CPT code 47384: Liver ablation2026 Medicare rate & RVUs in Missouri
Report this service for percutaneous destruction of one or more liver tumors using irreversible electroporation, with imaging guidance included when performed.
CMS doesn’t publish an office rate for 47384 in Missouri.
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 47384 covers
An interventional radiologist or surgeon places electrodes through the skin into a liver tumor and delivers electrical pulses to destroy the targeted tissue. The service is used for one or more liver tumors treated percutaneously, commonly in a hospital interventional radiology or procedural suite. Imaging used to guide the treatment is included when performed, rather than separately represented as part of this code.
Documentation should identify the liver target, the percutaneous approach, use of irreversible electroporation, and the treatment performed. The code has a 0-day global period, so same-day preoperative and postoperative care is 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. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery 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 47384 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City | Unavailable | $418.91 |
| Metropolitan St. Louis | Unavailable | $420.79 |
| Rest Of Missouri | Unavailable | $413.22 |
How the 47384 rate is calculated
Each of 47384’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 · 47384
RVUs × geographic indexes × conversion factor
Work9.41
9.41 RVUs× 1.000 GPCI
Practice expense2.17
2.17 RVUs× 1.000 GPCI
Malpractice1.12
1.12 RVUs× 1.000 GPCI
Adjusted RVUs
12.7000
Conversion factor
$33.4009
Medicare rate
$424.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47384
The CMS indicators that decide how 47384 is paid alongside other services.
CMS payment indicators · 47384
Liver ablation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47384 without 51 · national facility
$424.19
Liver ablation
47384-51 · Second procedure: 50%
$212.10
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%).
47384 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 47382Liver ablation
- Both describe percutaneous liver tumor ablation, but 47382 is for radiofrequency ablation; 47384 is for irreversible electroporation.
- 47383Liver ablation
- Both use a percutaneous approach for liver tumor ablation, but 47383 represents cryoablation and 47384 represents irreversible electroporation.
- 47370Liver tumor ablation
- 47370 is for laparoscopic radiofrequency ablation. Choose 47384 when the tumor is treated percutaneously with irreversible electroporation.
47384 billing questions
How is this code different from percutaneous radiofrequency or cryoablation?
This code is for irreversible electroporation. Use the corresponding code for percutaneous radiofrequency ablation or cryoablation when that is the method performed.
Is imaging guidance separately reported with this service?
Imaging guidance used for the ablation is included when performed. Do not separately report guidance as though it were outside this service.
Does the code cover treatment of more than one liver tumor?
It covers percutaneous irreversible electroporation treatment of one or more liver tumors. The documentation should support the targets treated and the procedure performed.
Can modifier 50 be used when tumors are on both sides of the liver?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with the other procedures subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
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
Fee sheets
Put 47384 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →