42600 Closure of salivary fistula
Also known as: fistula closure, fistula repair
Surgical closure of an oronasal fistula or salivary fistula by primary closure, flap reconstruction, or tissue rearrangement.
In Plain Language
closure of abnormal opening from mouth
Clinical Context
Surgical repair of salivary fistula from trauma, post-operative complication, or infection causing drainage from oral cavity to skin.
RVU Breakdown
| Work RVU | 4.82 |
| Total RVU | 4.82 |
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 4.82, this code ranks in the 33rd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42600?
CPT 42600 (Closure of salivary fistula) is a Surgery code. Surgical closure of an oronasal fistula or salivary fistula by primary closure, flap reconstruction, or tissue rearrangement.
What is the wRVU value for CPT 42600?
The work RVU for CPT 42600 is 4.82. This code is primarily used by Oral Surgery, Dentistry. It has a 90-day global period.
When is CPT 42600 used?
Surgical repair of salivary fistula from trauma, post-operative complication, or infection causing drainage from oral cavity to skin.
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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.