Reconstruct cleft palate

2025 Medicare reimbursement data for CPT 42215.

Non-facility rate

$688.98

2025 Medicare national average

Facility rate

$688.98

2025 Medicare national average

RVU breakdown

Work RVU

8.99

PE RVU (NF)

10.67

MP RVU

1.64

Total RVU

21.3

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

Detailed guide coming soon.

Rate data above is live and current. Full billing guide for this code is being generated.