CPT code 47142 is for the partial removal of a donor liver, used in transplant procedures to ensure accurate billing and documentation.
CPT code 47142 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 still function adequately.
For CPT code 47142 (Partial removal donor liver), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Used when the work required to provide a service is substantially greater than typically required. This could apply if the partial removal of the donor liver is more complex than usual.
2. Modifier 52 - Reduced Services: Used when a service or procedure is partially reduced or eliminated at the physician's discretion. This might be relevant if the procedure was not completed as initially planned.
3. Modifier 53 - Discontinued Procedure: Used when a procedure is discontinued due to extenuating circumstances or those that threaten the well-being of the patient. This could apply if the partial removal of the donor liver had to be stopped for any reason.
4. Modifier 59 - Distinct Procedural Service: Used to indicate 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 66 - Surgical Team: Used when a complex procedure requires the services of several physicians, often of different specialties, working together as a team. This could be relevant for a complex liver donor surgery involving multiple specialists.
6. Modifier 76 - Repeat Procedure by Same Physician: Used when the same procedure is repeated by the same physician. This might apply if the partial removal of the donor liver needs to be performed again within a short period.
7. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is repeated by a different physician. This could be relevant if another surgeon needs to perform the same procedure shortly after the initial one.
8. 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.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
10. Modifier 80 - Assistant Surgeon: Used when an assistant surgeon is required during the procedure. This might be necessary for complex liver donor surgeries.
11. Modifier 81 - Minimum Assistant Surgeon: Used when a minimum assistant surgeon is required during the procedure.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Used when an assistant surgeon is required because a qualified resident surgeon is not available.
13. Modifier 99 - Multiple Modifiers: Used when two or more modifiers are necessary to describe the service provided.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 47142, which pertains to a specific medical procedure, is reimbursed by Medicare. To determine the reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for services covered under Medicare Part B.
Additionally, it is essential to consult with the relevant Medicare Administrative Contractor (MAC) for your region, as they are responsible for processing Medicare claims and can provide specific guidance on coverage and reimbursement policies for CPT code 47142.
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