No office rate
Choose 62140 for a skull defect up to 5 cm; 62141 is for a defect greater than 5 cm when the autograft approach is not used.
On this page
CMS RVU26D · Effective 2026-10-01
62141 Cranioplasty Medicare reimbursement rates in Minnesota
Reports reconstruction of a skull defect larger than 5 cm when cranioplasty is performed without the autograft approach represented by separate codes. Compare 62141 office and facility rates across CMS payment localities in Minnesota.
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 62141 in Minnesota?
Minnesota 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
$986.60
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 62141: Large skull defect cranioplasty
Reports reconstruction of a skull defect larger than 5 cm when cranioplasty is performed without the autograft approach represented by separate codes.
This service reconstructs a skull opening greater than 5 cm in diameter, commonly after a decompressive craniectomy, traumatic injury, or removal of a cranial lesion. A neurosurgeon or craniofacial surgeon performs the operation in a surgical setting, restoring cranial coverage and contour. The defect measurement and reconstruction method distinguish this service from smaller-defect and autograft cranioplasty codes.
Report the code when the documented defect exceeds 5 cm and the procedure is not the autograft service represented by 62147. The operative report should describe the defect size, its cause, and the reconstruction performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62141
- 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 RVU15.67 · 47%
- Practice expense (office) RVU11.76 · 35%
- Malpractice RVU5.97 · 18%
791
Medicare services in 2024 · #3156 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.
62141 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
Both address defects over 5 cm, but 62147 represents cranioplasty using the autograft approach.
No office rate
62142 describes removal of a bone flap or prosthetic plate; it is not the reconstruction service reported by 62141.
Compare 62141 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$986.60
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 62141 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,916
- Code
- 62141
- Physician work
- 15.67
- Practice expense
- 11.76
- Malpractice
- 5.97
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.67 | × 1.000 | 15.6700 |
| Practice expense | 11.76 | × 1.029 | 12.1010 |
| Malpractice | 5.97 | × 0.296 | 1.7671 |
| Total RVUs | 29.5382 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$986.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.67 | 1 |
| Practice expense | 11.76 | 1.029 |
| Malpractice | 5.97 | 0.296 |
(15.67 × 1 + 11.76 × 1.029 + 5.97 × 0.296) × $33.4009 = $986.60
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.
62141 billing questions
How is 62141 distinguished from 62140?
The documented skull defect must be greater than 5 cm in diameter for 62141. A defect up to 5 cm falls under 62140 when the applicable non-autograft approach is performed.
When is 62147 used instead?
Use 62147 for a defect greater than 5 cm when the cranioplasty uses the autograft approach represented by that code. Document the defect size and graft method.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
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 paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How does Medicare handle another procedure performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
6,91362120,,Repair skull cavity lesion,A,,23.98,30.10,NA,30.10,,10.13,64.21,64.21,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91462121,,Incise skull repair,A,,22.45,14.52,NA,14.52,,5.94,42.91,42.91,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91562140,,Crnop skull defect<5 cm diam,A,,14.19,10.22,NA,10.22,,4.90,29.31,29.31,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91662141,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002