42235 Repair palate
Also known as: palate repair, soft palate repair
Surgical repair of the soft palate to restore function, typically addressing palatal insufficiency, fistula, or post-operative complications.
In Plain Language
repair of soft palate
Clinical Context
Revision or definitive repair of soft palate defects including insufficiency causing velopharyngeal dysfunction, fistulas, or speech problems.
RVU Breakdown
| Work RVU | 7.81 |
| Total RVU | 7.81 |
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 7.81, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42235?
CPT 42235 (Repair palate) is a Surgery code. Surgical repair of the soft palate to restore function, typically addressing palatal insufficiency, fistula, or post-operative complications.
What is the wRVU value for CPT 42235?
The work RVU for CPT 42235 is 7.81. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 42235 used?
Revision or definitive repair of soft palate defects including insufficiency causing velopharyngeal dysfunction, fistulas, or speech problems.
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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.