CPT code 47134 is for the partial removal of a donor liver, used in transplant procedures to specify the surgical service provided.
CPT code 47134 is for the partial removal of a donor liver. This procedure involves surgically excising a portion of the liver from a living donor, typically for the purpose of transplantation into a recipient who requires a liver transplant. The code specifically indicates that only a part of the liver is being removed, rather than the entire organ.
For CPT code 47134 (Partial removal donor liver), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Used when the work required to perform the procedure is substantially greater than typically required. This could be due to complications or other factors that increase the complexity of the surgery.
2. Modifier 52 - Reduced Services
- Applied when a service or procedure is partially reduced or eliminated at the physician's discretion. This might be relevant if the partial removal of the donor liver was less extensive than initially planned.
3. Modifier 53 - Discontinued Procedure
- Used when a procedure is started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient. This could be relevant if the surgery had to be halted for any reason.
4. Modifier 59 - Distinct Procedural Service
- Indicates that a procedure or service was distinct or independent from other services performed on the same day. This might be used if multiple procedures were performed and needed to be billed separately.
5. Modifier 62 - Two Surgeons
- Applied when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure. This could be relevant if the partial liver removal required the expertise of two surgeons.
6. Modifier 66 - Surgical Team
- Used when a highly complex procedure requires the services of several physicians, often of different specialties, plus other highly skilled personnel. This might be applicable if the partial liver removal involved a multidisciplinary team.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period
- Used if the patient needs to return to the operating room for a related procedure during the postoperative period of the initial surgery. This could be relevant if complications arose necessitating further surgical intervention.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Applied when an unrelated procedure is performed by the same physician during the postoperative period of the initial surgery. This might be relevant if another, unrelated issue required surgical attention.
These modifiers help provide additional context and detail about the specific circumstances under which the partial removal of the donor liver was performed, ensuring accurate billing and reimbursement.
CPT code 47134 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS) and is eligible for payment. However, coverage and reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) in your region. It's essential to verify with your local MAC for any specific coverage guidelines or documentation requirements related to this procedure.
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