No office rate
Both codes concern myelomeningocele repair. The patient category distinguishes 63704, which is for newborns, from 63706.
On this page
CMS RVU26D · Effective 2026-10-01
63706 Spinal defect repair Medicare reimbursement rates
Reports operative repair of a myelomeningocele in a patient outside the newborn category, including closure of the congenital spinal defect. Compare 63706 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 63706?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 63706 pays more and less
Neurosurgery
About 63706: Myelomeningocele repair, non-newborn
Reports operative repair of a myelomeningocele in a patient outside the newborn category, including closure of the congenital spinal defect.
CPT 63706 covers surgical repair of a myelomeningocele, a congenital spinal defect involving neural tissue and its coverings. A neurosurgeon typically performs the operation in a hospital operating room, addressing the defect and closing the involved tissues. The patient must fall outside the newborn category for this code; the newborn repair is represented by a separate code in the family.
The operative report should identify the myelomeningocele, document the repair performed, and support the patient category used to select the code. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 63706
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU24.72 · 45%
- Practice expense (office) RVU19.91 · 36%
- Malpractice RVU10.44 · 19%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
63706 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
63702 describes repair of a meningocele in a patient outside the newborn category; 63706 is for myelomeningocele repair.
No office rate
63707 addresses repair of a spinal fluid leak rather than operative repair of a myelomeningocele.
See how rates vary across the country
63706 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 63706 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1604.92 |
| Alaska* | Office Unavailable | Facility $2138.88 |
| Arizona | Office Unavailable | Facility $1768.56 |
| Arkansas | Office Unavailable | Facility $1576.50 |
| Atlanta | Office Unavailable | Facility $1922.59 |
| Austin | Office Unavailable | Facility $1839.86 |
| Bakersfield | Office Unavailable | Facility $1782.57 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1983.79 |
| Beaumont | Office Unavailable | Facility $1754.78 |
| Brazoria | Office Unavailable | Facility $1763.29 |
| Chicago | Office Unavailable | Facility $2300.07 |
| Chico | Office Unavailable | Facility $1755.47 |
| Colorado | Office Unavailable | Facility $1815.49 |
| Connecticut | Office Unavailable | Facility $1980.34 |
| Dallas | Office Unavailable | Facility $1794.64 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $2041.75 |
| Delaware | Office Unavailable | Facility $1800.32 |
| Detroit | Office Unavailable | Facility $2055.32 |
| East St. Louis | Office Unavailable | Facility $2139.77 |
| El Centro | Office Unavailable | Facility $1757.21 |
| Fort Lauderdale | Office Unavailable | Facility $2129.79 |
| Fort Worth | Office Unavailable | Facility $1792.53 |
| Fresno | Office Unavailable | Facility $1755.47 |
| Galveston | Office Unavailable | Facility $1781.36 |
| Hanford-Corcoran | Office Unavailable | Facility $1755.47 |
| Hawaii, Guam | Office Unavailable | Facility $1783.69 |
| Houston | Office Unavailable | Facility $1972.45 |
| Idaho | Office Unavailable | Facility $1602.42 |
| Indiana | Office Unavailable | Facility $1611.61 |
| Iowa | Office Unavailable | Facility $1572.59 |
| Kansas | Office Unavailable | Facility $1602.59 |
| Kentucky | Office Unavailable | Facility $1735.93 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1877.77 |
| Madera | Office Unavailable | Facility $1755.47 |
| Manhattan | Office Unavailable | Facility $2204.30 |
| Merced | Office Unavailable | Facility $1755.47 |
| Metropolitan Boston | Office Unavailable | Facility $1963.89 |
| Metropolitan Kansas City | Office Unavailable | Facility $1790.80 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1948.82 |
| Metropolitan St. Louis | Office Unavailable | Facility $1808.16 |
| Miami | Office Unavailable | Facility $2399.82 |
| Minnesota | Office Unavailable | Facility $1613.18 |
| Mississippi | Office Unavailable | Facility $1655.94 |
| Modesto | Office Unavailable | Facility $1755.47 |
| Montana** | Office Unavailable | Facility $1838.69 |
| Napa | Office Unavailable | Facility $1931.32 |
| Nebraska | Office Unavailable | Facility $1571.29 |
| Nevada** | Office Unavailable | Facility $1781.82 |
| New Hampshire | Office Unavailable | Facility $1823.06 |
| New Mexico | Office Unavailable | Facility $1854.28 |
| New Orleans | Office Unavailable | Facility $1847.58 |
| North Carolina | Office Unavailable | Facility $1668.95 |
| North Dakota** | Office Unavailable | Facility $1632.26 |
| Northern Nj | Office Unavailable | Facility $2021.52 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $2316.76 |
