42836 Removal of adenoids
Also known as: complex adenoidectomy, adenoidectomy with additional procedure
Removal of adenoids only (adenoidectomy) via transoral approach with advanced technique or significant additional procedure.
In Plain Language
extensive adenoid removal surgery; adenoid removal with additional work
Clinical Context
Performed when adenoidectomy is combined with other procedures or requires advanced techniques. Includes cases with significant bleeding, extensive adhesions, or concurrent procedures.
RVU Breakdown
| Work RVU | 3.18 |
| Total RVU | 3.18 |
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 3.18, this code ranks in the 22nd percentile among Surgery codes — 2.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42836?
CPT 42836 (Removal of adenoids) is a Surgery code. Removal of adenoids only (adenoidectomy) via transoral approach with advanced technique or significant additional procedure.
What is the wRVU value for CPT 42836?
The work RVU for CPT 42836 is 3.18. This code is primarily used by Otolaryngology. It has a 90-day global period.
When is CPT 42836 used?
Performed when adenoidectomy is combined with other procedures or requires advanced techniques. Includes cases with significant bleeding, extensive adhesions, or concurrent procedures.
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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.