CPT code 47145 is a medical billing code used for the procedure of preparing a donor liver lobe for transplantation.
CPT code 47145 is used to describe the surgical procedure of preparing a donor liver lobe for transplantation. This involves the meticulous process of separating and preparing a portion of the liver from a living or deceased donor, ensuring that it is suitable for transplantation into a recipient. The procedure is critical in living donor liver transplants, where a segment of the liver is removed and later transplanted into a patient in need of a liver.
For CPT code 47145, which pertains to the preparation of a donor liver lobe split, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Use this modifier when the work required to perform the procedure is substantially greater than typically required. This could be due to the complexity of the donor liver split.
2. Modifier 52 - Reduced Services
- Apply this modifier if the procedure was partially reduced or eliminated at the physician's discretion. This might occur if only a portion of the liver lobe was prepared.
3. Modifier 59 - Distinct Procedural Service
- This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It can be used if the liver lobe split was performed in a separate session or different site.
4. Modifier 66 - Surgical Team
- Use this modifier when the procedure requires the expertise of a surgical team. This is relevant if multiple surgeons are involved in the complex process of splitting the donor liver lobe.
5. Modifier 76 - Repeat Procedure by Same Physician
- Apply this modifier if the same physician needs to repeat the liver lobe split procedure within a short period due to unforeseen circumstances.
6. Modifier 77 - Repeat Procedure by Another Physician
- This modifier is used when a different physician repeats the liver lobe split procedure. This might be necessary if the initial split was incomplete or complications arose.
7. Modifier 78 - Unplanned Return to the Operating Room
- Use this modifier if the patient needs to return to the operating room for a related procedure during the postoperative period. This could be due to complications from the initial liver lobe split.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Apply this modifier if an unrelated procedure is performed by the same physician during the postoperative period of the liver lobe split.
9. Modifier 80 - Assistant Surgeon
- This modifier is used when an assistant surgeon is required to help with the liver lobe split procedure.
10. Modifier 81 - Minimum Assistant Surgeon
- Use this modifier if a minimum assistant surgeon is required for the procedure.
11. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Apply this modifier when an assistant surgeon is necessary because a qualified resident surgeon is not available.
12. Modifier 99 - Multiple Modifiers
- This modifier is used when two or more modifiers are necessary to describe the liver lobe split procedure accurately.
These modifiers help provide additional context and detail about the specific circumstances under which the liver lobe split procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 47145, which involves the preparation of a donor liver lobe split, is reimbursed by Medicare. To determine the reimbursement specifics, 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 respective Medicare Administrative Contractor (MAC) for your region, as they are responsible for processing Medicare claims and can provide detailed information on coverage and reimbursement policies for CPT code 47145.
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