42260 Repair nose to lip fistula
Surgery
Global 90d
Also known as: fistula repair, oro-nasal fistula closure
Surgical repair of an oronasal fistula, an abnormal communication between the mouth and nasal cavity, by primary closure or tissue reconstruction.
Clinical Context
Surgical correction of fistula from cleft palate, trauma, infection, or post-operative complications affecting palate and nasal structures.
RVU Breakdown
| Work RVU | 9.96 |
| Practice Expense RVU | 14.12 |
| Malpractice RVU | 1.45 |
| Total RVU | 25.53 |
Est. Medicare Payment
$852.70
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.