42821 Remove tonsils and adenoids
Also known as: pediatric T&A, child tonsil and adenoid removal
Removal of both tonsils and adenoids (bilateral tonsilloadenoidectomy) via transoral approach in patients younger than 12 years.
Clinical Context
Common pediatric procedure indicated for obstructive sleep apnea, recurrent infections, or adenotonsillar hypertrophy. Performed in young children with different anesthetic and surgical considerations.
RVU Breakdown
| Work RVU | 4.25 |
| Practice Expense RVU | 3.29 |
| Malpractice RVU | 0.61 |
| Total RVU | 8.15 |
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.