47143
No office ratePrep donor liver whole
47143 covers standard backbench preparation of a whole donor liver graft without reconstruction. Choose 47147 when arterial reconstruction is performed.
On this page
CMS RVU26D · Effective 2026-10-01
47147 Liver graft preparation Medicare reimbursement rates in Hawaii
Reports backbench preparation of a whole cadaveric donor liver graft when the transplant surgeon performs arterial reconstruction before transplantation. Compare 47147 office and facility rates across CMS payment localities in Hawaii.
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 47147 in Hawaii?
Hawaii 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
$326.17
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 47147: Donor liver arterial reconstruction
Reports backbench preparation of a whole cadaveric donor liver graft when the transplant surgeon performs arterial reconstruction before transplantation.
A transplant surgeon performs this backbench service on a cadaveric whole-liver graft before it is implanted in the recipient. The work includes preparing the graft and reconstructing its arterial supply to make it suitable for transplantation. It is generally performed in the operating room during a liver transplant episode, separate from the recipient operation itself.
Choose this code when the documented graft preparation includes arterial reconstruction; preparation without that work or preparation involving venous reconstruction belongs to a different code in the series. The operative report should identify the donor graft, the backbench preparation performed, and the arterial reconstruction. Medicare applies the standard multiple procedure reduction when other procedures subject to that rule are performed in the same session: the highest-valued procedure is paid in full, and the others are paid at 50%.
CMS billing rules for 47147
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU6.83 · 66%
- Practice expense (office) RVU1.67 · 16%
- Malpractice RVU1.79 · 17%
174
Medicare services in 2024 · #4449 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.
47147 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Both describe backbench graft preparation, but 47146 identifies venous reconstruction and 47147 identifies arterial reconstruction.
47144
No office ratePrep donor liver 3-segment
47144 concerns preparation of a three-segment donor liver graft. 47147 is distinguished by arterial reconstruction of a whole donor liver graft.
Compare 47147 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$326.17
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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 47147 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
5,662
- Code
- 47147
- Physician work
- 6.83
- Practice expense
- 1.67
- Malpractice
- 1.79
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.83 | × 1.000 | 6.8300 |
| Practice expense | 1.67 | × 1.137 | 1.8988 |
| Malpractice | 1.79 | × 0.579 | 1.0364 |
| Total RVUs | 9.7652 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$326.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.83 | 1 |
| Practice expense | 1.67 | 1.137 |
| Malpractice | 1.79 | 0.579 |
(6.83 × 1 + 1.67 × 1.137 + 1.79 × 0.579) × $33.4009 = $326.17
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.
47147 billing questions
When should 47147 be chosen over 47143?
Use 47147 when backbench preparation of a whole cadaveric donor liver includes arterial reconstruction. Code 47143 describes standard whole-graft preparation without that reconstruction.
How does 47147 differ from 47146?
The distinguishing work is arterial reconstruction for 47147 and venous reconstruction for 47146. Follow the operative report’s description of the graft reconstruction.
Can 47147 be reported with the recipient liver transplant?
The backbench graft preparation and the recipient transplant are distinct services and may be reported in the same transplant episode when both are performed and documented.
What documentation supports 47147?
Document that the graft was prepared on the backbench before implantation and describe the arterial reconstruction performed. A record of graft preparation alone does not establish the arterial work that distinguishes this code.
How does Medicare handle multiple procedures in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and pays the others at 50% when the procedures are performed in the same session.
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.
5,65947144,,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
5,66147146,,Prep donor liver/venous,A,,5.85,1.42,NA,1.42,,1.56,8.83,8.83,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66247147,,Prep donor liver/arterial,A,,6.83,1.67,NA,1.67,,1.79,10.29,10.29,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66347300,,Surgery for liver lesion,A,,17.69,9.92,NA,9.92,,4.51,32.12,32.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66447350,,Repair liver wound,A,,21.93,11.22,NA,11.22,,5.34,38.49,38.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,66547360,,Repair liver wound,A,,30.53,13.55,NA,13.55,,8.16,52.24,52.24,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014