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Billing code 47140: Donor hepatectomyMedicare rate & RVUs

Reports open removal of a liver lateral segment from a living donor for transplantation, including preservation of the graft for transfer.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $3,345.10 for 47140 nationally in a facility.

Medicare rate · 47140

Donor hepatectomy

Swap in your local Medicare rate.

Work RVUs
57.92
Total RVUs
100.15
Global days
090

National rate · 2026

$3,345.10

Facility setting, before claim adjustments.

See every locality for 47140 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 47140 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 47140 covers

This code represents an open operation to remove the lateral segment of a living donor’s liver for transplantation. A transplant surgeon typically performs the donor operation in a hospital operating room; a common setting is donation of the left lateral segment for a pediatric recipient. Cold preservation of the removed graft is included in the service. The donor hepatectomy is distinct from the recipient’s liver transplant operation.

Select this code when the operative report supports a living donor, an open approach, and removal of the lateral segment. Document the portion of liver removed, operative approach, and the donor context; use a different code when the approach or portion differs. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 47140 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47140 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$3,008.61
Alaska*Unavailable$4,137.63
ArizonaUnavailable$3,242.80
ArkansasUnavailable$2,967.89
AtlantaUnavailable$3,469.37
AustinUnavailable$3,341.62
BakersfieldUnavailable$3,264.82
Baltimore/Surr. CntysUnavailable$3,564.04
BeaumontUnavailable$3,228.00
BrazoriaUnavailable$3,238.50

47140 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
47140 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 47140 rate is calculated

Each of 47140’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 47140

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 57.92Practice expense 26.71Malpractice 15.52

100.1500 adjusted RVUs×$33.4009 conversion factor=$3,345.10

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 47140

47140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47140

Donor hepatectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)2Permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 47140

Donor hepatectomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47140 without 51 · national facility

$3,345.10

Donor hepatectomy

47140-51 · Second procedure: 50%

$1,672.55

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

47140 compared with similar codes

Compare codes

47140 vs 47141 vs 47142 vs 47120 vs 47133: national Medicare rates

Swap in your local Medicare rate.

  • 47140
    Donor hepatectomy · 57.92 wRVU
    —
  • 47141
    Donor hepatectomy · 69.71 wRVU
    —
  • 47142
    Donor hepatectomy · 77.45 wRVU
    —
  • 47120
    Liver resection · 38.03 wRVU
    —
  • 47133
    · 0 wRVU
    —

How to choose

47141Donor hepatectomy
Both describe open living donor hepatectomy, but 47141 is for removal of the right lobe; 47140 is for the lateral segment.
47142Donor hepatectomy
47142 describes laparoscopic removal of the lateral segment from a living donor. Use 47140 for the open approach.
47120Liver resection
47120 describes partial liver removal outside the specific living-donor lateral-segment service represented by 47140.
47133Removal of donor liver
47133 is for donor liver removal from a cadaver donor; 47140 is the open lateral-segment operation on a living donor.

Codes related to 47140

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 47140
CodeHow it relatesNational office range
Same family
47141Donor hepatectomyOpen living donor hepatectomy for removal of the right lobe.No office rate
Used instead
47142Donor hepatectomyLiving donor lateral-segment removal performed laparoscopically.No office rate
47133Removal of donor liverDonor liver removal for a cadaver donor rather than a living donor.No office rate

47140 billing questions

How does this differ from 47141?

47140 is for open removal of the lateral segment from a living donor. 47141 is the open donor procedure for removal of the right lobe.

When is 47142 a better choice?

47142 describes laparoscopic removal of the lateral segment from a living donor. Choose based on the documented operative approach, not simply the size of the incision.

Is graft preservation separately reported?

Cold preservation of the removed graft is included in this donor hepatectomy service.

Does this code include the recipient's transplant?

No. This code reports the living donor operation; the recipient’s transplant is a separate service performed on the recipient.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 47140PPRRVU2026_Oct_nonQPP.csv, line 5,655 (RVU26D)

Open CMS sourceHow we calculate rates

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