CPT code 47141 is for the partial removal of a donor liver, used in liver transplants to specify the procedure performed.
CPT code 47141 is used to describe the procedure of partial removal of a donor liver. This code specifically indicates that a segment of the liver has been surgically excised from a living donor for the purpose of transplantation. The procedure is typically performed to provide a portion of the liver to a recipient in need of a liver transplant, ensuring that the donor's remaining liver can regenerate and function adequately post-surgery.
For CPT code 47141 (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
- Utilized when a procedure is started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient. This could occur if unforeseen complications arise during the liver removal.
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 necessary if multiple procedures are performed and need to be billed separately.
5. Modifier 62 - Two Surgeons
- Used when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure. This could be relevant in complex liver surgeries requiring the expertise of two surgeons.
6. Modifier 66 - Surgical Team
- Applied when a highly complex procedure requires the services of several physicians, often of different specialties, plus other highly skilled personnel. This might be necessary for intricate liver transplant procedures.
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. This could be relevant if complications arise after the initial liver removal.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Indicates that an unrelated procedure was performed by the same physician during the postoperative period of the initial procedure. This might be necessary if the patient requires additional, unrelated surgical interventions.
9. Modifier 80 - Assistant Surgeon
- Applied when an assistant surgeon is required during the procedure. This could be relevant if the complexity of the liver removal necessitates an additional surgeon's assistance.
10. Modifier 81 - Minimum Assistant Surgeon
- Used when a minimum assistant surgeon is required during the procedure. This might be necessary for less complex parts of the liver removal where minimal assistance is needed.
11. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Utilized when an assistant surgeon is necessary, and a qualified resident surgeon is not available. This could be relevant in teaching hospitals where residents typically assist in surgeries.
12. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
- Applied when a physician assistant, nurse practitioner, or clinical nurse specialist assists in the surgery. This might be necessary if these professionals are involved in the liver removal procedure.
Each of these modifiers serves a specific purpose and should be used appropriately to ensure accurate billing and reimbursement for the services provided.
CPT code 47141 is reimbursable by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS), indicating that Medicare covers and reimburses for this procedure when medically necessary. However, specific coverage and reimbursement rates may vary depending on the Medicare Administrative Contractor (MAC) in your region. It's important to verify with your local MAC for any specific guidelines or documentation requirements related to this code.
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