Removal of tonsils and adenoid glands patient younger than age 12

CPT Code: 42820

This payment estimate is for a typical 1-day episode of care. All services related to the surgery are included, such as anesthesia, administered medications, medical and surgical supplies, x-rays, surgeon fees, and therapeutic procedures. The services are provided by a variety of healthcare providers and settings. The payment estimate is attributed to the healthcare setting that was paid the most, usually the one where the surgery took place.

General surgery can be identified by many CPT Codes that have small variations from each other. The Methodology for Reporting Bundled Episodes of Care details the complete list of codes included in this bundled episode.

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