2025 CPT code 47381
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Open cryosurgical ablation of one or more liver tumors.
Modifiers may apply depending on the circumstances of the procedure (e.g., 22, 51, 59).
Medical necessity is established by the presence of a liver tumor that is amenable to cryosurgical ablation and poses a significant threat to the patient's health if left untreated. The patient's overall health status and suitability for the procedure should also be considered.
The surgeon is responsible for all aspects of the procedure, including patient preparation, anesthesia, incision, dissection, tumor localization, biopsy (if performed), cryosurgical ablation, and wound closure.
In simple words: The doctor removes liver tumors by freezing them. This is done through a surgical cut in the abdomen.The doctor may take a small sample of the tumor for testing.
This procedure involves the surgical ablation of one or more liver tumors using cryosurgery via an open approach.The surgeon makes an incision in the upper abdomen, dissects surrounding structures to locate the tumor(s), and may perform a biopsy. A cryosurgical probe is then inserted into the tumor(s) to freeze and destroy the tissue through repeated cycles of freezing and thawing. The incision is closed with sutures in layers.
Example 1: A 60-year-old male patient presents with a single, small, well-defined liver tumor detected on imaging.Open cryosurgical ablation is performed to remove the tumor., A 55-year-old female patient presents with multiple small liver metastases. The surgeon performs open cryosurgical ablation targeting all visible lesions.A biopsy of one lesion was performed., A 70-year-old patient with a large, complex liver tumor is deemed unsuitable for resection. Open cryosurgical ablation is chosen as a palliative treatment option.
Preoperative imaging (e.g., CT, MRI) showing the location and size of the tumor(s), operative report detailing the procedure including number of tumors treated, biopsy results (if performed), pathology report confirming tumor type and extent of resection, postoperative imaging to assess the treatment's effectiveness.
** This code is for open cryosurgical ablation.Laparoscopic approaches utilize different codes (47371).
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Surgical Oncology, Hepatobiliary Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center