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42220 Reconstruct cleft palate

Surgery Global 90d

Also known as: cleft palate repair, palate reconstruction

Surgical reconstruction of a cleft palate with specific attention to restoring normal anatomic relationships and function.

Clinical Context

Primary or secondary cleft palate reconstruction in pediatric or adult patients to restore anatomic form and functional swallowing and speech.

RVU Breakdown

Work RVU6.98
Practice Expense RVU7.87
Malpractice RVU1.30
Total RVU16.15

Est. Medicare Payment

$539.41

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Oral SurgeryPlastic Surgery

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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.