Billing code 62140: CranioplastyMedicare rate & RVUs in Delaware
Cranioplasty reconstructs a skull defect smaller than 5 cm in diameter, commonly after craniectomy, trauma, or removal of a cranial lesion.
CMS doesn’t publish an office rate for 62140 in Delaware.
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 9 sections
What 62140 covers
A neurosurgeon or other qualified surgeon reconstructs a cranial bone defect measuring less than 5 cm in diameter, restoring skull contour and protective coverage. The defect may follow a prior craniectomy, traumatic bone loss, or removal of a cranial lesion. This code identifies the small-defect repair without the autograft approach represented by the graft-specific codes. Cranioplasty is commonly performed in a hospital operating room.
Select the code based on the defect’s documented diameter and the repair performed; the operative report should describe the defect, its cause, the reconstruction method, and any graft material. Medicare assigns major-surgery global treatment: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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.
62140 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $960.72 |
How the 62140 rate is calculated
Each of 62140’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 · 62140
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.19Practice expense 10.22Malpractice 4.90
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62140
62140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62140
Cranioplasty
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 62140
Cranioplasty
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
62140 without 51 · national facility
$978.98
Cranioplasty
62140-51 · Second procedure: 50%
$489.49
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%).
62140 compared with similar codes
Compare codes
62140 vs 62141 vs 62146 vs 62147: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62141Cranioplasty
- Use 62141 for a skull defect over 5 cm in diameter. This code is for a defect smaller than 5 cm.
- 62146Cranioplasty
- Use 62146 for small-defect cranioplasty performed with an autograft; this code represents the non-autograft small-defect service.
- 62147Cranioplasty
- Use 62147 when an autograft is used for a defect over 5 cm. This code is for a smaller defect without the graft-specific approach.
62140 billing questions
How is this code distinguished from 62141?
The defect diameter determines the size level: 62140 is for a defect smaller than 5 cm, while 62141 is for a defect over 5 cm. Document the measured defect in the operative report.
When should the autograft codes be considered?
Use the graft-specific family when the cranioplasty is performed with an autograft. Codes 62146 and 62147 distinguish the smaller and larger defect size levels, respectively.
What documentation supports reporting this service?
The operative report should establish the defect’s location and diameter, the reason for reconstruction, and how the surgeon repaired it. Include whether an autograft was used so the appropriate code family can be selected.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Routine related follow-up during that period is part of the surgical service.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to the other procedures performed in that session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made for this service. Co-surgeon payment requires supporting documentation; team surgery is 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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