42815 Excision of neck cyst
Also known as: complex neck cyst removal, difficult cyst excision
Excision (surgical removal) of a cyst of the neck with complex technique involving extensive dissection or difficult anatomy.
In Plain Language
complex surgery to remove a neck cyst; extensive cyst removal surgery
Clinical Context
Performed for neck cysts with complicated anatomy, recurrent lesions, or intimate relationship with important structures. Includes cases requiring extensive dissection or reconstruction.
RVU Breakdown
| Work RVU | 7.13 |
| Total RVU | 7.13 |
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 7.13, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42815?
CPT 42815 (Excision of neck cyst) is a Surgery code. Excision (surgical removal) of a cyst of the neck with complex technique involving extensive dissection or difficult anatomy.
What is the wRVU value for CPT 42815?
The work RVU for CPT 42815 is 7.13. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42815 used?
Performed for neck cysts with complicated anatomy, recurrent lesions, or intimate relationship with important structures. Includes cases requiring extensive dissection or reconstruction.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.