Cigna prior authorization for 47144: 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 (ie, left lateral segment [segments II and III] and right trisegment [segments I and IV through VIII])
Code
47144
Description
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 (ie, left lateral segment [segments II and III] and right
trisegment [segments I and IV through VIII])
Source
Master Precertification List
For Health Care Providers, Pg 46 Original policy
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