No office rate
Both are open liver tumor ablation procedures. Choose 47381 for cryosurgical treatment and 47380 for radiofrequency ablation.
On this page
CMS RVU26D · Effective 2026-10-01
47381 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1326.52
Base rate per service
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.
Hepatobiliary surgery
About 47381: Open cryoablation of liver tumor
Reports open surgical destruction of a liver tumor using cryosurgery, typically when the surgeon exposes the liver and treats the lesion directly.
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.
CMS billing rules for 47381
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU24.26 · 59%
- Practice expense (office) RVU10.66 · 26%
- Malpractice RVU6.48 · 16%
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.
47381 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Both use cryosurgery for a liver tumor, but 47371 describes a laparoscopic approach; 47381 describes an open approach.
$5,813.39
Both use cryosurgery, but 47383 is for percutaneous access. Report 47381 when the surgeon uses an open approach.
$3,416.03
47382 describes percutaneous radiofrequency ablation. For open cryosurgical ablation, use 47381.
The same code, a different location
How does Wyoming** compare?
47381 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 47381
Office
Unavailable
Facility
$1244.36
No comparable office rate is available.
Arkansas
Arkansas · 47381
Office
Unavailable
Facility
$1227.62
No comparable office rate is available.
Arizona
Arizona · 47381
Office
Unavailable
Facility
$1340.59
No comparable office rate is available.
Bakersfield
California · 47381
Office
Unavailable
Facility
$1347.75
No comparable office rate is available.
Chico
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
El Centro
California · 47381
Office
Unavailable
Facility
$1331.41
No comparable office rate is available.
Fresno
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Hanford-Corcoran
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Madera
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Merced
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Modesto
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Napa
California · 47381
Office
Unavailable
Facility
$1440.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 47381
Office
Unavailable
Facility
$1388.69
No comparable office rate is available.
Redding
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Rest Of California
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 47381
Office
Unavailable
Facility
$1399.75
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 47381
Office
Unavailable
Facility
$1369.58
No comparable office rate is available.
Salinas
California · 47381
Office
Unavailable
Facility
$1364.10
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 47381
Office
Unavailable
Facility
$1377.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 47381
Office
Unavailable
Facility
$1488.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 47381
Office
Unavailable
Facility
$1481.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 47381
Office
Unavailable
Facility
$1528.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 47381
Office
Unavailable
Facility
$1498.79
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 47381
Office
Unavailable
Facility
$1345.64
No comparable office rate is available.
Santa Cruz-Watsonville
California · 47381
Office
Unavailable
Facility
$1375.94
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 47381
Office
Unavailable
Facility
$1364.16
No comparable office rate is available.
Santa Rosa-Petaluma
California · 47381
Office
Unavailable
Facility
$1387.86
No comparable office rate is available.
Stockton
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Vallejo
California · 47381
Office
Unavailable
Facility
$1429.98
No comparable office rate is available.
Visalia
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Yuba City
California · 47381
Office
Unavailable
Facility
$1330.33
No comparable office rate is available.
Colorado
Colorado · 47381
Office
Unavailable
Facility
$1367.91
No comparable office rate is available.
Connecticut
Connecticut · 47381
Office
Unavailable
Facility
$1471.87
No comparable office rate is available.
Delaware
Delaware · 47381
Office
Unavailable
Facility
$1360.72
No comparable office rate is available.
Fort Lauderdale
Florida · 47381
Office
Unavailable
Facility
$1562.31
No comparable office rate is available.
Rest Of Florida
Florida · 47381
Office
Unavailable
Facility
$1476.00
No comparable office rate is available.
Atlanta
Georgia · 47381
Office
Unavailable
Facility
$1434.43
No comparable office rate is available.
Rest Of Georgia
Georgia · 47381
Office
Unavailable
Facility
$1385.90
No comparable office rate is available.
Hawaii, Guam
Hawaii · 47381
Office
Unavailable
Facility
$1340.46
No comparable office rate is available.
