42100 Biopsy roof of mouth
Surgery
Global 10d
Also known as: palate biopsy, palatal biopsy
Surgical procedure to obtain a tissue sample through biopsy from the mucous membrane of the roof of the mouth (hard palate or soft palate).
Clinical Context
Diagnostic procedure performed when suspicious lesions appear on palate to establish histologic diagnosis of ulcers, masses, or other pathology.
RVU Breakdown
| Work RVU | 1.33 |
| Practice Expense RVU | 2.98 |
| Malpractice RVU | 0.18 |
| Total RVU | 4.49 |
Est. Medicare Payment
$149.97
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.