Physician codes 42100 to 42999 with Medicaid rates by state

29 physician codes from 42100 to 42999 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.

CodeDescriptionStatesMedian rate
42100Biopsy of the palate or uvula48$114.45
42140Removal of the uvula48$204.67
42145Palate and throat surgery for snoring or sleep apnea (UPPP)48$533.73
42200Cleft palate repair48$700.10
42215Cleft palate repair, major revision48$567.33
42299Unlisted palate or uvula procedure10$179.87
42400Salivary gland needle biopsy47$75.87
42440Removal of the submandibular salivary gland48$379.16
42550Injection for a salivary gland X-ray47$120.17
42600Closure of a salivary fistula47$423.18
42650Stretching of a salivary duct47$59.20
42665Tying off a salivary duct47$251.73
42699Unlisted salivary gland procedure11$196.69
42700Drainage of a tonsil abscess48$150.61
42809Removal of a foreign body from the throat48$144.69
42820Tonsil and adenoid removal, under age 1248$230.69
42821Tonsil and adenoid removal, age 12+48$244.94
42825Tonsil removal, under age 1248$209.25
42826Tonsil removal, age 12+48$209.30
42830Adenoid removal, under age 1248$166.85
42831Adenoid removal, age 12 and over48$185.86
42835Repeat adenoid removal, under age 1248$152.32
42836Repeat adenoid removal, age 12 and over48$198.62
42860Removal of tonsil remnants48$149.36
42870Removal of the tongue-base tonsil48$444.57
42900Repair of a throat wound47$273.80
42960Control of throat bleeding, simple48$121.59
42975Sleep endoscopy under sedation for sleep apnea41$87.14
42999Unlisted throat, adenoid or tonsil procedure12$187.44

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.