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CPT code 63707: Spinal leak repair2026 Medicare rate & RVUs

Repair a spinal cerebrospinal fluid leak without laminectomy, such as a dural defect repaired during a spinal operation or for a persistent leak.

CMS RVU26DEffective Oct 1, 2026109 payment localities975 Medicare services in 2024

Medicare pays $927.88 for 63707 nationally in a facility.

Medicare rate · 63707

Spinal leak repair

Work RVUs
12.33
Total RVUs
27.78
Global days
090

National rate · 2026

$927.88

Facility setting, before claim adjustments.

See every locality for 63707 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 63707 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 63707 covers

This code describes operative repair of a spinal cerebrospinal fluid leak when the repair is performed without laminectomy. Neurosurgeons and orthopedic spine surgeons may use it for a dural defect associated with a spinal procedure or for a persistent leak requiring surgical closure. The operative report should identify the leak or dural defect and describe the repair performed and whether laminectomy was done.

Choose this code when the leak repair does not include laminectomy; use 63709 when laminectomy is performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this repair.

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.

Where 63707 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

63707 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$818.58
Alaska*Unavailable$1,092.83
ArizonaUnavailable$895.50
ArkansasUnavailable$805.25
AtlantaUnavailable$964.19
AustinUnavailable$933.70
BakersfieldUnavailable$914.65
Baltimore/Surr. CntysUnavailable$995.91
BeaumontUnavailable$884.19
BrazoriaUnavailable$895.94

63707 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
63707 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 63707 rate is calculated

Each of 63707’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 63707

RVUs × geographic indexes × conversion factor

Work12.33

12.33 RVUs× 1.000 GPCI

Practice expense11.11

11.11 RVUs× 1.000 GPCI

Malpractice4.34

4.34 RVUs× 1.000 GPCI

Adjusted RVUs

27.7800

Conversion factor

$33.4009

Medicare rate

$927.88

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 63707

63707 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63707

Spinal leak repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63707

Spinal leak repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63707 without 51 · national facility

$927.88

Spinal leak repair

63707-51 · Second procedure: 50%

$463.94

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

63707 compared with similar codes

Compare codes · National

4 codes, side by side

  • 63707

    Spinal leak repair12.33 wRVU

    Not priced

  • 63709

    CSF leak repair15.26 wRVU

    Not priced

  • 63710

    Dural repair15.02 wRVU

    Not priced

  • 63700

    Meningocele repair17.03 wRVU

    Not priced

How to choose

63709CSF leak repair
The key distinction is whether laminectomy is performed as part of the leak repair: without laminectomy supports 63707; with laminectomy supports 63709.
63710Dural repair
63710 describes spinal dural graft repair. It is a different choice when the operative service is graft reconstruction rather than the leak repair represented by 63707.
63700Meningocele repair
63700 is for repair of a spinal meningocele. Choose 63707 for a spinal fluid leak repair that is not a meningocele repair.

Codes related to 63707

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 63707
CodeHow it relatesNational office range
Same family
63709CSF leak repairRepair of a spinal fluid leak when laminectomy is performed.No office rate
Used instead
63710Dural repairSpinal dural graft procedure for a defect requiring graft repair.No office rate
63700Meningocele repairRepair of a spinal meningocele rather than a spinal fluid leak alone.No office rate

63707 billing questions

How does 63707 differ from 63709?

Use 63707 for spinal fluid leak repair without laminectomy. Use 63709 when laminectomy is performed as part of the repair.

What documentation supports 63707?

The operative report should identify the spinal CSF leak or dural defect, describe the repair, and establish that laminectomy was not performed.

Can 63707 be reported with another procedure in the same session?

When multiple procedures are performed in the same session, CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%. The operative record should describe the leak repair performed.

Does modifier 50 apply to 63707?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 63707PPRRVU2026_Oct_nonQPP.csv, line 7,089 (RVU26D)

Open CMS sourceHow we calculate rates

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