Billing code 47383: Liver ablationMedicare rate & RVUs in Florida
Percutaneous liver tumor cryoablation covers needle-based freezing of hepatic tumor tissue and is reported when the treatment is performed through a percutaneous approach.
Medicare pays $5,600.09–$6,105.67 for 47383 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
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.
Where 47383 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$5600.09 to $6105.67
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $5,924.79 | $434.37 |
| Miami | $6,105.67 | $463.48 |
| Rest Of Florida | $5,600.09 | $418.60 |
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
Swap in your local Medicare rate.
Work 8.66Practice expense 164.56Malpractice 1.12
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 47383
Liver ablation
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.
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
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%).
47383 compared with similar codes
Compare codes
47383 vs 47382 vs 47371 vs 47381 vs 47384: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 47382Liver ablation
- Both are percutaneous liver tumor ablation procedures. Report 47383 for cryoablation and 47382 for radiofrequency ablation.
- 47371Liver ablation
- This code is for percutaneous cryoablation; 47371 is for laparoscopic cryoablation. The operative approach separates them.
- 47381Liver tumor ablation
- This code describes percutaneous cryoablation, while 47381 describes open cryoablation of a liver tumor.
- 47384Liver ablation
- Both involve a percutaneous approach, but 47384 is for irreversible electroporation rather than cryoablation.
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
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