No office rate
Choose 62142 for removal of an existing bone flap or prosthetic plate; 62143 describes replacement of that material.
On this page
CMS RVU26D · Effective 2026-10-01
62142 Cranial implant removal Medicare reimbursement rates in New Mexico
Report removal of an existing skull bone flap or prosthetic plate, such as during neurosurgical treatment of an infected or exposed cranial implant. Compare 62142 office and facility rates across CMS payment localities in New Mexico.
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 62142 in New Mexico?
New Mexico 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
$902.34
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 62142: Removal of Cranial Bone Flap or Plate
Report removal of an existing skull bone flap or prosthetic plate, such as during neurosurgical treatment of an infected or exposed cranial implant.
A neurosurgeon removes a previously placed bone flap or prosthetic plate from the skull. This may be part of treating a complication such as infection, exposure, or wound breakdown. The service is generally performed in an operating room, often in a hospital, and concerns removal of the cranial material rather than repair of a skull defect by itself.
Report the code when the operative note supports removal of the existing bone flap or plate, identifying the material and the work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 62142
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.53 · 43%
- Practice expense (office) RVU10.81 · 40%
- Malpractice RVU4.64 · 17%
651
Medicare services in 2024 · #3327 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.
62142 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
62148 concerns retrieval or repositioning of a bone flap to repair the skull, not simply removal of a flap or plate.
No office rate
62140 is for cranioplasty to repair a skull defect up to 5 cm; 62142 is for removing existing cranial material.
No office rate
62141 is for cranioplasty to repair a skull defect over 5 cm; 62142 is for removing existing cranial material.
Compare 62142 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$902.34
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 62142 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
6,917
- Code
- 62142
- Physician work
- 11.53
- Practice expense
- 10.81
- Malpractice
- 4.64
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.53 | × 1.000 | 11.5300 |
| Practice expense | 10.81 | × 0.917 | 9.9128 |
| Malpractice | 4.64 | × 1.201 | 5.5726 |
| Total RVUs | 27.0154 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$902.34
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.53 | 1 |
| Practice expense | 10.81 | 0.917 |
| Malpractice | 4.64 | 1.201 |
(11.53 × 1 + 10.81 × 0.917 + 4.64 × 1.201) × $33.4009 = $902.34
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.
62142 billing questions
How is removal different from replacement of a cranial plate?
62142 describes removing an existing bone flap or prosthetic plate. Code 62143 describes replacement; the operative record should make clear whether removal, replacement, or both procedures were performed.
Can 62142 be reported with 62143?
The codes describe removal and replacement, respectively, but they are not an automatic pair. Report the services supported by the operative work and applicable coding edits.
Does modifier 50 apply when material is removed from both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
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 surgeon be reported?
Assistant-at-surgery payment may be made for this procedure. 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.
6,91462121,,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
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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210