42950 Reconstruction of throat
Also known as: pharyngeal reconstruction, throat reconstruction with flap
Reconstruction of the pharynx (throat) including replacement of pharyngeal tissue with flap or graft following resection or trauma.
In Plain Language
surgical reconstruction of throat with tissue graft or transplant; throat reconstruction surgery
Clinical Context
Performed following pharyngeal resection for cancer, trauma, or extensive disease. Restores continuity and function using local, regional, or free flap tissue.
RVU Breakdown
| Work RVU | 8.06 |
| Total RVU | 8.06 |
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 8.06, this code ranks in the 50th percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42950?
CPT 42950 (Reconstruction of throat) is a Surgery code. Reconstruction of the pharynx (throat) including replacement of pharyngeal tissue with flap or graft following resection or trauma.
What is the wRVU value for CPT 42950?
The work RVU for CPT 42950 is 8.06. This code is primarily used by Otolaryngology, Head and Neck Surgery. It has a 90-day global period.
When is CPT 42950 used?
Performed following pharyngeal resection for cancer, trauma, or extensive disease. Restores continuity and function using local, regional, or free flap tissue.
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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.