42820 Remove tonsils and adenoids
Also known as: T&A, tonsil and adenoid removal, tonsilloadenoidectomy, tonsillectomy under age 12, T&A pediatric
Removal of both tonsils and adenoids (bilateral tonsilloadenoidectomy) via transoral approach without additional complications or advanced technique.
Clinical Context
Indicated for obstructive sleep apnea, recurrent pharyngitis, adenotonsillar hypertrophy with airway compromise, or malignancy. One of the most common pediatric surgeries.
RVU Breakdown
| Work RVU | 4.11 |
| Practice Expense RVU | 3.11 |
| Malpractice RVU | 0.59 |
| Total RVU | 7.81 |
Est. Medicare Payment
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.