2025 CPT code 47383
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Percutaneous cryoablation of one or more liver tumors.
Modifiers 22 (increased procedural services), 51 (multiple procedures), 59 (distinct procedural service), and others may be appropriate depending on the specific circumstances of the procedure.
Medical necessity is established when other treatment options (surgery, chemotherapy, radiation) are deemed inappropriate or ineffective for the patient's specific tumor characteristics and overall health.The procedure should be performed by a qualified physician with expertise in interventional radiology or hepatobiliary surgery.
The physician is responsible for pre-operative preparation, anesthesia administration (if applicable), insertion of the cryosurgical probe under imaging guidance, performance of the cryoablation, and post-operative care.
In simple words: The doctor removes liver tumors by freezing them. A small probe is inserted through the skin, guided by imaging, to freeze and destroy the tumor(s).
This procedure involves the percutaneous ablation (destruction) of one or more liver tumors using cryosurgery (freezing).A cryosurgical probe is inserted through the skin, guided by imaging (often separately reported), directly into the liver tumor. The probe freezes the tumor tissue, which is then allowed to thaw. This freeze-thaw cycle may be repeated to ensure complete tumor destruction. Multiple tumors can be treated in a single session.
Example 1: A 60-year-old male presents with a single, 2cm liver tumor detected on CT scan.Percutaneous cryoablation is performed under ultrasound guidance., A 55-year-old female with multiple small liver metastases (detected via MRI) undergoes percutaneous cryoablation of three lesions in a single session., A 72-year-old male with a large liver tumor deemed unresectable by surgery is a candidate for percutaneous cryoablation.The procedure is done under CT guidance to ensure precise targeting and monitoring.
Pre-operative imaging studies (CT, MRI, or Ultrasound) clearly demonstrating the tumor(s) location and size. Operative report detailing probe placement, number of freeze-thaw cycles, any complications, and post-operative imaging if performed. Pathology report if tissue is obtained. Anesthesia record if anesthesia was utilized.
** Accurate documentation of the number of tumors treated, the use of imaging guidance, and any complications is crucial for appropriate coding and billing.Consult with coding specialists if unsure about specific coding scenarios.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may apply depending on the provider's role (surgeon vs. radiologist).
- Specialties:Surgical Oncology, Interventional Radiology, Hepatobiliary Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center