Post-training quantization (PTQ) has driven attention to producing efficient large language models (LLMs) with ultra-low costs. Since hand-craft quantization parameters lead to low performance in low-bit quantization, recent methods optimize the quantization parameters through block-wise reconstruction between the floating-point and quantized models. However, these methods suffer from two challenges: accumulated errors from independent one-by-one block quantization and reconstruction difficulties from extreme weight and activation outliers. To address these two challenges, we propose CBQ, a cross-block reconstruction-based PTQ method for LLMs. To reduce error accumulation, we introduce a cross-block dependency with the aid of a homologous reconstruction scheme to build the long-range dependency between adjacent multi-blocks with overlapping. To reduce reconstruction difficulty, we design a coarse-to-fine pre-processing (CFP) to truncate weight outliers and dynamically scale activation outliers before optimization, and an adaptive rounding scheme, called LoRA-Rounding, with two low-rank learnable matrixes to further rectify weight quantization errors. Extensive experiments demonstrate that: (1) CBQ pushes both activation and weight quantization to low-bit settings W4A4, W4A8, and W2A16. (2) CBQ achieves better performance than the existing state-of-the-art methods on various LLMs and benchmark datasets.