Summary & Overview
HCPCS S2061: Donor Lobectomy (Lung) for Transplantation, Living Donor
HCPCS Level II code S2061 denotes a living donor lung lobectomy performed to procure a lobe for transplantation. This code captures a specialized surgical service integral to lung transplant programs and living-donor transplant pathways. Nationally, accurate coding of donor procedures supports program quality measures, transplant registry reporting, and payer authorization and coverage determinations.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for living donor lobectomy, benchmarking reference points where available, and a discussion of relevant policy and coverage considerations affecting authorization and payment processes. The publication highlights coding intent, typical site of service, and the role of this code in transplant workflows.
The content is designed to inform billing managers, transplant program administrators, and revenue cycle staff about the purpose of S2061, common payer coverage considerations, and where to look for additional policy details. Data not available in the input will be noted where applicable; the piece does not provide clinical recommendations.
Billing Code Overview
HCPCS Level II code S2061 describes a donor lobectomy (lung) for transplantation, living donor. This procedure involves surgical removal of a lung lobe from a living donor for the purpose of transplanting that lobe into a recipient.
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Service type: Surgical procedure — living donor lobectomy for lung transplantation
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Typical site of service: Inpatient hospital surgical setting, often within a tertiary care center or transplant hospital
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Clinical & Coding Specifications
Clinical Context
A 28-year-old otherwise healthy living lung donor is evaluated and selected to undergo a donor lobectomy for transplantation (S2061). The donor presents to a tertiary academic transplant center. Preoperative workup includes pulmonary function testing, high-resolution chest CT, ABO and HLA compatibility testing, crossmatch, infectious disease screening, and multidisciplinary review by transplant surgery, pulmonary medicine, and anesthesiology. On the day of surgery the donor is admitted to the inpatient surgical unit. The procedure is performed in an operating room under general anesthesia with single-lung ventilation. A thoracic surgeon performs a lobectomy (typically a lower lobe) via video-assisted thoracoscopic surgery (VATS) or an open thoracotomy depending on anatomy and intraoperative findings. Intraoperative care includes anesthetic management, arterial and central venous monitoring, and surgical teams for donor and recipient coordination. The excised donor lobe is immediately transferred to the recipient operating room for implantation. Postoperative care occurs in a monitored setting (post-anesthesia care unit progressing to inpatient surgical ward or ICU) with pain control, pulmonary toilet, chest tube management, and surveillance for complications such as bleeding, pneumothorax, infection, or donor-specific immune issues. Documentation includes donor consent, organ procurement and transfer records, operative report with laterality and technique, time out and transplant coordination notes, and hospital discharge summary detailing follow-up and activity restrictions.
Coding Specifications
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