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CPT 62142 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Remov Bone Flap/Prosth Plate-Skull
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

78 - Return to OR - related procedure

AS - PA/NP/CNS assistant at surgery

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 62142

National average reimbursement for CPT 62142 by major payers:

bcbs

$1,193.82

uhc

$1,200.97

aetna

$1,283.52

cigna

$1,471.75

Preview provider-level rates for...
For billing codeCPT 62142
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 62142

United
62142$650.001538403670 - FRESNO CA MULTI ASC LP, HERNDON SURGERY CENTER461297783 - (CA) FRESNO CA MULTI ASCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$1621.001720388465 - WEST ASC, LLC, CAMILLUS SURGERY CENTER273166743 - (NY) WEST ASC, LLC DBA CAMILLUS SURGERY CENTERNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$667.001902447386 - SEATTLE PAIN RELIEF PLLC, FEDERAL WAY AMBULATORY SURGICAL FACILITY455527273 - (WA) SEATTLE PAIN RELIEF PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$1064.001245427228 - SUMMIT AMBULATORY SURGICAL CENTER, LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$380.001902876212 - SCAC LLC, SURGERY CENTER AT CRANBERRY562286973 - (PA) SCAC LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$1049.001760491385 - ENDOSCOPY CENTER OF NORTHERN OHIO, LLC341966846 - (OH) ENDOSCOPY CENTER OF NORTHERN OHIO LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$789.001679858849 - THE EASTSIDE ENDOSCOPY CENTER, LLC911665997 - (WA) THE EASTSIDE ENDOSCOPY CENTER LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$448.001578643607 - PAIN CENTER LLC331048492 - (AR) THE PAIN CENTER OF JONESBORO, LLCARAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$828.001336665306 - EAGAN ORTHOPEDIC SURGERY CENTER LLC822364448 - (MN) EAGAN ORTHOPEDIC SURGERY CENTER LLCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$1141.001073039657 - UNIVERSITY ORTHOPEDICS, INC., UOI-EAST BAY SURGERY CENTER873506992RIAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$807.001609872597 - COLISEUM SAME DAY SURGERY CENTER LP621805346 - (GA) COLISEUM SAME DAY SURGERY CENTER LPGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$853.001831217231 - THE ENDOSCOPY CENTER AT BAINBRIDGE LLC205430025 - (OH) THE ENDOSCOPY CENTER AT BAINBRIDGE LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$936.001750499950 - MEDPLEX OUTPATIENT SURGERY CENTER LTD, MEDPLEX OUTPATIENT SURGERY CENTER760353620 - (AL) MEDPLEX OUTPATIENT SURGERY CENTER LTDALAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$690.001992765986 - WESTERN WASHINGTON ENDOSCOPY CENTERS LLC, WALDRON ENDOSCOPY CENTER200289310 - (WA) WESTERN WASHINGTON ENDOSCOPY CENTERS LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
62142$1124.001437615929 - BANNER ENTICARE TEMPE SURGERY CENTER LLC, BANNER TEMPE SURGERY CENTER833567835 - (AZ) BANNER ENTICARE TEMPE SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 62142 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 62142 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 62142 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
62140-CPTHighCraniopl-Sk.Defect;To 5 Cm.Diameter
62141-CPTHighCranioplasty Skull Defect >5cm
62142-CPTHighRemov Bone Flap/Prosth Plate-Skull
62143-CPTHighReplace Bone Flap/Plate Skull

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62142. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 62142 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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