42831 Removal of adenoids
Also known as: pediatric adenoidectomy, child adenoid removal
Removal of adenoids only (adenoidectomy) via transoral approach in patient younger than 12 years.
In Plain Language
removal of adenoid glands in children; adenoid surgery for kids
Clinical Context
Indicated for adenoid hypertrophy causing obstructive sleep apnea, nasal obstruction, or recurrent otitis media. Common pediatric procedure often combined with tympanostomy tubes.
RVU Breakdown
| Work RVU | 2.74 |
| Total RVU | 2.74 |
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 2.74, this code ranks in the 19th percentile among Surgery codes — 2.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42831?
CPT 42831 (Removal of adenoids) is a Surgery code. Removal of adenoids only (adenoidectomy) via transoral approach in patient younger than 12 years.
What is the wRVU value for CPT 42831?
The work RVU for CPT 42831 is 2.74. This code is primarily used by Otolaryngology, Pediatric Surgery. It has a 90-day global period.
When is CPT 42831 used?
Indicated for adenoid hypertrophy causing obstructive sleep apnea, nasal obstruction, or recurrent otitis media. Common pediatric procedure often combined with tympanostomy tubes.
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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.