42894 Revision of pharyngeal walls
Also known as: extensive pharyngeal revision, complex pharynx revision
Revision (re-operation or reconstruction) of pharyngeal walls following previous surgery with extensive reconstruction and complex technique.
In Plain Language
extensive revision surgery of throat walls; major redo throat surgery
Clinical Context
Performed for complex pharyngeal complications requiring extensive reconstruction. May involve free flap transfer, multiple-stage approach, or extensive myocutaneous flap.
RVU Breakdown
| Work RVU | 33.07 |
| Total RVU | 33.07 |
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 33.07, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42894?
CPT 42894 (Revision of pharyngeal walls) is a Surgery code. Revision (re-operation or reconstruction) of pharyngeal walls following previous surgery with extensive reconstruction and complex technique.
What is the wRVU value for CPT 42894?
The work RVU for CPT 42894 is 33.07. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42894 used?
Performed for complex pharyngeal complications requiring extensive reconstruction. May involve free flap transfer, multiple-stage approach, or extensive myocutaneous flap.
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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.