© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 47142 refers to a donor hepatectomy performed on a living donor, specifically a total right lobectomy that includes the removal of liver segments V, VI, VII, and VIII. This surgical intervention is essential for organ transplantation, where a portion of the liver is harvested from a healthy individual to be transplanted into a recipient with liver failure or other liver-related conditions. The term 'hepatectomy' denotes the surgical excision of liver tissue, and in this case, it involves the complete removal of the right lobe of the liver. The procedure is conducted under general anesthesia and requires careful planning and execution to ensure the safety of the donor while maximizing the viability of the liver segments for transplantation. Cold preservation of the excised liver segments is a critical step, as it helps maintain the organ's function until it can be transplanted into the recipient. The surgical approach typically involves a midline incision, allowing the surgeon to access the liver effectively. This procedure is performed by a specialized surgical team trained in liver transplantation, ensuring that both the donor's and recipient's needs are met with the utmost care and precision.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of donor hepatectomy, specifically a total right lobectomy, is indicated for living donors who are suitable candidates for liver donation. The following conditions may warrant this procedure:
The procedure of donor hepatectomy for total right lobectomy involves several critical steps to ensure the successful removal of the liver segments while maintaining the donor's safety. The following procedural steps are undertaken:
Post-procedure care for the donor involves monitoring for any complications, such as bleeding or infection, and ensuring proper recovery. The donor will typically be observed in a recovery area before being transferred to a hospital room for further monitoring. Pain management is an essential aspect of post-operative care, and the donor may receive medications to manage discomfort. The surgical site will be assessed regularly for signs of healing and any potential complications. The donor is usually encouraged to begin light activities as tolerated, with a gradual return to normal activities over time. Follow-up appointments will be scheduled to monitor the donor's recovery and liver function, ensuring that they are healing appropriately after the hepatectomy.
| Short Descr | PARTIAL REMOVAL DONOR LIVER | Medium Descr | DONOR HEPATECTOMY LIVING DONOR SEG V VI VII &VI | Long Descr | Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 176 - Other organ transplantation |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q3 | Live kidney donor surgery and related services |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Changed | Short description changed. |
| 2005-01-01 | Changed | Code description changed. |
| 2004-01-01 | Added | First appearance in code book in 2004. |
Get instant expert-level medical coding assistance.