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47146 Prep donor liver/venous

Surgery

Also known as: venous reconstruction, hepatic vein preservation, donor liver venous prep

Preparation of donor liver with venous reconstruction or preservation of hepatic venous outflow.

In Plain Language

preparing a donor liver with special venous care; liver preparation with vein reconstruction

Clinical Context

Performed for complex splits or unusual vascular anatomy requiring venous reconstruction to maintain graft perfusion.

RVU Breakdown

Work RVU5.85
Total RVU5.85

Est. Medicare Payment

$195.39

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 5.85, this code ranks in the 39th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Transplant Surgery

Frequently Asked Questions

What is CPT code 47146?

CPT 47146 (Prep donor liver/venous) is a Surgery code. Preparation of donor liver with venous reconstruction or preservation of hepatic venous outflow.

What is the wRVU value for CPT 47146?

The work RVU for CPT 47146 is 5.85. This code is primarily used by Transplant Surgery.

When is CPT 47146 used?

Performed for complex splits or unusual vascular anatomy requiring venous reconstruction to maintain graft perfusion.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.