How To Use CPT Code 47143

CPT 47143 describes the backbench standard preparation of a liver graft from a cadaver donor before transplantation. 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 47143?

CPT 47143 can be used to describe the backbench standard preparation of a liver graft from a cadaver donor before transplantation. This code is used when the provider performs the necessary steps to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation, without splitting the liver into multiple grafts.

2. Official Description

The official description of CPT code 47143 is: ‘Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; without trisegment or lobe split.’

3. Procedure

1. The provider acquires the liver graft from a cadaver donor.
2. The provider flushes the liver with a preserving solution.
3. If necessary, the provider performs a cholecystectomy to remove the gallbladder.
4. The provider removes surrounding soft tissues from the liver graft.
5. The provider prepares the vena cava, portal vein, hepatic artery, and common bile duct for implantation.
6. The provider checks the blood flow through the vessels to ensure proper function.
7. The provider prepares the bile duct for implantation.

4. Qualifying circumstances

CPT 47143 is used when a provider performs the backbench standard preparation of a liver graft from a cadaver donor before transplantation. This code is appropriate when the provider prepares the vena cava, portal vein, hepatic artery, and common bile duct for implantation, without splitting the liver into multiple grafts.

5. When to use CPT code 47143

CPT code 47143 should be used when a provider performs the backbench standard preparation of a liver graft from a cadaver donor before transplantation. This code is not appropriate if the liver is split into multiple grafts. It is important to review all the codes in the range of 47133-47147 to ensure accurate coding for backbench preparation services for the liver.

6. Documentation requirements

To support a claim for CPT 47143, the provider must document the following information:

• Acquisition of the liver graft from a cadaver donor
• Flush of the liver with a preserving solution
• Performance of a cholecystectomy, if necessary
• Removal of surrounding soft tissues from the liver graft
• Preparation of the vena cava, portal vein, hepatic artery, and common bile duct for implantation
• Check of blood flow through the vessels
• Preparation of the bile duct for implantation

7. Billing guidelines

When billing for CPT 47143, ensure that the provider performs the backbench standard preparation of a liver graft from a cadaver donor before transplantation. This code should not be reported if the liver is split into multiple grafts. It is important to review all the codes in the range of 47133-47147 to ensure accurate coding for backbench preparation services for the liver.

8. Historical information

CPT 47143 was added to the Current Procedural Terminology system on January 1, 2005. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A provider performing the backbench standard preparation of a liver graft from a cadaver donor before transplantation, including the removal of surrounding soft tissues and preparation of the vena cava, portal vein, hepatic artery, and common bile duct for implantation.
2. A surgeon flushing a liver graft with a preserving solution and preparing the bile duct for implantation before transplantation.
3. A transplant team performing a cholecystectomy and checking the blood flow through the vessels of a liver graft before transplantation.
4. A provider removing surrounding soft tissues from a liver graft and preparing the hepatic artery for implantation before transplantation.
5. A surgeon preparing the vena cava, portal vein, and common bile duct for implantation in a liver graft before transplantation.
6. A transplant team preparing a liver graft for implantation by checking the blood flow through the vessels and preparing the bile duct.
7. A provider performing the backbench standard preparation of a liver graft from a cadaver donor before transplantation, including the removal of surrounding soft tissues and preparation of the vena cava, portal vein, hepatic artery, and common bile duct for implantation.
8. A surgeon flushing a liver graft with a preserving solution and preparing the bile duct for implantation before transplantation.
9. A transplant team performing a cholecystectomy and checking the blood flow through the vessels of a liver graft before transplantation.