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CPT 47130: Hepatectomy, Right Lobe Resection
CPT code 47130 represents a hepatectomy involving resection of liver tissue, including total removal of the right hepatic lobe. This major abdominal surgical code is central to management of metastatic liver disease, large benign hepatic tumors, and severe hepatic trauma. Nationally, hepatectomy volume and access to specialized hepatobiliary surgery have implications for resource allocation, perioperative care protocols, and payer coverage policies.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context for the procedure, typical settings of care, and what to expect in payer coverage discussions. The publication covers benchmarks for utilization and reimbursement patterns where available, recent policy updates affecting prior authorization and surgical authorization workflows, and how clinical indications align with billing practices.
Intended for clinicians, coding professionals, and policy analysts, the piece clarifies the clinical and administrative contours of 47130, highlights common documentation elements that support coding for major hepatic resection, and summarizes areas where policy or payment rules commonly influence surgical authorization and hospital billing practices. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 47130 describes a hepatectomy — surgical resection of a portion of the liver, specifically including total resection of the right hepatic lobe. The procedure is performed for indications such as metastatic malignancy to the liver, large benign lesions (for example, hepatic adenoma or substantial hemangioma), or significant traumatic injury to the liver.
Service Type: Surgical procedure — major abdominal/hepatobiliary surgery
Typical Site of Service: Inpatient hospital operating room