No office rate
Both concern reduction of a skull defect. Select the code whose full descriptor matches the reconstruction performed, using the operative note’s details rather than the diagnosis alone.
On this page
CMS RVU26D · Effective 2026-10-01
62117 Skull reconstruction Medicare reimbursement rates in Wyoming
Reports operative reduction of a skull defect when the surgeon performs reconstructive work to improve the defect’s shape or contour. Compare 62117 office and facility rates across CMS payment localities in Wyoming.
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 62117 in Wyoming?
Wyoming 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
$1804.58
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 62117: Operative reduction of skull defect
Reports operative reduction of a skull defect when the surgeon performs reconstructive work to improve the defect’s shape or contour.
A neurosurgeon or craniofacial surgeon reports this service for an operation that reduces a skull defect or abnormal cranial contour. The surgeon exposes the affected area and performs the reconstruction needed to reshape or restore the skull. The operative report should identify the defect, its location and extent, and the reconstructive steps performed; the code is not selected from the diagnosis alone.
Report the service for the documented operative work, distinguishing it from codes for other skull-defect repairs by the specific technique and scope described in the operative note. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62117
- 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 RVU27.64 · 48%
- Practice expense (office) RVU17.73 · 31%
- Malpractice RVU11.70 · 21%
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.
62117 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
62140 describes cranioplasty for a skull defect up to 5 cm. Use it when that measured-defect repair matches the documented procedure rather than the work represented by 62117.
No office rate
62141 describes cranioplasty for a skull defect over 5 cm. The defect measurement and operation must support that code’s scope.
No office rate
62146 describes cranioplasty using an autograft for a defect up to 5 cm and includes obtaining the graft; distinguish it by graft use and defect size.
Compare 62117 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1804.58
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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 62117 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,912
- Code
- 62117
- Physician work
- 27.64
- Practice expense
- 17.73
- Malpractice
- 11.70
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.64 | × 1.000 | 27.6400 |
| Practice expense | 17.73 | × 1.000 | 17.7300 |
| Malpractice | 11.70 | × 0.740 | 8.6580 |
| Total RVUs | 54.0280 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1804.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.64 | 1 |
| Practice expense | 17.73 | 1 |
| Malpractice | 11.7 | 0.74 |
(27.64 × 1 + 17.73 × 1 + 11.7 × 0.74) × $33.4009 = $1804.58
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.
62117 billing questions
How do I distinguish 62117 from 62115?
Compare the operative work with each code’s full CPT descriptor. The operative report should establish the defect and the specific reconstructive technique and extent; the diagnosis by itself does not select between them.
Can a separately performed skull repair be reported with 62117?
Report another procedure only when the surgeon performed distinct work that is separately represented by that code. CMS applies standard multiple-procedure reduction to qualifying procedures performed in the same session.
What documentation supports reporting 62117?
Document the skull defect’s location and extent, the operative steps used to reduce or reconstruct it, and why those steps were necessary. The note should make the service distinguishable from other skull-defect repair techniques.
How does the global period affect postoperative claims?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are part of the surgical episode.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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.
6,90962010,,Treatment of head injury,A,,20.89,15.74,NA,15.74,,8.81,45.44,45.44,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,91062100,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,