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CPT 62140: Cranial Bone Removal and Skull Defect Repair, Up to 5 cm
CPT code 62140 denotes a neurosurgical procedure for removal of a portion of the skull with repair of a skull defect up to 5 cm in diameter. Nationally, this code captures operative treatment of localized skull defects resulting from trauma, tumor resection, infection, or other cranial pathology and is consequential for surgical service-line billing, hospital resource planning, and neurosurgical quality measurement. Key payers typically involved in coverage and payment decisions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find clinical and billing context for CPT code 62140, including the procedure’s primary clinical indications, typical sites of service (operating room settings in inpatient and outpatient hospitals or ambulatory surgical centers), and how the code fits into surgical service-line workflows. The publication outlines common payer coverage considerations and the practical implications for hospital billing teams and neurosurgical practices. It also highlights areas where benchmarking and policy updates can affect utilization and documentation needs. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 62140 describes a neurosurgical procedure in which the surgeon removes a portion of the skull (craniectomy/craniotomy) and repairs a skull defect no larger than 5 cm in diameter. The procedure typically involves temporary or permanent removal of bone and reconstruction or repair of the cranial vault at the defect site.
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Service type: Surgical, neurosurgical cranial bone removal and skull defect repair
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Typical site of service: Inpatient hospital operating room or outpatient hospital/surgical center operating room depending on clinical indication and patient status.