| Ohio | Office Unavailable | Facility $1784.32 |
| Oklahoma | Office Unavailable | Facility $1690.47 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1852.08 |
| Portland | Office Unavailable | Facility $1837.15 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $2012.95 |
| Puerto Rico | Office Unavailable | Facility $1841.47 |
| Queens | Office Unavailable | Facility $2167.39 |
| Redding | Office Unavailable | Facility $1755.47 |
| Rest Of California | Office Unavailable | Facility $1755.47 |
| Rest Of Florida | Office Unavailable | Facility $1985.53 |
| Rest Of Georgia | Office Unavailable | Facility $1834.52 |
| Rest Of Illinois | Office Unavailable | Facility $1977.85 |
| Rest Of Louisiana | Office Unavailable | Facility $1748.27 |
| Rest Of Maine | Office Unavailable | Facility $1654.38 |
| Rest Of Maryland | Office Unavailable | Facility $1827.03 |
| Rest Of Massachusetts | Office Unavailable | Facility $1817.06 |
| Rest Of Michigan | Office Unavailable | Facility $1826.51 |
| Rest Of Missouri | Office Unavailable | Facility $1738.55 |
| Rest Of New Jersey | Office Unavailable | Facility $1967.42 |
| Rest Of New York | Office Unavailable | Facility $1702.57 |
| Rest Of Oregon | Office Unavailable | Facility $1733.16 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1765.68 |
| Rest Of Texas | Office Unavailable | Facility $1771.65 |
| Rest Of Washington | Office Unavailable | Facility $1802.03 |
| Rhode Island | Office Unavailable | Facility $1839.36 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1866.83 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1815.71 |
| Salinas | Office Unavailable | Facility $1808.92 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1834.79 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $2001.83 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1989.98 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $2062.35 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $2013.88 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1784.06 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1837.90 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1811.10 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1853.98 |
| Seattle (King Cnty) | Office Unavailable | Facility $1967.82 |
| South Carolina | Office Unavailable | Facility $1736.54 |
| South Dakota** | Office Unavailable | Facility $1607.85 |
| Southern Maine | Office Unavailable | Facility $1704.73 |
| Stockton | Office Unavailable | Facility $1755.47 |
| Suburban Chicago | Office Unavailable | Facility $2132.32 |
| Tennessee | Office Unavailable | Facility $1617.42 |
| Utah | Office Unavailable | Facility $1763.92 |
| Vallejo | Office Unavailable | Facility $1914.23 |
| Vermont | Office Unavailable | Facility $1660.48 |
| Virgin Islands | Office Unavailable | Facility $1841.47 |
| Virginia | Office Unavailable | Facility $1725.56 |
| Visalia | Office Unavailable | Facility $1755.47 |
| West Virginia | Office Unavailable | Facility $1902.56 |
| Wisconsin | Office Unavailable | Facility $1570.15 |
| Wyoming** | Office Unavailable | Facility $1748.72 |
| Yuba City | Office Unavailable | Facility $1755.47 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
63706 billing questions
How is 63706 distinguished from 63704?
Both describe repair of a myelomeningocele. Use 63706 for a patient outside the newborn category; 63704 is the newborn-family code.
How is this different from the meningocele repair codes?
63706 is for a myelomeningocele. Codes 63700 and 63702 are for meningocele repair, with the patient category distinguishing those codes.
Is postoperative care included?
Yes. CMS assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
Should modifier 50 be used for a defect involving both sides?
Modifier 50 is inappropriate for this descriptor and anatomy; report the repair under the applicable code without a bilateral adjustment.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,08563700,,Repair of spinal herniation,A,,17.03,15.40,NA,15.40,,7.19,39.62,39.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08663702,,Repair of spinal herniation,A,,18.92,16.06,NA,16.06,,7.98,42.96,42.96,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08763704,,Repair of spinal herniation,A,,21.87,18.91,NA,18.91,,9.23,50.01,50.01,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08863706,,Repair of spinal herniation,A,,24.72,19.91,NA,19.91,,10.44,55.07,55.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08963707,,Repair spinal fluid leakage,A,,12.33,11.11,NA,11.11,,4.34,27.78,27.78,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,09063709,,Repair spinal fluid leakage,A,,15.26,11.99,NA,11.99,,5.23,32.48,32.48,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,09163710,,Graft repair of spine defect,A,,15.02,11.63,NA,11.63,,4.66,31.31,31.31,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00