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Billing code 47384: Liver ablationMedicare rate & RVUs

Report this service for percutaneous destruction of one or more liver tumors using irreversible electroporation, with imaging guidance included when performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $424.19 for 47384 nationally in a facility.

Medicare rate · 47384

Liver ablation

Swap in your local Medicare rate.

Work RVUs
9.41
Total RVUs
12.70
Global days
000

National rate · 2026

$424.19

Facility setting, before claim adjustments.

See every locality for 47384 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 47384 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 47384 covers

An interventional radiologist or surgeon places electrodes through the skin into a liver tumor and delivers electrical pulses to destroy the targeted tissue. The service is used for one or more liver tumors treated percutaneously, commonly in a hospital interventional radiology or procedural suite. Imaging used to guide the treatment is included when performed, rather than separately represented as part of this code.

Documentation should identify the liver target, the percutaneous approach, use of irreversible electroporation, and the treatment performed. The code has a 0-day global period, so same-day preoperative and postoperative care is 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. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery 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.

Where 47384 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47384 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$398.90
Alaska*Unavailable$569.26
ArizonaUnavailable$416.56
ArkansasUnavailable$395.83
AtlantaUnavailable$433.81
AustinUnavailable$424.76
BakersfieldUnavailable$422.49
Baltimore/Surr. CntysUnavailable$443.38
BeaumontUnavailable$415.01
BrazoriaUnavailable$417.82

47384 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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.

View every state and territory as a table
47384 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 47384 rate is calculated

Each of 47384’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 · 47384

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.41Practice expense 2.17Malpractice 1.12

12.7000 adjusted RVUs×$33.4009 conversion factor=$424.19

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 47384

The CMS indicators that decide how 47384 is paid alongside other services.

CMS payment indicators · 47384

Liver ablation

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47384 without 51 · national facility

$424.19

Liver ablation

47384-51 · Second procedure: 50%

$212.10

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

47384 compared with similar codes

Compare codes

47384 vs 47382 vs 47383 vs 47370: national Medicare rates

Swap in your local Medicare rate.

  • 47384
    Liver ablation · 9.41 wRVU
    —
  • 47382
    Liver ablation · 14.6 wRVU
    $3,430.27
  • 47383
    Liver ablation · 8.66 wRVU
    $5,823.11
  • 47370
    Liver tumor ablation · 20.28 wRVU
    —

How to choose

47382Liver ablation
Both describe percutaneous liver tumor ablation, but 47382 is for radiofrequency ablation; 47384 is for irreversible electroporation.
47383Liver ablation
Both use a percutaneous approach for liver tumor ablation, but 47383 represents cryoablation and 47384 represents irreversible electroporation.
47370Liver tumor ablation
47370 is for laparoscopic radiofrequency ablation. Choose 47384 when the tumor is treated percutaneously with irreversible electroporation.

Codes related to 47384

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 47384
CodeHow it relatesNational office range
Used instead
47382Liver ablationPercutaneous liver tumor ablation using radiofrequency rather than irreversible electroporation.$2,996.52–$4,734.92
47383Liver ablationPercutaneous liver tumor ablation using cryoablation rather than irreversible electroporation.$5,029.97–$8,267.00
47370Liver tumor ablationLaparoscopic radiofrequency ablation of a liver tumor, rather than a percutaneous approach.No office rate
47371Liver ablationLaparoscopic cryoablation of a liver tumor, rather than a percutaneous approach.No office rate

47384 billing questions

How is this code different from percutaneous radiofrequency or cryoablation?

This code is for irreversible electroporation. Use the corresponding code for percutaneous radiofrequency ablation or cryoablation when that is the method performed.

Is imaging guidance separately reported with this service?

Imaging guidance used for the ablation is included when performed. Do not separately report guidance as though it were outside this service.

Does the code cover treatment of more than one liver tumor?

It covers percutaneous irreversible electroporation treatment of one or more liver tumors. The documentation should support the targets treated and the procedure performed.

Can modifier 50 be used when tumors are on both sides of the liver?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, with the other procedures subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

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 47384PPRRVU2026_Oct_nonQPP.csv, line 5,675 (RVU26D)

Open CMS sourceHow we calculate rates

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