No office rate
Both are in the donor-hepatectomy family. Use the complete CPT descriptions and operative documentation to distinguish the specific service represented by each code.
On this page
CMS RVU26D · Effective 2026-10-01
47141 Donor hepatectomy Medicare reimbursement rates in Delaware
Reports surgical removal of part of a living donor’s liver for transplantation, with payment rules reflecting major surgery and related postoperative care. Compare 47141 office and facility rates across CMS payment localities in Delaware.
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 47141 in Delaware?
Delaware 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
$3921.65
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Transplant surgery
About 47141: Living donor partial hepatectomy
Reports surgical removal of part of a living donor’s liver for transplantation, with payment rules reflecting major surgery and related postoperative care.
This code represents removal of a portion of a living donor’s liver for use as a transplant graft. A transplant surgeon typically performs the operation in a hospital operating room, where the donor liver tissue is removed and prepared for transfer to the recipient. The donor operation is distinct from the recipient’s liver transplant and from preparation of the graft after removal.
Select the code that matches the donor procedure documented in the operative report; the record should identify the donor operation and describe the liver tissue removed and surgical work performed. 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 50% reduction. Modifier 50 is inappropriate for this procedure. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is permitted.
CMS billing rules for 47141
- 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 permitted.
Where the value comes from
- Work RVU69.71 · 58%
- Practice expense (office) RVU30.94 · 26%
- Malpractice RVU18.67 · 16%
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.
47141 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This is another nearby donor-hepatectomy code. Confirm the documented approach and extent against the full code descriptions rather than relying on the shared short descriptor.
47133
No office rateRemoval of donor liver
47133 describes donor liver removal for a deceased-donor graft; 47141 concerns partial removal from a living donor.
No office rate
47120 is partial liver removal that is not identified as living-donor procurement. Use 47141 for the documented living-donor transplant operation when its full descriptor matches.
Compare 47141 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
Delaware →
Office / nonfacility
Unavailable
Facility
$3921.65
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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 47141 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,656
- Code
- 47141
- Physician work
- 69.71
- Practice expense
- 30.94
- Malpractice
- 18.67
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 69.71 | × 1.005 | 70.0585 |
| Practice expense | 30.94 | × 0.988 | 30.5687 |
| Malpractice | 18.67 | × 0.899 | 16.7843 |
| Total RVUs | 117.4116 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$3921.65
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 69.71 | 1.005 |
| Practice expense | 30.94 | 0.988 |
| Malpractice | 18.67 | 0.899 |
(69.71 × 1.005 + 30.94 × 0.988 + 18.67 × 0.899) × $33.4009 = $3921.65
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.
47141 billing questions
How is this code distinguished from 47140 or 47142?
These codes are neighboring donor-hepatectomy services. Compare the full CPT descriptions with the operative report’s approach and extent of donor liver removal before selecting the code.
Is this the code for the recipient’s liver transplant?
No. It represents the donor’s partial liver removal. The recipient’s transplant is a separate service reported for the recipient.
Can graft preparation be reported separately?
Backbench preparation of the donor graft is described by separate codes, including 47143. Report a preparation service only when it was performed and documented.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this procedure.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When may an assistant or co-surgeon be paid?
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 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.
5,65347133,,Removal of donor liver,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503