42426 Excise parotid gland/lesion
Also known as: parotidectomy with reconstruction
Surgical excision of the parotid gland with extensive resection including reconstruction of facial nerve or other structures with grafting procedures.
In Plain Language
parotid removal with reconstruction surgery
Clinical Context
Complex parotidectomy for extensive malignancy or recurrent disease with facial nerve reconstruction or composite resection.
RVU Breakdown
| Work RVU | 22.09 |
| Total RVU | 22.09 |
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 22.09, this code ranks in the 85th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42426?
CPT 42426 (Excise parotid gland/lesion) is a Surgery code. Surgical excision of the parotid gland with extensive resection including reconstruction of facial nerve or other structures with grafting procedures.
What is the wRVU value for CPT 42426?
The work RVU for CPT 42426 is 22.09. This code is primarily used by Oral Surgery, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42426 used?
Complex parotidectomy for extensive malignancy or recurrent disease with facial nerve reconstruction or composite 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.