42650 Dilation of salivary duct
Also known as: duct dilation, salivary duct dilation
Surgical dilation of a salivary gland duct obstruction using instruments or catheterization to restore salivary flow.
In Plain Language
widening of salivary duct opening
Clinical Context
Non-surgical or minimally invasive treatment of salivary duct obstruction or stenosis by dilation to restore salivary gland function.
RVU Breakdown
| Work RVU | 0.75 |
| Total RVU | 0.75 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.75, this code ranks in the 2nd percentile among Surgery codes — 10.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42650?
CPT 42650 (Dilation of salivary duct) is a Surgery code. Surgical dilation of a salivary gland duct obstruction using instruments or catheterization to restore salivary flow.
What is the wRVU value for CPT 42650?
The work RVU for CPT 42650 is 0.75. This code is primarily used by Oral Surgery, Dentistry.
When is CPT 42650 used?
Non-surgical or minimally invasive treatment of salivary duct obstruction or stenosis by dilation to restore salivary gland function.
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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.