No office rate
Both describe open living donor hepatectomy, but 47141 is for removal of the right lobe; 47140 is for the lateral segment.
On this page
CMS RVU26D · Effective 2026-10-01
47140 Donor hepatectomy Medicare reimbursement rates in Missouri
Reports open removal of a liver lateral segment from a living donor for transplantation, including preservation of the graft for transfer. Compare 47140 office and facility rates across CMS payment localities in Missouri.
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 47140 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$3208.51–$3303.31
3 of 3 localities have a supported rate.
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.
Where 47140 pays more and less in Missouri
Liver surgery
About 47140: Open living donor lateral segment hepatectomy
Reports open removal of a liver lateral segment from a living donor for transplantation, including preservation of the graft for transfer.
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.
CMS billing rules for 47140
- 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 RVU57.92 · 58%
- Practice expense (office) RVU26.71 · 27%
- Malpractice RVU15.52 · 15%
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.
47140 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
47142 describes laparoscopic removal of the lateral segment from a living donor. Use 47140 for the open approach.
No office rate
47120 describes partial liver removal outside the specific living-donor lateral-segment service represented by 47140.
47133
No office rateRemoval of donor liver
47133 is for donor liver removal from a cadaver donor; 47140 is the open lateral-segment operation on a living donor.
Compare 47140 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$3278.76
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$3303.31
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$3208.51
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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 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.
5,65247130,,Partial removal of liver,A,,55.76,20.56,NA,20.56,,14.19,90.51,90.51,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,65347133,,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