CPT code 47141 represents a living donor hepatectomy in which the provider performs a total resection of the entire left lobe and places the graft in cold preservation for later transplant. This code captures a complex, high-acuity surgical service central to living-donor liver transplantation programs and carries significant clinical and payment implications for transplant centers nationwide. Key payers relevant to national coverage and payment patterns include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical procedure and site of service, typical payer coverage considerations, and the policy and billing contexts that affect transplant procurement claims. The publication outlines what constitutes the service, common modifiers used in practice, and how CPT code 47141 fits within transplant service lines. Data not available in the input will be noted where applicable. The guide is intended for billing managers, transplant program administrators, and policy analysts seeking a practical reference on coding, expected service settings, and payer engagement for living donor hepatectomy.