Iowa
Iowa · 47381
Office
Unavailable
Facility
$1222.02
No comparable office rate is available.
Idaho
Idaho · 47381
Office
Unavailable
Facility
$1240.25
No comparable office rate is available.
East St. Louis
Illinois · 47381
Office
Unavailable
Facility
$1573.78
No comparable office rate is available.
Rest Of Illinois
Illinois · 47381
Office
Unavailable
Facility
$1473.68
No comparable office rate is available.
Suburban Chicago
Illinois · 47381
Office
Unavailable
Facility
$1565.17
No comparable office rate is available.
Indiana
Indiana · 47381
Office
Unavailable
Facility
$1245.56
No comparable office rate is available.
Kansas
Kansas · 47381
Office
Unavailable
Facility
$1241.26
No comparable office rate is available.
Kentucky
Kentucky · 47381
Office
Unavailable
Facility
$1324.88
No comparable office rate is available.
New Orleans
Louisiana · 47381
Office
Unavailable
Facility
$1391.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 47381
Office
Unavailable
Facility
$1332.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 47381
Office
Unavailable
Facility
$1461.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 47381
Office
Unavailable
Facility
$1370.70
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 47381
Office
Unavailable
Facility
$1473.05
No comparable office rate is available.
Rest Of Maryland
Maryland · 47381
Office
Unavailable
Facility
$1377.43
No comparable office rate is available.
Rest Of Maine
Maine · 47381
Office
Unavailable
Facility
$1272.50
No comparable office rate is available.
Southern Maine
Maine · 47381
Office
Unavailable
Facility
$1299.73
No comparable office rate is available.
Detroit
Michigan · 47381
Office
Unavailable
Facility
$1518.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 47381
Office
Unavailable
Facility
$1379.74
No comparable office rate is available.
Minnesota
Minnesota · 47381
Office
Unavailable
Facility
$1240.75
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 47381
Office
Unavailable
Facility
$1356.10
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 47381
Office
Unavailable
Facility
$1366.14
No comparable office rate is available.
Rest Of Missouri
Missouri · 47381
Office
Unavailable
Facility
$1328.03
No comparable office rate is available.
Mississippi
Mississippi · 47381
Office
Unavailable
Facility
$1276.82
No comparable office rate is available.
Montana**
Montana · 47381
Office
Unavailable
Facility
$1382.36
No comparable office rate is available.
North Carolina
North Carolina · 47381
Office
Unavailable
Facility
$1280.81
No comparable office rate is available.
North Dakota**
North Dakota · 47381
Office
Unavailable
Facility
$1254.23
No comparable office rate is available.
Nebraska
Nebraska · 47381
Office
Unavailable
Facility
$1220.76
No comparable office rate is available.
New Hampshire
New Hampshire · 47381
Office
Unavailable
Facility
$1370.34
No comparable office rate is available.
Northern Nj
New Jersey · 47381
Office
Unavailable
Facility
$1505.53
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 47381
Office
Unavailable
Facility
$1468.96
No comparable office rate is available.
New Mexico
New Mexico · 47381
Office
Unavailable
Facility
$1396.75
No comparable office rate is available.
Nevada**
Nevada · 47381
Office
Unavailable
Facility
$1347.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 47381
Office
Unavailable
Facility
$1687.44
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 47381
Office
Unavailable
Facility
$1498.54
No comparable office rate is available.
Queens
New York · 47381
Office
Unavailable
Facility
$1595.12
No comparable office rate is available.
Rest Of New York
New York · 47381
Office
Unavailable
Facility
$1300.71
No comparable office rate is available.
Ohio
Ohio · 47381
Office
Unavailable
Facility
$1353.55
No comparable office rate is available.
Oklahoma
Oklahoma · 47381
Office
Unavailable
Facility
$1296.43
No comparable office rate is available.
Portland
Oregon · 47381
Office
Unavailable
Facility
$1379.88
No comparable office rate is available.
