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42842 Extensive surgery of throat

Surgery Global 90d

Also known as: pharyngeal reconstruction, throat reconstruction

Extensive surgical reconstruction of the pharynx (throat) with moderate complexity, including possible flap reconstruction or mucosal advancement.

In Plain Language

extensive throat reconstruction surgery; complex throat repair

Clinical Context

Performed for pharyngeal stenosis, fistula, post-cancer resection reconstruction, or traumatic pharyngeal injury. Requires expertise in reconstructive techniques.

RVU Breakdown

Work RVU11.92
Total RVU11.92

Est. Medicare Payment

$398.13

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 11.92, this code ranks in the 65th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

OtolaryngologyHead and Neck Surgery

Frequently Asked Questions

What is CPT code 42842?

CPT 42842 (Extensive surgery of throat) is a Surgery code. Extensive surgical reconstruction of the pharynx (throat) with moderate complexity, including possible flap reconstruction or mucosal advancement.

What is the wRVU value for CPT 42842?

The work RVU for CPT 42842 is 11.92. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.

When is CPT 42842 used?

Performed for pharyngeal stenosis, fistula, post-cancer resection reconstruction, or traumatic pharyngeal injury. Requires expertise in reconstructive techniques.

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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.