CPT code 62117 denotes cranial reconstructive surgery to remove or reduce portions of skull bone and reshape an enlarged (craniomegalic) skull, with optional bone graft repair. Nationally, this procedure is relevant for congenital and acquired cranial deformities and for post-traumatic or post-surgical reconstruction. It is typically performed in hospital operating rooms or ambulatory surgery centers by neurosurgeons or craniofacial surgeons and has implications for surgical quality, resource utilization, and payer coverage policies.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise benchmarking overview of how payers handle coverage and coding for cranial contouring procedures, highlights clinical context for appropriate use, and summarizes common billing considerations. Readers will find: a clear description of the clinical service and typical sites of care; summary guidance on common modifiers and billing practice (listed separately); and a national perspective on reimbursement patterns and policy considerations where available. Data not available in the input is identified explicitly. This resource is intended to inform coding accuracy, billing workflows, and payer discussions for providers and administrators managing cranial reconstructive procedures.