Billing code 47141: Donor hepatectomyMedicare rate & RVUs in Oregon
Reports surgical removal of part of a living donor’s liver for transplantation, with payment rules reflecting major surgery and related postoperative care.
CMS doesn’t publish an office rate for 47141 in Oregon.
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 47141 covers
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.
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.
Where 47141 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $3,977.72 |
| Rest Of Oregon | Unavailable | $3,796.05 |
How the 47141 rate is calculated
Each of 47141’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 · 47141
RVUs × geographic indexes × conversion factor
Work69.71
69.71 RVUs× 1.000 GPCI
Practice expense30.94
30.94 RVUs× 1.000 GPCI
Malpractice18.67
18.67 RVUs× 1.000 GPCI
Adjusted RVUs
119.3200
Conversion factor
$33.4009
Medicare rate
$3,985.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 47141
47141 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 47141
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) | 2 | 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 · 47141
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
47141 without 51 · national facility
$3,985.40
Donor hepatectomy
47141-51 · Second procedure: 50%
$1,992.70
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%).
47141 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 47140Donor hepatectomy
- Both are in the donor-hepatectomy family. Use the complete billing code descriptions and operative documentation to distinguish the specific service represented by each code.
- 47142Donor hepatectomy
- 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.
- 47133Removal of donor liver
- 47133 describes donor liver removal for a deceased-donor graft; 47141 concerns partial removal from a living donor.
- 47120Liver resection
- 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.
47141 billing questions
How is this code distinguished from 47140 or 47142?
These codes are neighboring donor-hepatectomy services. Compare the full billing code 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 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
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