CPT code 47146 is for the preparation of a donor liver and its associated venous structures for transplantation.
CPT code 47146 is used to describe the procedure of preparing a donor liver for transplantation, specifically focusing on the preparation of the venous structures associated with the liver. This involves surgical techniques to ensure that the liver is adequately prepared for successful transplantation into a recipient, which may include the assessment and management of the hepatic veins and other vascular components.
For CPT code 47146, which pertains to the preparation of a donor liver for venous anastomosis, 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 preparation of the donor liver involves additional complexity or time.
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 only part of the preparation process is completed.
3. Modifier 53 - Discontinued Procedure: Used when a procedure is terminated due to extenuating circumstances or those that threaten the well-being of the patient. This could apply if the preparation of the donor liver is halted 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 is carried out by a surgical team. This could be relevant if the preparation of the donor liver involves multiple surgeons or specialists.
6. Modifier 76 - Repeat Procedure by Same Physician: Used when a procedure or service is repeated by the same physician. This might apply if the preparation of the donor liver needs to be redone.
7. Modifier 77 - Repeat Procedure by Another Physician: Used when a procedure or service is repeated by another physician. This could be relevant if another surgeon needs to repeat the preparation process.
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.
10. Modifier 80 - Assistant Surgeon: Used when an assistant surgeon is required during the procedure.
11. Modifier 81 - Minimum Assistant Surgeon: Used when a minimum assistant surgeon is required.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Used when an assistant surgeon is necessary because a qualified resident surgeon is not available.
13. Modifier 99 - Multiple Modifiers: Used when multiple 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.
CPT code 47146 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS) and is eligible for payment. However, reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) and local coverage determinations. Healthcare providers should consult their regional MAC for specific coverage and payment information related to CPT 47146.
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