CPT 42725
Incision & drainage abscess phrngl external appr
Last reviewed August 2026 · DataLily AI data team
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CPT 42725 at a glance
- Code
- 42725
- Code type
- CPT/HCPCS
- Short descriptor
- I&d absc phrngl xtrnl appr
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $3,025.62 national · 2026Q2
What is CPT code 42725?
CPT 42725 is a CPT/HCPCS procedure code for incision & drainage abscess phrngl external appr. Its official short descriptor is "I&d absc phrngl xtrnl appr". In the ASC context it is grouped under ASC Surgical.
Is CPT 42725 eligible in an ambulatory surgery center (ASC)?
CPT 42725 can be performed in a certified ambulatory surgery center.
Where is CPT 42725 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 42725?
The national Medicare ASC payment rate for CPT 42725 is $3,025.62 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 42725?
CPT 42725 is most associated with General Surgery.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.