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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 82 - Assistant surgeon - no qualified resident GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 47142 |
| Medicaid Fee Schedule | View Medicaid rates for 47142 |
National average reimbursement for CPT 47142 by major payers:

$6,204.89

$6,242.18

$6,504.52

$7,450.18
Choose a payer to see a sample of rates for CPT 47142.
Baptist Health Surgery Center LLC
Northwest Orthopaedic Specialists, P.S.
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 47142 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47142 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 47142 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 47135-CPT | High | Liver Allotransplant; Orthotopic Partial Or Whole From Cadaver, Liver Allotransplantation; Orthotopic Partial Or Whole From Cadaver |
| 47141-CPT | High | Donor Hepatectomy With Prepara, Donor Hepatectomy With Preparation And Maintenanceof Allograft From Living Donortotal Left Lobectomy (Segment Ii Iii And Iv) |
| 47142-CPT | High | Donor Hepatectomy With Prepara, Donor Hepatectomy With Preparation And Maintenanceof Allograft From Living Donortotal Righ Lobectomy (Segment V Vi And Viii) |
| 47145-CPT | Moderate | Prep Donor Liver Lobe Split, 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 With Lobe Split Of Whole Liver Graft Into 2 Partial Liver Grafts Ie Left Lobe Segments Ii Iii And Iv And Right Lobe Segments I And V Through Viii |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47142. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47142 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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