No office rate
62143 describes replacing a bone flap or prosthetic plate. Report 62148 for additional flap-repositioning work during a qualifying primary skull repair.
On this page
CMS RVU26D · Effective 2026-10-01
62148 Bone flap repair Medicare reimbursement rates in Kansas
This add-on reports repositioning a cranial bone flap during skull reconstruction, alongside the qualifying primary procedure that addresses the skull defect. Compare 62148 office and facility rates across CMS payment localities in Kansas.
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 62148 in Kansas?
Kansas 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
$99.47
1 of 1 localities have a supported rate.
Payment area: Kansas
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 62148: Repositioning of cranial bone flap
This add-on reports repositioning a cranial bone flap during skull reconstruction, alongside the qualifying primary procedure that addresses the skull defect.
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.
CMS billing rules for 62148
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.95 · 57%
- Practice expense (office) RVU0.68 · 20%
- Malpractice RVU0.82 · 24%
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.
62148 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
62142 describes removal of a bone flap or prosthetic plate; 62148 concerns repositioning during skull reconstruction.
No office rate
62140 is a primary cranioplasty code for a smaller skull defect. 62148 is an add-on and cannot replace the primary repair code.
Compare 62148 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
Kansas →
Office / nonfacility
Unavailable
Facility
$99.47
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 62148 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,922
- Code
- 62148
- Physician work
- 1.95
- Practice expense
- 0.68
- Malpractice
- 0.82
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.000 | 1.9500 |
| Practice expense | 0.68 | × 0.904 | 0.6147 |
| Malpractice | 0.82 | × 0.504 | 0.4133 |
| Total RVUs | 2.9780 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$99.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 0.68 | 0.904 |
| Malpractice | 0.82 | 0.504 |
(1.95 × 1 + 0.68 × 0.904 + 0.82 × 0.504) × $33.4009 = $99.47
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.
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 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.
6,91962145,,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
6,92362160,,Neuroendoscopy add-on,A,,2.93,1.02,NA,1.02,,1.21,5.16,5.16,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92462161,,Dissect brain w/scope,A,,20.70,15.65,NA,15.65,,8.64,44.99,44.99,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,92562162,,Remove colloid cyst w/scope,A,,26.13,18.31,NA,18.31,,11.05,55.49,55.49,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958