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Billing code 62115: Craniosynostosis surgeryMedicare rate & RVUs

Reports surgical correction of craniosynostosis involving one cranial suture by removing and reshaping bone to address abnormal skull growth.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,681.07 for 62115 nationally in a facility.

Medicare rate · 62115

Craniosynostosis surgery

Swap in your local Medicare rate.

Work RVUs
22.34
Total RVUs
50.33
Global days
090

National rate · 2026

$1,681.07

Facility setting, before claim adjustments.

See every locality for 62115 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 62115 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 62115 covers

This operation treats craniosynostosis, in which a cranial suture closes prematurely and restricts normal skull growth. The surgeon removes and reshapes bone around the affected suture to improve skull shape and allow room for growth. It is typically performed by a neurosurgeon or craniofacial surgeon in a hospital operating room, often as part of a coordinated pediatric craniofacial care plan. The key distinction is correction involving a single cranial suture, rather than a multiple-suture procedure or repair of a separate skull defect.

Report the code when the operative documentation supports treatment of single-suture craniosynostosis and describes the involved suture and the bone work performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted, and modifier 50 is inappropriate for this anatomy and procedure.

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 62115 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

62115 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,466.98
Alaska*Unavailable$1,953.20
ArizonaUnavailable$1,616.53
ArkansasUnavailable$1,441.01
AtlantaUnavailable$1,756.47
AustinUnavailable$1,682.67
BakersfieldUnavailable$1,631.77
Baltimore/Surr. CntysUnavailable$1,812.85
BeaumontUnavailable$1,602.91
BrazoriaUnavailable$1,612.23

62115 rates by state

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

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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
62115 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 62115 rate is calculated

Each of 62115’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 · 62115

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.34Practice expense 18.57Malpractice 9.42

50.3300 adjusted RVUs×$33.4009 conversion factor=$1,681.07

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 62115

62115 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 62115

Craniosynostosis surgery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 62115

Craniosynostosis surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

62115 without 51 · national facility

$1,681.07

Craniosynostosis surgery

62115-51 · Second procedure: 50%

$840.54

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%).

When to use modifier 51

62115 compared with similar codes

Compare codes

62115 vs 62140 vs 62141: national Medicare rates

Swap in your local Medicare rate.

  • 62115
    Craniosynostosis surgery · 22.34 wRVU
    —
  • 62140
    Cranioplasty · 14.19 wRVU
    —
  • 62141
    Cranioplasty · 15.67 wRVU
    —

How to choose

62140Cranioplasty
62140 addresses cranioplasty for a skull defect smaller than 5 cm. It is not the single-suture craniosynostosis procedure reported with 62115.
62141Cranioplasty
62141 addresses cranioplasty for a skull defect larger than 5 cm; 62115 instead describes correction of single-suture craniosynostosis.

Codes related to 62115

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

Codes related to 62115
CodeHow it relatesNational office range
Same family
62117Skull reconstructionRelated skull-defect reduction code; check its distinct operative scope before choosing.No office rate
Used instead
62140CranioplastyCranioplasty for a skull defect smaller than 5 cm, rather than single-suture craniosynostosis.No office rate
62141CranioplastyCranioplasty for a skull defect larger than 5 cm, rather than single-suture craniosynostosis.No office rate
62146CranioplastyCranioplasty using autograft for a smaller skull defect.No office rate
62147CranioplastyCranioplasty using autograft for a larger skull defect.No office rate

62115 billing questions

How do I distinguish this from 62116?

This code is for craniosynostosis involving one cranial suture. Use 62116 when the operation addresses multiple cranial sutures.

Is this the same as a cranioplasty for a skull defect?

No. This code addresses craniosynostosis involving a single suture. Codes such as 62140 and 62141 describe cranioplasty for a skull defect and use defect size to distinguish the service.

What documentation supports reporting this code?

Document the diagnosis of craniosynostosis, the single suture involved, and the operative bone removal and reshaping performed.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Does modifier 50 apply?

No. CMS identifies bilateral adjustment as inappropriate for this procedure and anatomy.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90 days after surgery.

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 62115PPRRVU2026_Oct_nonQPP.csv, line 6,911 (RVU26D)

Open CMS sourceHow we calculate rates

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