Rest Of Oregon
Oregon · 47381
Office
Unavailable
Facility
$1317.09
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 47381
Office
Unavailable
Facility
$1453.75
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 47381
Office
Unavailable
Facility
$1341.70
No comparable office rate is available.
Puerto Rico
Puerto Rico · 47381
Office
Unavailable
Facility
$1383.47
No comparable office rate is available.
Rhode Island
Rhode Island · 47381
Office
Unavailable
Facility
$1386.57
No comparable office rate is available.
South Carolina
South Carolina · 47381
Office
Unavailable
Facility
$1323.27
No comparable office rate is available.
South Dakota**
South Dakota · 47381
Office
Unavailable
Facility
$1239.08
No comparable office rate is available.
Tennessee
Tennessee · 47381
Office
Unavailable
Facility
$1250.19
No comparable office rate is available.
Austin
Texas · 47381
Office
Unavailable
Facility
$1380.40
No comparable office rate is available.
Beaumont
Texas · 47381
Office
Unavailable
Facility
$1335.39
No comparable office rate is available.
Brazoria
Texas · 47381
Office
Unavailable
Facility
$1338.46
No comparable office rate is available.
Dallas
Texas · 47381
Office
Unavailable
Facility
$1357.93
No comparable office rate is available.
Fort Worth
Texas · 47381
Office
Unavailable
Facility
$1357.18
No comparable office rate is available.
Galveston
Texas · 47381
Office
Unavailable
Facility
$1349.56
No comparable office rate is available.
Houston
Texas · 47381
Office
Unavailable
Facility
$1468.17
No comparable office rate is available.
Rest Of Texas
Texas · 47381
Office
Unavailable
Facility
$1343.64
No comparable office rate is available.
Utah
Utah · 47381
Office
Unavailable
Facility
$1339.36
No comparable office rate is available.
Virginia
Virginia · 47381
Office
Unavailable
Facility
$1313.11
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 47381
Office
Unavailable
Facility
$1383.47
No comparable office rate is available.
Vermont
Vermont · 47381
Office
Unavailable
Facility
$1272.32
No comparable office rate is available.
Rest Of Washington
Washington · 47381
Office
Unavailable
Facility
$1360.47
No comparable office rate is available.
Seattle (King Cnty)
Washington · 47381
Office
Unavailable
Facility
$1464.53
No comparable office rate is available.
Wisconsin
Wisconsin · 47381
Office
Unavailable
Facility
$1218.07
No comparable office rate is available.
West Virginia
West Virginia · 47381
Office
Unavailable
Facility
$1429.44
No comparable office rate is available.
See how rates vary across the country
47381 · 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.
View all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 47381 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1459.17
$1326.52 × 110% = $1459.17
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 47381 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,672
- Code
- 47381
- Physician work
- 24.26
- Practice expense
- 10.66
- Malpractice
- 6.48
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.26 | × 1.000 | 24.2600 |
| Practice expense | 10.66 | × 1.000 | 10.6600 |
| Malpractice | 6.48 | × 0.740 | 4.7952 |
| Total RVUs | 39.7152 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1326.52
Open 47381 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.26 | 1 |
| Practice expense | 10.66 | 1 |
| Malpractice | 6.48 | 0.74 |
(24.26 × 1 + 10.66 × 1 + 6.48 × 0.74) × $33.4009 = $1326.52
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1326.52 | RVU26D |
| 2026-07-01 | Not available in this setting | $1326.52 | RVU26C |
| 2026-04-01 | Not available in this setting | $1326.52 | RVU26B |
| 2026-01-01 | Not available in this setting | $1326.52 | RVU26A |
| 2025-10-01 | Not available in this setting | $1392.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $1392.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $1392.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $1392.19 | RVU25A |
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 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.
5,66947371,,Laparo ablate liver cryosurg,A,,20.28,9.70,NA,9.70,,5.42,35.40,35.40,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,67047379,,Unlisted laps px liver,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,