42107 Excision lesion mouth roof
Also known as: palatal lesion excision, extensive palate lesion removal
Surgical excision and removal of a large or extensive lesion from the palate, often requiring complex reconstruction and closure techniques.
In Plain Language
removal of large growth from roof of mouth
Clinical Context
Complex surgical removal of large palatal lesions, malignancies, or extensive pathology requiring significant tissue removal and reconstructive techniques.
RVU Breakdown
| Work RVU | 4.45 |
| Total RVU | 4.45 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.45, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42107?
CPT 42107 (Excision lesion mouth roof) is a Surgery code. Surgical excision and removal of a large or extensive lesion from the palate, often requiring complex reconstruction and closure techniques.
What is the wRVU value for CPT 42107?
The work RVU for CPT 42107 is 4.45. This code is primarily used by Oral Surgery, Dentistry. It has a 90-day global period.
When is CPT 42107 used?
Complex surgical removal of large palatal lesions, malignancies, or extensive pathology requiring significant tissue removal and reconstructive techniques.
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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.