42200 Reconstruct cleft palate
Also known as: cleft palate repair, palate repair, cleft palate surgery
Surgical reconstruction of a cleft palate, a congenital developmental defect where the soft palate structures fail to fuse in the midline.
Clinical Context
Primary surgical repair of isolated cleft palate in infants and children, typically performed between 6-12 months of age to restore function and appearance.
RVU Breakdown
| Work RVU | 12.22 |
| Practice Expense RVU | 10.74 |
| Malpractice RVU | 2.27 |
| Total RVU | 25.23 |
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.