How To Use CPT Code 47140

CPT 47140 describes the surgical resection of the liver from a living donor, specifically the second and third left lateral segments. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 47140?

CPT 47140 can be used to describe the surgical resection of the liver from a living donor, specifically the left lateral segments II and III. This code is used when a provider performs a donor hepatectomy, removing the specified segments of the liver for transplantation into a recipient.

2. Official Description

The official description of CPT code 47140 is: ‘Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)’

3. Procedure

  1. The provider prepares and anesthetizes the living donor, placing them in a supine position on the operating table.
  2. An incision is made in the upper midline of the abdomen to access the liver.
  3. The provider examines the liver and checks the left lateral segment for any signs of disease.
  4. The left portal vein and left portal artery are carefully ligated and divided.
  5. The second and third left lateral segments of the liver are then resected from their attachments.
  6. The provider ensures hemostasis and closes the incision in layers.
  7. The liver is preserved in a specially packed sealable container with a preserving solution.

4. Qualifying circumstances

CPT 47140 is used when a living donor undergoes a hepatectomy to remove the left lateral segments (II and III) of the liver for transplantation. The procedure is performed by a qualified provider and requires the donor to be appropriately prepped and anesthetized. The segments must be preserved for transplantation into a recipient.

5. When to use CPT code 47140

CPT code 47140 should be used when a provider performs a donor hepatectomy, specifically removing the left lateral segments (II and III) of the liver from a living donor. This code is not appropriate for other types of liver resections or transplant procedures.

6. Documentation requirements

To support a claim for CPT 47140, the provider must document the following information:

  • Confirmation of the living donor’s eligibility for the procedure
  • Details of the surgical technique used, including the incision site and approach
  • Confirmation of the resection of the left lateral segments (II and III) of the liver
  • Description of the preservation method and container used
  • Confirmation of hemostasis and closure of the incision
  • Signature of the performing provider

7. Billing guidelines

When billing for CPT 47140, ensure that the procedure meets the criteria for a living donor hepatectomy, specifically removing the left lateral segments (II and III) of the liver. It is important to follow the appropriate coding guidelines and documentation requirements. CPT code 47140 should not be reported with other liver transplantation procedure codes.

8. Historical information

CPT 47140 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates or changes to the code since its addition. It is important to stay updated with any future changes or revisions to ensure accurate coding and billing.

9. Examples

  1. A provider performs a donor hepatectomy, removing the left lateral segments (II and III) of the liver from a living donor for transplantation into a recipient.
  2. A living donor undergoes a surgical procedure to resect the specified segments of their liver for transplantation.
  3. The left lateral segments (II and III) of the liver are surgically removed from a living donor and preserved for transplantation.
  4. A qualified provider performs a hepatectomy on a living donor, specifically removing the left lateral segments of the liver.
  5. A living donor undergoes a surgical procedure to donate a portion of their liver, specifically the left lateral segments (II and III).
  6. The provider performs a donor hepatectomy, resecting the left lateral segments of the liver from a living donor for transplantation.
  7. A living donor’s left lateral segments (II and III) of the liver are surgically removed for transplantation into a recipient.
  8. A qualified provider performs a hepatectomy on a living donor, specifically removing the left lateral segments of the liver for transplantation.
  9. The left lateral segments (II and III) of the liver are resected from a living donor and preserved for transplantation.
  10. A living donor undergoes a surgical procedure to donate a portion of their liver, specifically the left lateral segments (II and III).

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