CPT® Code 42836

Adenoidectomy, specifically coded as CPT® Code 42836, refers to the surgical procedure for the removal of adenoid tissue in patients aged 12 years or older. This procedure is classified as a secondary adenoidectomy, which indicates that it is performed after a previous adenoidectomy, either due to the presence of residual adenoid tissue or regrowth of the adenoids. The adenoids are lymphatic tissues located in the nasopharynx, and their removal may be necessary when they cause obstructive symptoms or recurrent infections. During the procedure, a mouth prop is utilized to maintain an open surgical field, allowing the physician to access the adenoids effectively. The resection of the adenoids can be accomplished using various instruments, including an adenotome, adenoid curette, or microdebrider, and in some cases, a laser may be employed to vaporize the tissue. The technique involves careful retraction of the soft palate and precise manipulation of the selected instrument to ensure complete removal of the adenoid tissue while minimizing trauma to surrounding structures. This procedure is critical for alleviating symptoms associated with adenoid hypertrophy, such as nasal obstruction, sleep apnea, and recurrent otitis media.