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See a sample rate comparisonCPT 47380 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Ablation, Open, Of One Or More Liver Tumor(S); Radiofrequency
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47380 |
| Medicaid Fee Schedule | View Medicaid rates for 47380 |
National average reimbursement for CPT 47380 by major payers:
$1,789.12
$1,926.48
$2,038.24
$2,300.98
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CPT 47380
5 of 25 sample ratesHigher to lower in this preview
Nextmed Laser, LLC
$5,500.00Published ratePhysicians Surgery Center Of Chattanooga, LLC, Physicians Surgery Center Of Chattanooga
Physicians Surgery Center Of Chattanooga LLC
$1,064.00Published rateHanover Nj Endoscopy Asc LLC, Hanover Endoscopy Center
Hanover Nj Endoscopy Asc LLC
$1,042.00Published rateLowcountry Outpatient Surgery Center, LLC
Lowcountry Outpatient Surgery Center LLC
$679.00Published rateArrowhead Endoscopy And Pain Management Center LLC, Arrowhead Endoscopy Center.
Arrowhead Endoscopy And Pain Man
$108.00Published rate
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See a sample payer proposalCPT 47380 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47380 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 47380 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 47380-CPT | High | Ablation, Open, Of One Or More Liver Tumor(S); Radiofrequency |
| 47381-CPT | High | Ablation, Open, Of One Or More Liver Tumor(S); Cryosurgical |
| 47382-CPT | High | Ablation, One Or More Liver Tumor(S), Percutaneous, Radiofrequency |
| 47383-CPT | High | Once Per Dos Ablation,1 Or More Liver Tumor, Percutaneous, Cryoablation- Rn Review >=05/01/2018; Deny Inv/N10= 01/01/2015-04/30/2018 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47380 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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