CPT code 42699: Salivary procedure, unlisted procedure2026 Medicare rate & RVUs in Montana

CMS doesn’t publish a rate for 42699 in Montana.

Check a contract rate as a % of Medicare · 42699 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 42699 covers

CPT 42699 is used for an operation involving a salivary gland or duct when the procedure performed does not match a more specific listed CPT code. Otolaryngologists and oral and maxillofacial surgeons may report it for an uncommon or technically distinct procedure in an operating room or, less often, an office setting. It is not a substitute for a listed code simply because the service is unusual; the actual work must be outside the scope of available specific codes.

Medicare assigns this code Physician Fee Schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The claim should identify the operation and include supporting operative documentation for the contractor’s review. The contractor sets the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 42699

Every other payment area

42699 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 42699 in every payment locality

How the 42699 rate is calculated

Each of 42699’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 42699

The CMS indicators that decide how 42699 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 42699

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 42699 has changed in Montana

Price 42699 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates