CPT code 62142: Cranial implant removal, bone flap or prosthetic plate2026 Medicare rate & RVUs in Puerto Rico
Report removal of an existing skull bone flap or prosthetic plate, such as during neurosurgical treatment of an infected or exposed cranial implant.
In Puerto Rico, Medicare pays $902.80 for 62142 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 62142 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 62142 covers
A neurosurgeon removes a previously placed bone flap or prosthetic plate from the skull. This may be part of treating a complication such as infection, exposure, or wound breakdown. The service is generally performed in an operating room, often in a hospital, and concerns removal of the cranial material rather than repair of a skull defect by itself.
Report the code when the operative note supports removal of the existing bone flap or plate, identifying the material and the work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
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 Puerto Rico compares for 62142
Across 109 of 109 payment localities, the facility rate for 62142 runs from $775.08 in Arkansas to $1,152.92 in Miami, FL. Puerto Rico pays $902.80. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$902.80
- Los Angeles, CA · California$930.95+$28.15
- Washington, DC area · District of Columbia$1,003.73+$100.93
- Miami, FL · Florida$1,152.92+$250.12
- Chicago, IL · Illinois$1,106.36+$203.56
- Manhattan, NY · New York$1,075.11+$172.31
- Alaska · Alaska$1,047.60+$144.80
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $788.76 |
| ArkansasArkansas | — | $775.08 |
| ArizonaArizona | — | $867.65 |
| Bakersfield, CACalifornia | — | $882.54 |
| Chico, CACalifornia | — | $870.45 |
| El Centro, CACalifornia | — | $871.23 |
| Fresno, CACalifornia | — | $870.45 |
| Hanford, CACalifornia | — | $870.45 |
| Madera, CACalifornia | — | $870.45 |
| Merced, CACalifornia | — | $870.45 |
| Modesto, CACalifornia | — | $870.45 |
| Napa, CACalifornia | — | $963.99 |
| Oxnard, CACalifornia | — | $919.23 |
| Redding, CACalifornia | — | $870.45 |
| Rest of CaliforniaCalifornia | — | $870.45 |
| Riverside, CACalifornia | — | $919.97 |
| Sacramento, CACalifornia | — | $901.96 |
| Salinas, CACalifornia | — | $898.59 |
| San Diego, CACalifornia | — | $912.50 |
| Marin County, CACalifornia | — | $1,001.93 |
| San Francisco, CACalifornia | — | $996.66 |
| San Benito County, CACalifornia | — | $1,031.20 |
| Santa Clara County, CACalifornia | — | $1,009.66 |
| San Luis Obispo, CACalifornia | — | $885.98 |
| Santa Cruz, CACalifornia | — | $914.96 |
| Santa Maria, CACalifornia | — | $899.97 |
| Santa Rosa, CACalifornia | — | $923.12 |
| Stockton, CACalifornia | — | $870.45 |
| Vallejo, CACalifornia | — | $956.39 |
| Visalia, CACalifornia | — | $870.45 |
| Yuba City, CACalifornia | — | $870.45 |
| ColoradoColorado | — | $894.95 |
| ConnecticutConnecticut | — | $969.21 |
| DelawareDelaware | — | $883.10 |
| Fort Lauderdale, FLFlorida | — | $1,031.07 |
| Rest of FloridaFlorida | — | $963.22 |
| Atlanta, GAGeorgia | — | $939.24 |
| Rest of GeorgiaGeorgia | — | $891.92 |
| Hawaii, Guam, HIHawaii | — | $885.38 |
| IowaIowa | — | $777.01 |
| IdahoIdaho | — | $790.60 |
| East St. Louis, ILIllinois | — | $1,029.42 |
| Rest of IllinoisIllinois | — | $957.00 |
| Suburban Chicago, ILIllinois | — | $1,033.25 |
| IndianaIndiana | — | $795.14 |
| KansasKansas | — | $789.62 |
| KentuckyKentucky | — | $847.90 |
| New Orleans, LALouisiana | — | $900.93 |
| Rest of LouisianaLouisiana | — | $853.12 |
| Metropolitan Boston, MAMassachusetts | — | $969.94 |
| Rest of MassachusettsMassachusetts | — | $894.99 |
| Baltimore area, MDMaryland | — | $970.41 |
| Rest of MarylandMaryland | — | $896.63 |
| Rest of MaineMaine | — | $813.69 |
| Southern Maine, MEMaine | — | $840.72 |
| Detroit, MIMichigan | — | $994.84 |
| Rest of MichiganMichigan | — | $889.74 |
| MinnesotaMinnesota | — | $802.52 |
