42665 Ligation of salivary duct
Also known as: duct ligation, salivary duct ligation
Surgical ligation and division of a salivary duct to divert or interrupt salivary flow, typically for Frey syndrome or chronic sialadenitis.
In Plain Language
tying off salivary duct
Clinical Context
Surgical interruption of salivary duct flow for management of gustatory sweating, fistula, or sialadenitis.
RVU Breakdown
| Work RVU | 2.56 |
| Total RVU | 2.56 |
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 2.56, this code ranks in the 18th percentile among Surgery codes — 3.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42665?
CPT 42665 (Ligation of salivary duct) is a Surgery code. Surgical ligation and division of a salivary duct to divert or interrupt salivary flow, typically for Frey syndrome or chronic sialadenitis.
What is the wRVU value for CPT 42665?
The work RVU for CPT 42665 is 2.56. This code is primarily used by Oral Surgery, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42665 used?
Surgical interruption of salivary duct flow for management of gustatory sweating, fistula, or sialadenitis.
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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.