42145 Repair palate pharynx/uvula
Also known as: palate repair, pharyngeal repair, palatoplasty
Surgical repair and reconstruction of defects or damage to the soft palate, pharynx, and uvula using primary closure or tissue rearrangement techniques.
In Plain Language
repair of soft palate and throat; palate reconstruction surgery
Clinical Context
Performed for palatal insufficiency, pharyngeal fistula, traumatic defects, or post-operative reconstruction after tumor resection.
RVU Breakdown
| Work RVU | 9.54 |
| Total RVU | 9.54 |
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 9.54, this code ranks in the 57th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42145?
CPT 42145 (Repair palate pharynx/uvula) is a Surgery code. Surgical repair and reconstruction of defects or damage to the soft palate, pharynx, and uvula using primary closure or tissue rearrangement techniques.
What is the wRVU value for CPT 42145?
The work RVU for CPT 42145 is 9.54. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 42145 used?
Performed for palatal insufficiency, pharyngeal fistula, traumatic defects, or post-operative reconstruction after tumor resection.
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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.