No office rate
Use 62120 for an extradural skull-base encephalocele repair and 62121 when the repair is intradural.
On this page
CMS RVU26D · Effective 2026-10-01
62120 Encephalocele repair Medicare reimbursement rates in Nebraska
Repair of an extradural skull-base encephalocele, reported when the surgeon closes the defect and addresses the herniated contents. Compare 62120 office and facility rates across CMS payment localities in Nebraska.
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 62120 in Nebraska?
Nebraska 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
$1856.80
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 62120: Extradural skull-base encephalocele repair
Repair of an extradural skull-base encephalocele, reported when the surgeon closes the defect and addresses the herniated contents.
This service repairs an encephalocele at the skull base when the repair is extradural. An encephalocele is a protrusion of meninges, sometimes with brain tissue, through a skull defect. Neurosurgeons and skull-base surgeons, including otolaryngologists working with a neurosurgical team, may perform the operation in a hospital operating room. The operative report should identify the skull-base site, the encephalocele, and the extradural nature of the repair.
Choose this code for the extradural repair, not the intradural repair represented by 62121 or a procedure directed only at a cerebrospinal-fluid leak. Documentation should make the pathology and surgical approach clear. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and reduces others to 50%. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62120
- 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 RVU23.98 · 37%
- Practice expense (office) RVU30.10 · 47%
- Malpractice RVU10.13 · 16%
69
Medicare services in 2024 · #5156 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.
62120 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
62100 addresses repair for a CSF leak; 62120 is for an extradural skull-base encephalocele.
No office rate
62140 is cranioplasty for a skull defect measuring up to 5 cm, rather than repair of a skull-base encephalocele.
No office rate
62141 is cranioplasty for a skull defect larger than 5 cm; it is not the extradural encephalocele repair described by 62120.
Compare 62120 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$1856.80
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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 62120 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,913
- Code
- 62120
- Physician work
- 23.98
- Practice expense
- 30.10
- Malpractice
- 10.13
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.98 | × 1.000 | 23.9800 |
| Practice expense | 30.10 | × 0.923 | 27.7823 |
| Malpractice | 10.13 | × 0.378 | 3.8291 |
| Total RVUs | 55.5914 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$1856.80
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.98 | 1 |
| Practice expense | 30.1 | 0.923 |
| Malpractice | 10.13 | 0.378 |
(23.98 × 1 + 30.1 × 0.923 + 10.13 × 0.378) × $33.4009 = $1856.80
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.
62120 billing questions
How do I distinguish 62120 from 62121?
The distinction is whether the skull-base encephalocele repair is extradural or intradural. The operative report should support the documented plane of repair.
Is this the code for repair of a CSF leak alone?
No. This code describes extradural repair of a skull-base encephalocele. A repair directed at a CSF leak without an encephalocele may point to 62100 instead.
Can I append modifier 50 for repair on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative services are included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation.
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.
6,91062100,,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
6,91162115,,Reduction of skull defect,A,,22.34,18.57,NA,18.57,,9.42,50.33,50.33,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91262117,,Reduction of skull defect,A,,27.64,17.73,NA,17.73,,11.70,57.07,57.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91362120,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068