FeeBase
Log inGet started
Menu

CPT code 62148: Bone flap repair, repositioning during skull repair2026 Medicare rate & RVUs

This add-on reports repositioning a cranial bone flap during skull reconstruction, alongside the qualifying primary procedure that addresses the skull defect.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $115.23 for 62148 nationally in a facility.

Medicare rate · 62148

Bone flap repair, repositioning during skull repair

Office or facility?

Work RVUs
1.95
Total RVUs
3.45
Global days
ZZZ

National rate · 2026

$115.23

Facility setting, before claim adjustments.

See every locality for 62148 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 62148 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 62148 covers

During cranioplasty or other skull reconstruction, a neurosurgeon repositions a cranial bone flap as part of restoring the skull’s contour and coverage. This work may occur when a prior craniectomy left a defect requiring reconstruction. The code captures the additional flap-repositioning work, not a separate operation to remove a flap or place a prosthetic plate.

Report 62148 only with its qualifying primary skull-repair procedure; it is not a standalone service. The operative note should identify the bone flap and describe its repositioning in the reconstruction. CMS treats this as an add-on paid within the primary procedure’s global period. Distinguish this work from simply replacing a bone flap or prosthetic plate, and select the primary procedure based on the documented skull repair and reconstruction performed.

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.

Where 62148 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

62148 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$100.51
AlaskaUnavailable$136.98
ArizonaUnavailable$110.59
ArkansasUnavailable$98.75
Atlanta, GAUnavailable$121.30
Austin, TXUnavailable$113.56
Bakersfield, CAUnavailable$107.94
Baltimore area, MDUnavailable$124.42
Beaumont, TXUnavailable$111.24
Brazoria, TXUnavailable$109.52

62148 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
62148 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 62148 rate is calculated

Each of 62148’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 · 62148

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.95

1.95 RVUs× 1.000 GPCI

Practice expense0.68

0.68 RVUs× 1.000 GPCI

Malpractice0.82

0.82 RVUs× 1.000 GPCI

Adjusted RVUs

3.4500

Conversion factor

$33.4009

Medicare rate

$115.23

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 62148

The CMS indicators that decide how 62148 is paid alongside other services.

CMS payment indicators · 62148

Bone flap repair, repositioning during skull repair

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

62148 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 62148

    Bone flap repair, repositioning during skull repair1.95 wRVU

    Not priced

  • 62143

    Skull reconstruction, bone flap or plate replacement13.8 wRVU

    Not priced

  • 62142

    Cranial implant removal, bone flap or prosthetic plate11.53 wRVU

    Not priced

  • 62140

    Cranioplasty, defect under 5 cm14.19 wRVU

    Not priced

How to choose

62143Skull reconstructionBone flap or plate replacement
62143 describes replacing a bone flap or prosthetic plate. Report 62148 for additional flap-repositioning work during a qualifying primary skull repair.
62142Cranial implant removalBone flap or prosthetic plate
62142 describes removal of a bone flap or prosthetic plate; 62148 concerns repositioning during skull reconstruction.
62140CranioplastyDefect under 5 cm
62140 is a primary cranioplasty code for a smaller skull defect. 62148 is an add-on and cannot replace the primary repair code.

Codes related to 62148

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

Codes related to 62148
CodeHow it relatesNational office range
Add-on codes
62140Cranioplasty, defect under 5 cmPrimary cranioplasty code for a skull defect up to 5 cm.No office rate
62141Cranioplasty, defect over 5 cmPrimary cranioplasty code for a larger skull defect.No office rate
62143Skull reconstruction, bone flap or plate replacementPrimary code for replacement of a cranial bone flap or prosthetic plate.No office rate
62145Cranioplasty, with dural repairPrimary skull-repair procedure that may accompany this add-on.No office rate
62146Cranioplasty, autograft, under 5 cmPrimary cranioplasty code using autograft for a smaller skull defect.No office rate
62147Cranioplasty, autograft, defect over 5 cmPrimary cranioplasty code using autograft for a larger skull defect.No office rate

62148 billing questions

Can 62148 be billed by itself?

No. It is an add-on and must be reported with a qualifying primary procedure for skull repair or reconstruction.

How does 62148 differ from 62143?

62148 reports additional repositioning of a cranial bone flap during skull repair. 62143 describes replacement of a bone flap or prosthetic plate.

What should the operative note document?

Document the skull reconstruction performed, identify the bone flap, and describe the repositioning work supporting the add-on.

Is 62148 paid within a global period?

Yes. CMS identifies it as an add-on paid within the global period of the primary procedure.

Can 62148 be used for removal of a bone flap?

No. Removal is a different service; 62148 represents repositioning performed as part of a qualifying skull-repair procedure.

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
RVUs for 62148PPRRVU2026_Oct_nonQPP.csv, line 6,922 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 62148 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 62148 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist