No office rate
Use 62005 for a compound or comminuted depressed fracture treated extradural; 62000 is for a simple fracture pattern.
On this page
CMS RVU26D · Effective 2026-10-01
62000 Skull fracture surgery Medicare reimbursement rates in Maine
Reports surgical elevation of a simple depressed skull fracture when the fracture is treated extradural, rather than as a compound or comminuted injury. Compare 62000 office and facility rates across CMS payment localities in Maine.
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 62000 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$936.86–$966.71
2 of 2 localities have a supported rate.
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 62000: Simple depressed skull fracture elevation
Reports surgical elevation of a simple depressed skull fracture when the fracture is treated extradural, rather than as a compound or comminuted injury.
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.
CMS billing rules for 62000
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.58 · 44%
- Practice expense (office) RVU11.86 · 38%
- Malpractice RVU5.72 · 18%
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.
62000 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
Use 62010 for a compound or comminuted fracture when dural repair is performed. 62000 describes the simple, extradural treatment.
No office rate
61312 describes evacuation of a supratentorial extradural or subdural hematoma, not elevation of a depressed skull fracture.
Compare 62000 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$936.86
Southern Maine →
Office / nonfacility
Unavailable
Facility
$966.71
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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 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.
6,90461889,,Ins sk-mnt crnl nstm pg/rcvr,A,,25.11,16.68,NA,16.68,,10.61,52.40,52.40,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90561891,,Rev/rplcmt sk-mnt crnl nstm,A,,10.97,9.84,NA,9.84,,4.26,25.07,25.07,0,090,0.11,0.76,0.13,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90661892,,Rmv sk-mnt crnl nstm pg/rcvr,A,,14.63,12.03,NA,12.03,,6.16,32.82,32.82,0,090,0.11,0.76,0.13,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90762000,,Treat skull fracture,A,,13.58,11.86,NA,11.86,,5.72,31.16,31.16,0,090,0.11,0.76,0.13,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90862005,,Treat skull fracture,A,,17.19,13.38,NA,13.38,,7.26,37.83,37.83,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,90962010,,Treatment of head injury,A,,20.89,15.74,NA,15.74,,8.81,45.44,45.44,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91062100,,Repair brain fluid leakage,A,,22.94,13.23,NA,13.23,,7.43,43.60,43.60,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00