Billing code 47382: Liver ablationMedicare rate & RVUs in Oregon
Reports image-guided percutaneous radiofrequency treatment of one or more liver tumors, distinguishing it from laparoscopic, open, and other ablation methods.
Medicare pays $3,402.45–$3,744.60 for 47382 in the office in Oregon, from Rest Of Oregon to Portland. 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 47382 covers
Percutaneous liver radiofrequency ablation treats one or more liver tumors by placing an electrode through the skin and heating target tissue with radiofrequency energy. Interventional radiologists and other appropriately trained procedural specialists commonly perform it with imaging to guide probe placement, often in a hospital-based procedure suite. Clinical uses include treatment of selected primary liver cancers and metastatic lesions when local tumor destruction is planned.
Report 47382 for the percutaneous radiofrequency approach, whether one or multiple tumors are treated; do not select it for laparoscopic or open access, cryoablation, or irreversible electroporation. The procedure report should identify the treated lesion or lesions, percutaneous access, radiofrequency method, and treatment performed. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that interval are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, 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 47382 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $3,744.60 | $645.31 |
| Rest Of Oregon | $3,402.45 | $623.97 |
How the 47382 rate is calculated
Each of 47382’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 · 47382
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.60Practice expense 86.46Malpractice 1.64
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 47382
47382 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47382
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 · 47382
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
47382 without 51 · national office
$3,430.27
Liver ablation
47382-51 · Second procedure: 50%
$1,715.14
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%).
47382 compared with similar codes
Compare codes
47382 vs 47370 vs 47380 vs 47383 vs 47384: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 47370Liver tumor ablation
- Both use radiofrequency energy for liver tumor ablation. Choose 47370 for laparoscopic access and 47382 for percutaneous access.
- 47380Liver ablation
- Both describe radiofrequency liver tumor ablation, but 47380 is for open access; 47382 is for percutaneous access.
- 47383Liver ablation
- Both are percutaneous liver tumor ablation codes. 47382 identifies radiofrequency treatment, whereas 47383 identifies cryoablation.
- 47384Liver ablation
- Both use a percutaneous approach for liver tumor ablation. 47384 is for irreversible electroporation, not radiofrequency energy.
47382 billing questions
How is 47382 distinguished from laparoscopic or open ablation?
Use 47382 when the radiofrequency electrode reaches the liver tumor percutaneously. Laparoscopic and open access correspond to different codes, even when the energy method is also radiofrequency.
Can 47382 be reported once for each treated tumor?
The code covers treatment of one or more liver tumors. Do not multiply units solely because multiple tumors are treated.
Is cryoablation reported with 47382?
No. 47382 is for radiofrequency ablation; percutaneous cryoablation is represented by 47383.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for 47382.
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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