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42820 Remove tonsils and adenoids

Surgery Global 90d

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 RVU4.11
Practice Expense RVU3.11
Malpractice RVU0.59
Total RVU7.81

Est. Medicare Payment

$260.85

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Otolaryngology

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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.