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See a sample rate comparisonCPT 62145 Fee Schedule
Last Verified: October 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.
Craniopl-Sk.Defect,Repar.Brain Surg
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 62145 |
| Medicaid Fee Schedule | View Medicaid rates for 62145 |
National average reimbursement for CPT 62145 by major payers:
$1,727.88
$1,929.72
$1,937.64
$2,268.98
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CPT 62145
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Northwest, LLP, Memorial Hermann Surgery Center Greater Heights
Memorial Hermann Surgery Center Northwest LLP
$5,554.00Published rateDay Surgery Center Of North Texas Ltd
$1,955.00Published ratePalos Health Surgery Center, LLC
Palos Health Surgery Center LLC
$882.00Published ratePiedmont Day Surgery Center Inc
$481.00Published rateSkin & Mohs Surgery Center, LLC
Skin Mohs Surgery Center LLC
$194.00Published rate
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See a sample payer proposalCPT 62145 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62145 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 62145 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.
| Code | Complexity | Description |
|---|---|---|
| 62142-CPT | High | Remov Bone Flap/Prosth Plate-Skull |
| 62143-CPT | High | Replace Bone Flap/Plate Skull |
| 62145-CPT | High | Craniopl-Sk.Defect,Repar.Brain Surg |
| 62146-CPT | High | Cranioplasty W/ Autogr Obtain Bone Grafts); Up To 5, Cranioplasty With Autograft (Includes Obtaining Bone Grafts); Up To 5 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62145 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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