| Metropolitan Kansas City, MOMissouri | — | $875.57 |
| Metropolitan St. Louis, MOMissouri | — | $884.14 |
| Rest of MissouriMissouri | — | $847.30 |
| MississippiMississippi | — | $810.52 |
| MontanaMontana | — | $900.85 |
| North CarolinaNorth Carolina | — | $821.02 |
| North DakotaNorth Dakota | — | $809.10 |
| NebraskaNebraska | — | $776.96 |
| New HampshireNew Hampshire | — | $896.59 |
| Northern New JerseyNew Jersey | — | $993.73 |
| Rest of New JerseyNew Jersey | — | $964.81 |
| New MexicoNew Mexico | — | $902.34 |
| NevadaNevada | — | $875.64 |
| NYC suburbs and Long Island, NYNew York | — | $1,126.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $985.33 |
| Queens, NYNew York | — | $1,060.02 |
| Rest of New YorkNew York | — | $837.07 |
| OhioOhio | — | $870.98 |
| OklahomaOklahoma | — | $827.96 |
| Portland, OROregon | — | $907.72 |
| Rest of OregonOregon | — | $853.68 |
| Metropolitan Philadelphia, PAPennsylvania | — | $952.80 |
| Rest of PennsylvaniaPennsylvania | — | $863.03 |
| Rhode IslandRhode Island | — | $903.65 |
| South CarolinaSouth Carolina | — | $850.47 |
| South DakotaSouth Dakota | — | $798.25 |
| TennesseeTennessee | — | $796.54 |
| Austin, TXTexas | — | $905.20 |
| Beaumont, TXTexas | — | $857.66 |
| Brazoria, TXTexas | — | $866.89 |
| Dallas, TXTexas | — | $881.17 |
| Fort Worth, TXTexas | — | $879.57 |
| Galveston, TXTexas | — | $875.05 |
| Houston, TXTexas | — | $959.98 |
| Rest of TexasTexas | — | $867.71 |
| UtahUtah | — | $863.68 |
| VirginiaVirginia | — | $849.45 |
| Virgin Islands, VIUnited States Virgin Islands | — | $902.80 |
| VermontVermont | — | $820.99 |
| Rest of WashingtonWashington | — | $888.26 |
| King County, WAWashington | — | $974.01 |
| WisconsinWisconsin | — | $778.75 |
| West VirginiaWest Virginia | — | $920.65 |
| WyomingWyoming | — | $860.86 |
62142 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 62142 rate is calculated
Each of 62142’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.
How the rate is built · 62142
RVUs × geographic indexes × conversion factor
Work11.53
11.53 RVUs× 1.000 GPCI
Practice expense10.81
10.81 RVUs× 1.000 GPCI
Malpractice4.64
4.64 RVUs× 1.000 GPCI
Adjusted RVUs
26.9800
Conversion factor
$33.4009
Medicare rate
$901.16
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,917
- Code
- 62142
- Physician work
- 11.53
- Practice expense
- 10.81
- Malpractice
- 4.64
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.53 | × 1.000 | 11.5300 |
| Practice expense | 10.81 | × 1.011 | 10.9289 |
| Malpractice | 4.64 | × 0.985 | 4.5704 |
| Total RVUs | 27.0293 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$902.80
Facility: (11.53 × 1 + 10.81 × 1.011 + 4.64 × 0.985) × $33.4009 = $902.80
Payment rules and modifiers for 62142
62142 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62142
Cranial implant removal, bone flap or prosthetic plate
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62142
Cranial implant removal, bone flap or prosthetic plate
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62142 without 51 · national facility
$901.16
Cranial implant removal, bone flap or prosthetic plate
62142-51 · Second procedure: 50%
$450.58
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 62142 has changed in Puerto Rico
62142 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $902.80 | RVU26D |
| 2026-07-01 | Not available in this setting | $902.80 | RVU26C |
| 2026-04-01 | Not available in this setting | $902.80 | RVU26B |
| 2026-01-01 | Not available in this setting | $902.80 | RVU26A |
| 2025-10-01 | Not available in this setting | $890.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $890.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $890.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $890.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $909.17 | RVU24D |
| 2024-07-01 | Not available in this setting | $909.17 | RVU24C |
