Billing code 62005: Skull fracture repairMedicare rate & RVUs in Oklahoma
Reports operative elevation of a depressed compound or comminuted skull fracture when the treatment is extradural and does not require intracranial exploration.
CMS doesn’t publish an office rate for 62005 in Oklahoma.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 62005 covers
A neurosurgeon typically reports this service for operative elevation of a depressed skull fracture with compound or comminuted features, when the work is extradural. The procedure is generally performed in an operating room, often after traumatic head injury. The operative note should establish the fracture pattern and describe the elevation and extent of the work, including whether treatment remained extradural.
Choose this code for the compound or comminuted fracture pattern; a simple depressed fracture is represented by 62000, while treatment requiring intracranial exploration or dural repair points to 62010. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one 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 service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
62005 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $1,161.66 |
How the 62005 rate is calculated
Each of 62005’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62005
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 17.19Practice expense 13.38Malpractice 7.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62005
62005 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62005
Skull fracture repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62005
Skull fracture repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62005 without 51 · national facility
$1,263.56
Skull fracture repair
62005-51 · Second procedure: 50%
$631.78
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
62005 compared with similar codes
Compare codes
62005 vs 62000 vs 62010 vs 61312: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62000Skull fracture surgery
- 62000 is for a simple depressed skull fracture. Choose 62005 when the fracture has compound or comminuted features.
- 62010Skull fracture treatment
- 62010 describes more extensive skull-fracture treatment requiring intracranial exploration or dural repair; 62005 is for extradural elevation.
- 61312Hematoma evacuation
- 61312 is for operative evacuation of a supratentorial extradural or subdural hematoma, not elevation of the skull fracture itself.
62005 billing questions
How does this differ from 62000?
62005 is for a depressed fracture with compound or comminuted features. Use 62000 for the simple fracture pattern.
When is 62010 a better fit?
Use 62010 when the treatment requires intracranial exploration or dural repair, rather than extradural elevation alone.
Can the assistant surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What does the global period include?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Should modifier 50 be appended for fractures on both sides?
No. Modifier 50 is inappropriate for this service; report the operative treatment rather than treating it as a bilateral 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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