42826 Removal of tonsils
Also known as: pediatric tonsillectomy, child tonsil removal, tonsillectomy age 12 or older, adult tonsillectomy
Removal of tonsils only (bilateral tonsilectomy) via transoral approach in patient younger than 12 years.
Clinical Context
Indicated for recurrent infections or obstructive sleep apnea in children. Performed with pediatric-specific techniques and anesthetic considerations.
RVU Breakdown
| Work RVU | 3.36 |
| Practice Expense RVU | 3.09 |
| Malpractice RVU | 0.48 |
| Total RVU | 6.93 |
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.