Does 47130 require prior authorization?

No, 47130 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 47130?

Medicare facility rate: $3023.12. Non-facility rate: $3023.12. Work RVU: 55.76.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

55.76

Facility

$3023.12

Non-Facility

$3023.12

Each lesion measures no more than 5 cm in diameter;and
No or minimal extra-hepatic metastases;and
All foci of disease are amenable to ablative therapy or surgical resection.
ââââââââââââââB.Bridge to Liver Transplantation
CriteriaA poor candidate for surgical resection or unwilling to undergo surgical resection;andEach lesion measures no more than 5 cm in diameter;andNo or minimal extra-hepatic metastases;andAll foci of disease are amenable to ablative therapy or surgical resection.
A.Treatment of Hepatic Tumors (Primary or Metastatic)

ANTHEM-CG-SURG-78 — CG-SURG-78 Cryosurgical, Radiofrequency, Microwave, or Percutaneous Ethanol Ablation to Treat Solid Tumors in the Liver

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