Anthem Blue Cross Blue Shield of California policy
Liver Transplantation
Liver Transplantation is a public Anthem Blue Cross Blue Shield of California policy (policy TRANS.00008). It lists 11 CPT or HCPCS codes, 11 of them on the Anthem Blue Cross Blue Shield of California prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- TRANS.00008
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross Blue Shield of California prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of California policies |
|---|---|---|---|
| 00796 | On the list | Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient) | Policies naming 00796 |
| 47133 | On the list | Donor hepatectomy, (including cold preservation), from cadaver donor | Policies naming 47133 |
| 47135 | On the list | Liver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any age | Policies naming 47135 |
| 47140 | On the list | Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) | Policies naming 47140 |
| 47141 | On the list | Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III, IV) | Policies naming 47141 |
| 47142 | On the list | Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) | Policies naming 47142 |
| 47143 | On the list | Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; without trisegment or lobe split | Policies naming 47143 |
| 47144 | On the list | Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; with trisegment split of whole liver graft into 2 partial liver grafts (i.e., left lateral segment [segments II and III] and right trisegment [segments I and IV through VIII]) | Policies naming 47144 |
| 47145 | On the list | Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; with lobe split of whole liver graft into 2 partial liver grafts (i.e., left lobe [segments II, III, and IV] and right lobe [segments I and V through VIII]) | Policies naming 47145 |
| 47146 | On the list | Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each | Policies naming 47146 |
| 47147 | On the list | Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each | Policies naming 47147 |
All Anthem Blue Cross Blue Shield of California policies · Anthem Blue Cross Blue Shield of California prior authorization CPT list