42425 Excise parotid gland/lesion
Also known as: parotidectomy with neck dissection
Surgical excision of the parotid gland with additional resection of affected lymph nodes or surrounding structures involved in malignancy.
In Plain Language
removal of parotid gland and lymph nodes
Clinical Context
Parotid surgery combined with neck dissection for parotid malignancy with nodal involvement requiring en bloc resection.
RVU Breakdown
| Work RVU | 13.08 |
| Total RVU | 13.08 |
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 13.08, this code ranks in the 68th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42425?
CPT 42425 (Excise parotid gland/lesion) is a Surgery code. Surgical excision of the parotid gland with additional resection of affected lymph nodes or surrounding structures involved in malignancy.
What is the wRVU value for CPT 42425?
The work RVU for CPT 42425 is 13.08. This code is primarily used by Oral Surgery, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42425 used?
Parotid surgery combined with neck dissection for parotid malignancy with nodal involvement requiring en bloc 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.