 |
| Ohio | Office $5345.22 | Facility $396.79 |
| Oklahoma | Office $5226.65 | Facility $386.62 |
| Oxnard-Thousand Oaks-Ventura | Office $6817.46 | Facility $411.07 |
| Portland | Office $6428.27 | Facility $406.69 |
| Poughkpsie/N Nyc Suburbs | Office $6366.15 | Facility $431.29 |
| Puerto Rico | Office $5883.01 | Facility $403.43 |
| Queens | Office $6858.51 | Facility $452.12 |
| Redding | Office $6338.33 | Facility $398.05 |
| Rest Of California | Office $6338.33 | Facility $398.05 |
| Rest Of Florida | Office $5600.09 | Facility $418.60 |
| Rest Of Georgia | Office $5236.68 | Facility $402.07 |
| Rest Of Illinois | Office $5365.98 | Facility $417.56 |
| Rest Of Louisiana | Office $5189.45 | Facility $392.78 |
| Rest Of Maine | Office $5369.26 | Facility $382.89 |
| Rest Of Maryland | Office $5888.90 | Facility $403.89 |
| Rest Of Massachusetts | Office $6111.46 | Facility $404.24 |
| Rest Of Michigan | Office $5349.75 | Facility $401.32 |
| Rest Of Missouri | Office $5063.63 | Facility $391.62 |
| Rest Of New Jersey | Office $6343.99 | Facility $425.38 |
| Rest Of New York | Office $5537.18 | Facility $388.21 |
| Rest Of Oregon | Office $5790.02 | Facility $391.73 |
| Rest Of Pennsylvania | Office $5370.35 | Facility $394.82 |
| Rest Of Texas | Office $5539.17 | Facility $395.62 |
| Rest Of Washington | Office $6109.24 | Facility $402.02 |
| Rhode Island | Office $6005.95 | Facility $407.13 |
| Riverside-San Bernardino-Ontario | Office $6350.48 | Facility $410.20 |
| Sacramento-Roseville-Folsom | Office $6712.09 | Facility $408.67 |
| Salinas | Office $6688.66 | Facility $406.92 |
| San Diego-Chula Vista-Carlsbad | Office $6891.96 | Facility $409.68 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $8083.90 | Facility $441.75 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $8082.63 | Facility $440.48 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $8267.00 | Facility $451.42 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $8261.80 | Facility $446.22 |
| San Luis Obispo-Paso Robles | Office $6574.68 | Facility $401.34 |
| Santa Cruz-Watsonville | Office $6993.57 | Facility $408.31 |
| Santa Maria-Santa Barbara | Office $6726.27 | Facility $406.59 |
| Santa Rosa-Petaluma | Office $7067.62 | Facility $411.91 |
| Seattle (King Cnty) | Office $7078.42 | Facility $428.13 |
| South Carolina | Office $5399.77 | Facility $391.72 |
| South Dakota** | Office $5798.27 | Facility $378.31 |
| Southern Maine | Office $5759.84 | Facility $388.66 |
| Stockton | Office $6338.33 | Facility $398.05 |
| Suburban Chicago | Office $6002.42 | Facility $436.12 |
| Tennessee | Office $5305.62 | Facility $378.87 |
| Utah | Office $5489.51 | Facility $394.74 |
| Vallejo | Office $7568.97 | Facility $425.46 |
| Vermont | Office $5749.67 | Facility $383.90 |
| Virgin Islands | Office $5883.01 | Facility $403.43 |
| Virginia | Office $5718.67 | Facility $390.85 |
| Visalia | Office $6338.33 | Facility $398.05 |
| West Virginia | Office $5119.20 | Facility $409.25 |
| Wisconsin | Office $5566.37 | Facility $374.05 |
| Wyoming** | Office $5813.39 | Facility $393.42 |
| Yuba City | Office $6338.33 | Facility $398.05 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,67147380,,Open ablate liver tumor rf,A,,23.95,10.44,NA,10.44,,5.86,40.25,40.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67247381,,Open ablate liver tumor cryo,A,,24.26,10.66,NA,10.66,,6.48,41.40,41.40,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67347382,,Percut ablate liver rf,A,,14.60,86.46,,2.94,,1.64,102.70,19.18,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67447383,,Perq abltj lvr cryoablation,A,,8.66,164.56,,2.29,,1.12,174.34,12.07,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67547384,,Abltj ire liver 1+ tum perq,A,,9.41,2.17,NA,2.17,,1.12,12.70,12.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67647399,,Unlisted procedure liver,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67747400,,Incision of liver duct,A,,35.45,14.74,NA,14.74,,9.49,59.68,59.68,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00