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CPT 62141: Cranial Bone Removal and Skull Defect Repair >5 cm
CPT code 62141 codes for surgical removal of a portion of the skull and repair of a skull defect greater than 5 cm in diameter. This code captures a high-complexity cranial reconstructive procedure that is clinically significant due to its implications for intracranial protection, cosmesis and potential neurologic outcomes. Nationally, accurate coding of this procedure affects hospital surgical case mix, reimbursement for complex neurosurgical services, and quality reporting for cranial reconstruction.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical indications and typical sites of service, benchmark considerations for utilization and payment, and the coding context needed for billing and administrative review. The publication highlights common billing modifiers and data limitations where input fields are not provided.
This summary equips billing managers, neurosurgery departments, and policy analysts with a concise reference to the code’s clinical meaning, where it is commonly performed, and the payer landscape relevant to national-level reporting and reimbursement discussions. Data not available in the input is noted where applicable in subsequent sections.
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Billing Code Overview
CPT code 62141 describes a neurosurgical procedure in which the surgeon removes a portion of the skull (craniectomy/craniotomy) and repairs a skull defect that is larger than 5 cm in diameter. The procedure involves excision of a skull segment and reconstruction of the resulting defect to restore cranial integrity.
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Service type: Surgical cranial bone removal and skull defect repair
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Typical site of service: Hospital operating room (inpatient or outpatient surgical center depending on clinical context)