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CMS RVU26D · Effective 2026-10-01

47381 Liver tumor ablation Medicare reimbursement rates in Connecticut

Reports open surgical destruction of a liver tumor using cryosurgery, typically when the surgeon exposes the liver and treats the lesion directly. Compare 47381 office and facility rates across CMS payment localities in Connecticut.

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 47381 in Connecticut?

Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1471.87

1 of 1 localities have a supported rate.

Payment area: Connecticut

One mapped payment locality.

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.

Find 47381 in your payment locality →

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 Connecticut, from the same CMS release.

47380

Liver ablation

Open approach, radiofrequency

No office rate

Both are open liver tumor ablation procedures. Choose 47381 for cryosurgical treatment and 47380 for radiofrequency ablation.

47371

Liver ablation

Laparoscopic cryosurgical technique

No office rate

Both use cryosurgery for a liver tumor, but 47371 describes a laparoscopic approach; 47381 describes an open approach.

47383

Liver ablation

Percutaneous cryoablation

$6,259.98

Both use cryosurgery, but 47383 is for percutaneous access. Report 47381 when the surgeon uses an open approach.

47382

Liver ablation

Percutaneous radiofrequency

$3,673.89

47382 describes percutaneous radiofrequency ablation. For open cryosurgical ablation, use 47381.

Compare 47381 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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 Connecticut.

PPRRVU2026_Oct_nonQPP.csv

5,672

Code
47381
Physician work
24.26
Practice expense
10.66
Malpractice
6.48

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 47381 in Connecticut
ComponentRVULocality factorAdjusted
Physician work24.26× 1.02024.7452
Practice expense10.66× 1.07711.4808
Malpractice6.48× 1.2107.8408
Total RVUs44.0668
Conversion factor× 33.4009

Facility rate, Connecticut$1471.87

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work24.261.02
Practice expense10.661.077
Malpractice6.481.21

(24.26 × 1.02 + 10.66 × 1.077 + 6.48 × 1.21) × $33.4009 = $1471.87

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.

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.

RVUs for 47381PPRRVU2026_Oct_nonQPP.csv, line 5,672 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet