Both involve laparoscopic liver tumor ablation. Choose 47371 for cryosurgical freezing and 47370 for radiofrequency ablation.
On this page
CMS RVU26D · Effective 2026-10-01
47371 Liver ablation Medicare reimbursement rates in Massachusetts
Reports laparoscopic cryosurgical ablation of hepatic tumor tissue when a surgeon treats a liver lesion through minimally invasive access. Compare 47371 office and facility rates across CMS payment localities in Massachusetts.
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 47371 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1173.65–$1253.10
2 of 2 localities have a supported rate.
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.
Liver surgery
About 47371: Laparoscopic cryoablation of liver tumor
Reports laparoscopic cryosurgical ablation of hepatic tumor tissue when a surgeon treats a liver lesion through minimally invasive access.
A surgeon accesses the liver laparoscopically and applies a cryosurgical probe to freeze and destroy tumor tissue. Hepatobiliary surgeons and surgical oncologists typically perform this operation in an operating room when laparoscopic access and cryoablation are selected for treating hepatic tumor tissue. The service is distinct from liver wound repair and from ablation performed through an open or percutaneous approach.
The operative report should identify the laparoscopic approach, cryosurgical technique, and treated tumor site or sites. CMS assigns a 90-day major-surgery 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 the others at 50%. Modifier 50 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 47371
- 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 RVU20.28 · 57%
- Practice expense (office) RVU9.70 · 27%
- Malpractice RVU5.42 · 15%
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.
47371 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
Both use cryosurgery for liver tumor tissue, but 47381 is the open approach; 47371 is laparoscopic.
Both use cryoablation, but 47383 is performed percutaneously. Report 47371 for laparoscopic access.
47382 describes percutaneous radiofrequency ablation of a liver tumor. It differs from 47371 in both approach and ablation method.
Compare 47371 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1253.10
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1173.65
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47371 billing questions
How does 47371 differ from 47370?
Both describe laparoscopic liver tumor ablation, but 47371 involves cryosurgical freezing while 47370 uses radiofrequency energy. Match the code to the documented ablation method.
When would 47383 be reported instead?
47383 describes percutaneous liver cryoablation. Use 47371 when the surgeon performs the cryosurgical treatment laparoscopically.
Should modifier 50 be appended for tumors in both lobes?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy does not support modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What should the operative note establish?
Document the laparoscopic approach, use of cryosurgical ablation, and the liver tumor site or sites treated. These details distinguish this service from radiofrequency ablation and from open or percutaneous cryoablation.
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.
