CPT Code 42830: Initial Adenoidectomy, Primary or Secondary; Younger Than Age 12

No. CPT code 42830 applies exclusively to patients younger than age 12. For patients aged 12 or older, codes 42831 (adenoidectomy alone) or 42826 (tonsillectomy and adenoidectomy) are more appropriate.

Yes. CPT code 42830 covers adenoidectomy alone. If combined with tonsillectomy, use code 42825 for patients younger than age 12.

Yes, if postoperative bleeding necessitates a return to the operating room, separate billing with codes such as 42960–42961 is appropriate.