Biopsy of upper nose/throat

2025 Medicare reimbursement data for CPT 42804.

Non-facility rate

$207.99

2025 Medicare national average

Facility rate

$120.65

2025 Medicare national average

RVU breakdown

Work RVU

1.29

PE RVU (NF)

4.96

MP RVU

0.18

Total RVU

6.43

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.