CPT code 47142 designates the surgical harvest of the right lobe of the liver from a living donor for use in a separately reportable transplant. This code captures a high-complexity, resource-intensive living-donor organ procurement procedure that has implications for transplant program reporting, intraoperative resource allocation, and payer coverage policy nationally. Coverage and payment practices for living-donor organ procurement vary by payer and influence transplant center financial planning and patient cost exposure.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical and billing definition, typical site-of-service expectations, commonly reported modifiers, and how major payers approach coverage for living-donor liver procurement. The publication also summarizes benchmarks relevant to hospital billing lines, notes common documentation elements needed to support claims, and highlights recent policy updates affecting organ procurement billing where applicable.

This briefing is intended for hospital billing leaders, transplant program administrators, and payer policy analysts seeking a clear, national-level reference on the clinical meaning and billing context of CPT code 47142.