No office rate
47140 describes living donor partial hepatectomy without recipient hepatectomy. Choose 47142 when recipient hepatectomy is also part of the operation.
On this page
CMS RVU26D · Effective 2026-10-01
47142 Donor hepatectomy Medicare reimbursement rates in Colorado
Reports partial liver removal from a living donor when the transplant operation also includes removal of the recipient’s liver. Compare 47142 office and facility rates across CMS payment localities in Colorado.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 47142 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$4324.99
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Liver transplant surgery
About 47142: Living donor hepatectomy with recipient hepatectomy
Reports partial liver removal from a living donor when the transplant operation also includes removal of the recipient’s liver.
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.
CMS billing rules for 47142
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU77.45 · 59%
- Practice expense (office) RVU32.81 · 25%
- Malpractice RVU20.74 · 16%
79
Medicare services in 2024 · #5067 by national volume
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 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
47141 is the laparoscopic living donor hepatectomy code without recipient hepatectomy. This code represents the service involving recipient hepatectomy.
No office rate
47120 describes partial removal of a patient’s liver, not procurement of a living donor graft as part of a transplant operation.
47133
No office rateRemoval 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.
Compare 47142 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$4324.99
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 47142 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
5,657
- Code
- 47142
- Physician work
- 77.45
- Practice expense
- 32.81
- Malpractice
- 20.74
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 77.45 | × 1.012 | 78.3794 |
| Practice expense | 32.81 | × 1.064 | 34.9098 |
| Malpractice | 20.74 | × 0.781 | 16.1979 |
| Total RVUs | 129.4872 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$4324.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 77.45 | 1.012 |
| Practice expense | 32.81 | 1.064 |
| Malpractice | 20.74 | 0.781 |
(77.45 × 1.012 + 32.81 × 1.064 + 20.74 × 0.781) × $33.4009 = $4324.99
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,65447135,,Transplantation of liver,R,,87.75,39.91,NA,39.91,,23.20,150.86,150.86,0,090,0.09,0.81,0.10,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65547140,,Partial removal donor liver,A,,57.92,26.71,NA,26.71,,15.52,100.15,100.15,0,090,0.09,0.81,0.10,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65647141,,Partial removal donor liver,A,,69.71,30.94,NA,30.94,,18.67,119.32,119.32,0,090,0.09,0.81,0.10,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65747142,,Partial removal donor liver,A,,77.45,32.81,NA,32.81,,20.74,131.00,131.00,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65847143,,Prep donor liver whole,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65947144,,Prep donor liver 3-segment,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66047145,,Prep donor liver lobe split,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899