Does 47370 require prior authorization?

No, 47370 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 47370?

Medicare facility rate: $1172.37. Non-facility rate: $1172.37. Work RVU: 20.28.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

20.28

Facility

$1172.37

Non-Facility

$1172.37

No documentation requirements are stated in the provided document text.
No explicit documentation requirements are stated in this document excerpt.
Please refer to CMS Medicare Coverage Database for the most current applicable CMS National Coverage Determination (NCD)/Local Coverage Determination (LCD)/Local Coverage Article (LCA). Refer to CMS website for the most current applicable CMS Online Manual System (IOMs) and Transmittals.
No specific documentation requirements, covered indications, or frequency/clinical criteria are stated in this document.

Unlisted procedure, breast (CPT 19499)
Inferred: Treatment considerations for metastatic liver lesions or other focal hepatic tumors (references to liver cancer guidance imply relevance).
Radiofrequency tumor ablation (RFA) is a technique that uses alternating electric current delivered via an electrode inserted into a tumor that creates heat to destroy cancer cells.
Clinicians use imaging technology (eg, computed tomography, magnetic resonance imaging, ultrasound) to guide placement of the electrode either percutaneously or during laparoscopic surgery.
RFA is typically used alone, as either a primary or palliative treatment, for a variety of different oncologic conditions.
RFA can be combined with other locoregional treatments, such as transarterial chemoembolization (TACE), to increase its efficacy.

HUMANA-MICROWAVE-THERMOTHERAPY-MA — Microwave Thermotherapy - Medicare Advantage

HUMANA-RADIOFREQUENCY-TUMOR-ABLATION-MA — Radiofrequency Tumor Ablation - Medicare Advantage

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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