42890 Limited pharyngectomy
Also known as: partial pharyngectomy, limited pharynx removal
Limited pharyngectomy (partial removal of pharyngeal tissue) with surgical resection of pharyngeal wall or partial pharynx.
In Plain Language
surgical removal of part of the throat; partial throat removal surgery
Clinical Context
Performed for pharyngeal malignancy, stenosis, or diverticulum. Limited scope preserves maximum pharyngeal function while removing disease.
RVU Breakdown
| Work RVU | 18.65 |
| Total RVU | 18.65 |
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 18.65, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42890?
CPT 42890 (Limited pharyngectomy) is a Surgery code. Limited pharyngectomy (partial removal of pharyngeal tissue) with surgical resection of pharyngeal wall or partial pharynx.
What is the wRVU value for CPT 42890?
The work RVU for CPT 42890 is 18.65. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42890 used?
Performed for pharyngeal malignancy, stenosis, or diverticulum. Limited scope preserves maximum pharyngeal function while removing disease.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.