| 2024-04-01 | Not available in this setting | $909.17 | RVU24B |
| 2024-03-09 | Not available in this setting | $909.17 | RVU24AR |
| 2024-01-01 | Not available in this setting | $894.33 | RVU24A |
| 2023-10-01 | Not available in this setting | $915.75 | RVU23D |
| 2023-07-01 | Not available in this setting | $915.29 | RVU23C |
| 2023-04-01 | Not available in this setting | $915.29 | RVU23B |
| 2023-01-01 | Not available in this setting | $915.29 | RVU23A |
| 2022-10-01 | Not available in this setting | $921.33 | RVU22D |
| 2022-07-01 | Not available in this setting | $921.33 | RVU22C |
| 2022-04-01 | Not available in this setting | $921.33 | RVU22B |
| 2022-01-01 | Not available in this setting | $921.33 | RVU22A |
| 2021-10-01 | Not available in this setting | $914.36 | RVU21D |
| 2021-07-01 | Not available in this setting | $914.36 | RVU21C |
| 2021-04-01 | Not available in this setting | $914.36 | RVU21B |
| 2021-01-01 | Not available in this setting | $914.36 | RVU21A |
| 2020-10-01 | Not available in this setting | $922.36 | RVU20D |
| 2020-07-01 | Not available in this setting | $922.36 | RVU20C |
| 2020-04-01 | Not available in this setting | $922.36 | RVU20B |
| 2020-01-01 | Not available in this setting | $922.36 | RVU20A |
| 2019-10-01 | Not available in this setting | $930.59 | RVU19D |
| 2019-07-01 | Not available in this setting | $930.59 | RVU19C |
| 2019-04-01 | Not available in this setting | $930.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $930.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $930.29 | RVU18D |
| 2018-07-01 | Not available in this setting | $930.29 | RVU18C |
| 2018-04-01 | Not available in this setting | $930.29 | RVU18B |
| 2018-01-01 | Not available in this setting | $930.29 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $823.63 | RVU17D |
| 2017-07-01 | Not available in this setting | $823.63 | RVU17C |
| 2017-04-01 | Not available in this setting | $823.63 | RVU17B |
| 2017-01-01 | Not available in this setting | $823.63 | RVU17A |
| 2016-10-01 | Not available in this setting | $713.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $713.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $713.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $713.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $717.06 | RVU15D |
| 2015-07-01 | Not available in this setting | $717.06 | RVU15C |
| 2015-04-01 | Not available in this setting | $713.49 | RVU15B |
| 2015-01-01 | Not available in this setting | $713.49 | RVU15A |
| 2014-10-01 | Not available in this setting | $701.11 | RVU14D |
| 2014-07-01 | Not available in this setting | $701.11 | RVU14C |
| 2014-04-01 | Not available in this setting | $701.11 | RVU14B |
| 2014-01-01 | Not available in this setting | $701.11 | RVU14A |
| 2013-10-01 | Not available in this setting | $681.11 | RVU13D |
| 2013-07-01 | Not available in this setting | $681.11 | RVU13C |
| 2013-04-01 | Not available in this setting | $681.11 | RVU13B |
| 2013-01-01 | Not available in this setting | $681.11 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
62142 billing questions
How is removal different from replacement of a cranial plate?
62142 describes removing an existing bone flap or prosthetic plate. Code 62143 describes replacement; the operative record should make clear whether removal, replacement, or both procedures were performed.
Can 62142 be reported with 62143?
The codes describe removal and replacement, respectively, but they are not an automatic pair. Report the services supported by the operative work and applicable coding edits.
Does modifier 50 apply when material is removed from both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made for this procedure. Co-surgeons and team surgery are not permitted.
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
Show the CMS file lines behind this rate
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