21616 excision first and/or crv rib with sympth
Also known as: first rib resection with sympathectomy, cervical rib removal with sympathetic resection
Excision of first and/or cervical rib with sympathetic chain resection. Surgical removal of cervical rib or first rib combined with resection of cervical sympathetic chain for thoracic outlet syndrome with sympathetic involvement.
Clinical Context
Used for thoracic outlet syndrome with associated sympathetic dysfunction or stellate ganglion involvement. Combination procedure addresses both structural compression and sympathetic-mediated symptoms.
RVU Breakdown
| Work RVU | 12.37 |
| Practice Expense RVU | 4.41 |
| Malpractice RVU | 3.16 |
| Total RVU | 19.94 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.