42844 Extensive surgery of throat
Also known as: complex pharyngeal reconstruction, advanced throat reconstruction
Extensive surgical reconstruction of the pharynx (throat) with significant complexity, including complex flap reconstruction or multiple-stage approach.
In Plain Language
complex extensive throat surgery; major throat reconstruction
Clinical Context
Performed for complex pharyngeal pathology including post-laryngopharyngectomy reconstruction, severe stenosis, or complex fistulae. Often involves free flap or pedicled flap reconstruction.
RVU Breakdown
| Work RVU | 17.34 |
| Total RVU | 17.34 |
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 17.34, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42844?
CPT 42844 (Extensive surgery of throat) is a Surgery code. Extensive surgical reconstruction of the pharynx (throat) with significant complexity, including complex flap reconstruction or multiple-stage approach.
What is the wRVU value for CPT 42844?
The work RVU for CPT 42844 is 17.34. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42844 used?
Performed for complex pharyngeal pathology including post-laryngopharyngectomy reconstruction, severe stenosis, or complex fistulae. Often involves free flap or pedicled flap reconstruction.
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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.