42806 Biopsy of upper nose/throat
Surgery
Global 10d
Also known as: complex pharyngeal biopsy, difficult nasopharyngeal biopsy
Biopsy of the nasopharynx and oropharynx with increased complexity or difficult access technique.
Clinical Context
Used for more challenging nasopharyngeal biopsies requiring specialized technique or equipment. Indicated for lesions in difficult anatomic locations or with limited access.
RVU Breakdown
| Work RVU | 1.59 |
| Practice Expense RVU | 5.39 |
| Malpractice RVU | 0.22 |
| Total RVU | 7.20 |
Est. Medicare Payment
$240.48
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.