No office rate
Both use radiofrequency energy for liver tumor ablation, but 47370 is for a laparoscopic approach; 47380 requires an open exposure.
On this page
CMS RVU26D · Effective 2026-10-01
47380 Liver ablation Medicare reimbursement rates in Iowa
Reports open surgical radiofrequency ablation of one or more liver tumors, when the surgeon treats the tumor through an operative exposure rather than laparoscopically or percutaneously. Compare 47380 office and facility rates across CMS payment localities in Iowa.
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 47380 in Iowa?
Iowa 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
$1196.72
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Hepatobiliary surgery
About 47380: Open radiofrequency ablation of liver tumor
Reports open surgical radiofrequency ablation of one or more liver tumors, when the surgeon treats the tumor through an operative exposure rather than laparoscopically or percutaneously.
The surgeon exposes the liver through an open operative approach and uses a radiofrequency probe to destroy one or more tumors. This may be performed for primary liver cancer or metastatic tumors when ablation is selected instead of, or alongside, tumor resection. The service is typically provided by a surgeon in a hospital operating room; the open approach distinguishes it from laparoscopic and image-guided percutaneous ablation.
Report the code based on the open approach and radiofrequency method, not as a separate unit for each tumor treated. The operative report should support the approach, use of radiofrequency energy, and the treated tumor or tumors. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this service.
CMS billing rules for 47380
- 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 RVU23.95 · 60%
- Practice expense (office) RVU10.44 · 26%
- Malpractice RVU5.86 · 15%
437
Medicare services in 2024 · #3662 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.
47380 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Both involve open liver tumor ablation. Select 47381 when cryosurgery is used; select 47380 for radiofrequency energy.
$3,151.78
Both use radiofrequency energy, but 47382 is for percutaneous treatment. This code represents ablation through an open surgical approach.
$5,333.36
47383 describes percutaneous cryoablation. This code is for open radiofrequency ablation.
Compare 47380 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
Iowa →
Office / nonfacility
Unavailable
Facility
$1196.72
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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 47380 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
5,671
- Code
- 47380
- Physician work
- 23.95
- Practice expense
- 10.44
- Malpractice
- 5.86
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.95 | × 1.000 | 23.9500 |
| Practice expense | 10.44 | × 0.915 | 9.5526 |
| Malpractice | 5.86 | × 0.397 | 2.3264 |
| Total RVUs | 35.8290 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1196.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.95 | 1 |
| Practice expense | 10.44 | 0.915 |
| Malpractice | 5.86 | 0.397 |
(23.95 × 1 + 10.44 × 0.915 + 5.86 × 0.397) × $33.4009 = $1196.72
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.
47380 billing questions
How is this different from laparoscopic liver ablation?
This code is for radiofrequency ablation performed through an open surgical exposure. Use the laparoscopic code when the surgeon performs the ablation laparoscopically.
Is a separate unit reported for each tumor?
The code covers treatment of one or more liver tumors. Do not report additional units solely because multiple tumors are ablated; document the tumors treated and the procedure performed.
How does the method affect code selection?
This code describes open radiofrequency ablation. Open cryoablation, laparoscopic ablation, and percutaneous ablation have different codes.
Can modifier 50 be used?
No. Bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.
What payment rules apply when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,66847370,,Laparo ablate liver tumor rf,A,,20.28,9.66,NA,9.66,,5.16,35.10,35.10,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66947371,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136