42804 Biopsy of upper nose/throat
Surgery
Global 10d
Also known as: nasopharyngeal biopsy, oropharyngeal biopsy
Biopsy of the nasopharynx and oropharynx (upper throat regions) tissue sampling.
Clinical Context
Used for evaluation of nasopharyngeal or oropharyngeal lesions. Commonly performed for suspected nasopharyngeal carcinoma, adenoid pathology, or persistent symptoms.
RVU Breakdown
| Work RVU | 1.26 |
| Practice Expense RVU | 5.01 |
| Malpractice RVU | 0.18 |
| Total RVU | 6.45 |
Est. Medicare Payment
$215.43
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.