62141

Crnop skull defect>5 cm diam

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary62141Crnop skull defect>5 cm diam
1
$1,115.59
$1,115.59
Add-on62148Retr bone flap to fix skull
0
$115.23/ unit
$115.23/ unit
Whole procedure · 15.67 wRVU credited
$1,115.59
$1,115.59

RVU Breakdown

Component
Office
Facility
Work
15.67
15.67
Practice expense
11.76
11.76
Malpractice
5.97
5.97
Total RVU
33.40
33.40

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 11% is attributed to pre-operative care, 76% to the procedure itself, and 13% to post-operative visits.