42845 Extensive surgery of throat
Also known as: major pharyngeal reconstruction, free flap pharyngeal reconstruction
Extensive surgical reconstruction of the pharynx (throat) with maximum complexity including free tissue transfer, composite reconstruction, or multistage procedure.
Clinical Context
Performed for major pharyngeal defects including post-cancer reconstruction, severe stenosis, or complex fistulae requiring free tissue transfer. Highest complexity reconstruction.
RVU Breakdown
| Work RVU | 31.75 |
| Practice Expense RVU | 21.39 |
| Malpractice RVU | 4.64 |
| Total RVU | 57.78 |
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.