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See a sample rate comparisonCPT 47381 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); Cryosurgical
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body 51 - Multiple procedures XS - Separate Structure AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47381 |
| Medicaid Fee Schedule | View Medicaid rates for 47381 |
National average reimbursement for CPT 47381 by major payers:
$1,827.34
$1,958.22
$2,012.85
$2,335.87
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CPT 47381
5 of 25 sample ratesHigher to lower in this preview
North Coast Surgery Center Ltd
$7,071.00Published rateSouthwest Connecticut Surgery Center, LLC
$1,215.00Published rateNaeem M Akhtar, Madera Ambulatory Endoscopy Center
Naeem M. Akhtar, M.D.
$658.00Published ratePalmetto Endoscopy Suite, LLC
Palmetto Endoscopy Suite LLC
$460.00Published ratePain-Mds Ambulatory Surgical Center, LLC
Painmds Ambulatory Surgical Center LLC
$105.00Published rate
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See a sample payer proposalCPT 47381 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47381 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 47381 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 47381. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47381 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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