Billing code 62000: Skull fracture surgeryMedicare rate & RVUs in Florida
Reports surgical elevation of a simple depressed skull fracture when the fracture is treated extradural, rather than as a compound or comminuted injury.
CMS doesn’t publish an office rate for 62000 in Florida.
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 62000 covers
This code describes an operation to raise a depressed portion of the skull in a simple fracture pattern, with treatment extradural. A neurosurgeon or other qualified surgeon typically performs the procedure in an operating room after imaging and examination establish the location and extent of the depression. The operative report should identify the fracture pattern and describe the elevation performed; the code is distinct from treatment of compound or comminuted fractures and from cases involving dural repair.
Select the code from the documented fracture pattern and operative treatment, not from the injury diagnosis alone. The 90-day major-surgery global includes the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, 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 code. Medicare does not pay an assistant at surgery, and 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.
Where 62000 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,200.29 |
| Miami | Unavailable | $1,349.13 |
| Rest Of Florida | Unavailable | $1,119.44 |
How the 62000 rate is calculated
Each of 62000’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 · 62000
RVUs × geographic indexes × conversion factor
Work13.58
13.58 RVUs× 1.000 GPCI
Practice expense11.86
11.86 RVUs× 1.000 GPCI
Malpractice5.72
5.72 RVUs× 1.000 GPCI
Adjusted RVUs
31.1600
Conversion factor
$33.4009
Medicare rate
$1,040.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62000
62000 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62000
Skull fracture surgery
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 62000
Skull fracture 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62000 without 51 · national facility
$1,040.77
Skull fracture surgery
62000-51 · Second procedure: 50%
$520.39
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%).
62000 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62005Skull fracture repair
- Use 62005 for a compound or comminuted depressed fracture treated extradural; 62000 is for a simple fracture pattern.
- 62010Skull fracture treatment
- Use 62010 for a compound or comminuted fracture when dural repair is performed. 62000 describes the simple, extradural treatment.
- 61312Hematoma evacuation
- 61312 describes evacuation of a supratentorial extradural or subdural hematoma, not elevation of a depressed skull fracture.
62000 billing questions
How is 62000 distinguished from 62005?
62000 is for a simple depressed fracture treated extradural. 62005 is for a compound or comminuted fracture treated extradural.
When does 62010 apply instead?
62010 describes a compound or comminuted depressed fracture treated with dural repair. The operative report should support both the fracture pattern and the repair performed.
Can modifier 50 be reported?
No. CMS identifies modifier 50 as inappropriate for this code's descriptor or anatomy.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and related postoperative care through day 90.
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 multiple-procedure reduction. Medicare does not pay an assistant at surgery; 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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