Billing code 47142: Donor hepatectomyMedicare rate & RVUs in Alabama
Reports partial liver removal from a living donor when the transplant operation also includes removal of the recipient’s liver.
CMS doesn’t publish an office rate for 47142 in Alabama.
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 9 sections
What 47142 covers
This code describes procurement of part of a living donor’s liver for transplantation when recipient hepatectomy is also performed. The transplant surgeon removes the planned graft portion, such as a lobe or segment, and the recipient’s diseased liver is removed as part of the transplant operation. The service is performed in an operating room, generally by a transplant team. Cold preservation of the donor graft is included in the donor hepatectomy service.
Select this code when the operative record supports both living donor partial hepatectomy and recipient hepatectomy; donor-only removal is reported with a different code. Document the donor procedure, recipient hepatectomy, and graft handling. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not 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.
47142 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $3,937.89 |
How the 47142 rate is calculated
Each of 47142’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 · 47142
RVUs × geographic indexes × conversion factor
Work77.45
77.45 RVUs× 1.000 GPCI
Practice expense32.81
32.81 RVUs× 1.000 GPCI
Malpractice20.74
20.74 RVUs× 1.000 GPCI
Adjusted RVUs
131.0000
Conversion factor
$33.4009
Medicare rate
$4,375.52
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47142
47142 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47142
Donor hepatectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 47142
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
47142 without 51 · national facility
$4,375.52
Donor hepatectomy
47142-51 · Second procedure: 50%
$2,187.76
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%).
47142 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 47140Donor hepatectomy
- 47140 describes living donor partial hepatectomy without recipient hepatectomy. Choose 47142 when recipient hepatectomy is also part of the operation.
- 47141Donor hepatectomy
- 47141 is the laparoscopic living donor hepatectomy code without recipient hepatectomy. This code represents the service involving recipient hepatectomy.
- 47120Liver resection
- 47120 describes partial removal of a patient’s liver, not procurement of a living donor graft as part of a transplant operation.
- 47133Removal of donor liver
- 47133 applies to donor liver removal from a cadaver donor; this code is for partial hepatectomy from a living donor with recipient hepatectomy.
47142 billing questions
How is this distinguished from 47140?
Use 47142 when the living donor hepatectomy is performed with recipient hepatectomy. Code 47140 describes donor hepatectomy without that recipient procedure.
Is donor graft cold preservation separately reported?
Cold preservation is included in the donor hepatectomy service; it is not separately reported as a distinct service under this code.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor and anatomy.
Can an assistant surgeon be reported?
CMS indicates assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple-procedure reduction.
What documentation supports selection of this code?
The operative record should identify a living donor partial hepatectomy and removal of the recipient’s liver during the transplant operation.
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
Fee sheets
Put 47142 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →