Choose 62000 for simple depressed-fracture treatment confined to the extradural work described by that code. Dural repair or brain debridement distinguishes 62010.
On this page
CMS RVU26D · Effective 2026-10-01
62010 Skull fracture treatment Medicare reimbursement rates in Vermont
Reports operative treatment of a depressed skull fracture when the work includes dural repair, brain debridement, or both. Compare 62010 office and facility rates across CMS payment localities in Vermont.
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 62010 in Vermont?
Vermont 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
$1367.11
1 of 1 localities have a supported rate.
Payment area: Vermont
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 62010: Depressed skull fracture with dural or brain treatment
Reports operative treatment of a depressed skull fracture when the work includes dural repair, brain debridement, or both.
This code applies to operative care of a depressed skull fracture that requires repair of the dura, debridement of injured brain tissue, or both. The surgeon treats the fracture and associated intracranial injury rather than performing only extradural elevation of a depressed fragment. Neurosurgeons typically perform the procedure in a hospital operating room after traumatic head injury; the operative report should describe the fracture, dural defect or brain injury, and the treatment actually performed.
Select this code based on the operative work, not simply the presence of a head injury or a depressed fracture. Document the dural repair and/or brain debridement, along with the fracture treatment. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62010
- 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 RVU20.89 · 46%
- Practice expense (office) RVU15.74 · 35%
- Malpractice RVU8.81 · 19%
61
Medicare services in 2024 · #5233 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.
62010 compared with similar codes
Office rates for Vermont, from the same CMS release.
62005 covers extradural treatment of a compound or comminuted depressed fracture. Use 62010 when the operation includes dural repair and/or brain debridement.
61312 describes evacuation of a supratentorial extradural or subdural hematoma. It is not a substitute for treatment of the depressed fracture with dural or brain work.
Compare 62010 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1367.11
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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 62010 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,909
- Code
- 62010
- Physician work
- 20.89
- Practice expense
- 15.74
- Malpractice
- 8.81
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.89 | × 1.000 | 20.8900 |
| Practice expense | 15.74 | × 0.990 | 15.5826 |
| Malpractice | 8.81 | × 0.506 | 4.4579 |
| Total RVUs | 40.9305 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1367.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.89 | 1 |
| Practice expense | 15.74 | 0.99 |
| Malpractice | 8.81 | 0.506 |
(20.89 × 1 + 15.74 × 0.99 + 8.81 × 0.506) × $33.4009 = $1367.11
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.
62010 billing questions
How does this differ from codes 62000 and 62005?
Use 62010 when treatment of the depressed fracture includes dural repair, brain debridement, or both. Codes 62000 and 62005 describe extradural fracture treatment, with the latter covering compound or comminuted fractures.
Can fracture elevation alone support 62010?
No. The operative work must include dural repair and/or debridement of brain tissue; elevation alone points to the applicable extradural fracture code.
What documentation supports reporting this code?
The operative report should establish the depressed fracture and specify the dural repair, brain debridement, or both. Include the associated injury and the treatment performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The global period follows the surgery even if the patient receives related care in another setting.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only when supporting documentation is provided; team surgery is 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.
