No office rate
62140 is a size-based cranioplasty for a skull defect up to 5 cm. Select 62145 when the operative service includes repair of an associated dural defect.
On this page
CMS RVU26D · Effective 2026-10-01
62145 Cranioplasty Medicare reimbursement rates in Connecticut
Reconstructs a skull defect while repairing an associated dural defect, typically during neurosurgical treatment of a defect from trauma or prior surgery. Compare 62145 office and facility rates across CMS payment localities in Connecticut.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 62145 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1468.37
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neurosurgery
About 62145: Cranioplasty with dural defect repair
Reconstructs a skull defect while repairing an associated dural defect, typically during neurosurgical treatment of a defect from trauma or prior surgery.
This service reconstructs a skull defect and repairs an associated defect in the dura, the membrane covering the brain. Neurosurgeons typically perform it in an operating room for defects related to prior cranial surgery or trauma when both the skull and dura require repair. The work may involve restoring the cranial covering and closing the dural defect as part of the reconstruction.
Report this code when the operative record supports both skull reconstruction and dural defect repair. Distinguish it from size-based cranioplasty codes for skull defects without the dural repair described here, and from codes specifying autograft reconstruction. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for this descriptor and anatomy. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62145
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.59 · 48%
- Practice expense (office) RVU13.57 · 33%
- Malpractice RVU7.74 · 19%
175
Medicare services in 2024 · #4445 by national volume
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.
62145 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
62141 is the size-based cranioplasty code for a skull defect larger than 5 cm. The distinguishing feature for 62145 is repair of an associated dural defect.
No office rate
62146 specifies autograft cranioplasty for a defect up to 5 cm. For 62145, the defining operative feature is dural defect repair.
No office rate
62143 describes replacement of a bone flap or prosthetic plate. It is not the code for skull reconstruction that includes repair of a dural defect.
Compare 62145 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$1468.37
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 62145 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,919
- Code
- 62145
- Physician work
- 19.59
- Practice expense
- 13.57
- Malpractice
- 7.74
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.59 | × 1.020 | 19.9818 |
| Practice expense | 13.57 | × 1.077 | 14.6149 |
| Malpractice | 7.74 | × 1.210 | 9.3654 |
| Total RVUs | 43.9621 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1468.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.59 | 1.02 |
| Practice expense | 13.57 | 1.077 |
| Malpractice | 7.74 | 1.21 |
(19.59 × 1.02 + 13.57 × 1.077 + 7.74 × 1.21) × $33.4009 = $1468.37
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
62145 billing questions
When should this code be selected instead of 62140 or 62141?
Use 62145 when the skull defect reconstruction also includes repair of a dural defect. Codes 62140 and 62141 describe size-based cranioplasty without that dural-repair distinction.
How does this differ from 62146 or 62147?
Codes 62146 and 62147 identify cranioplasty using an autograft and distinguish the defect by size. Choose 62145 when the service includes dural defect repair, based on the documented procedure.
What operative documentation supports reporting 62145?
Document the skull defect, the associated dural defect, and the reconstruction and dural repair performed. The operative report should make clear that both were addressed.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this descriptor and anatomy.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,91662141,,Crnop skull defect>5 cm diam,A,,15.67,11.76,NA,11.76,,5.97,33.40,33.40,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91762142,,Rmvl b1 flp/prostc plate skl,A,,11.53,10.81,NA,10.81,,4.64,26.98,26.98,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91862143,,Rpl b1 flp/prostc plate skl,A,,13.80,11.79,NA,11.79,,5.63,31.22,31.22,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91962145,,Repair of skull & brain,A,,19.59,13.57,NA,13.57,,7.74,40.90,40.90,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92062146,,Crnop w/autograft<5 cm diam,A,,16.85,13.27,NA,13.27,,7.10,37.22,37.22,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92162147,,Crnop w/autograft>5 cm diam,A,,20.15,12.79,NA,12.79,,7.85,40.79,40.79,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92262148,,Retr bone flap to fix skull,A,,1.95,0.68,NA,0.68,,0.82,3.45,3.45,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808