CPT 42205
Reconstruct cleft palate
CPT 42205 at a glance
- Code
- 42205
- Code type
- CPT/HCPCS
- Short descriptor
- Reconstruct cleft palate
- Category
- ASC Surgical
- ASC payment status
- Payable in an ASC (surgical)
- CMS addendum
- AA (Surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is CPT code 42205?
CPT 42205 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Reconstruct cleft palate". In the ASC context it is grouped under ASC Surgical.
Is CPT 42205 payable in an ambulatory surgery center (ASC)?
CPT 42205 appears on Medicare's ASC Covered Procedures List (CMS Addendum AA), so Medicare reimburses it when the surgery is performed in a certified ambulatory surgery center.
Where is CPT 42205 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Which specialties use CPT 42205?
CPT 42205 is most associated with General Surgery.
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.