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CPT 63710: Dural repairMedicare rate & RVUs

Reports surgical repair of a spinal dural defect using a graft, such as when the surgeon must reconstruct a defect rather than close it directly.

CMS RVU26DEffective Oct 1, 2026109 payment localities1K Medicare services in 2024

Medicare pays $1,045.78 for 63710 nationally in a facility.

Medicare rate · 63710

Dural repair

Swap in your local Medicare rate.

Work RVUs
15.02
Total RVUs
31.31
Global days
090

National rate · 2026

$1,045.78

Facility setting, before claim adjustments.

See every locality for 63710 →

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 63710 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 63710 covers

A neurosurgeon or other spine surgeon uses graft material to reconstruct a defect in the spinal dura, the membrane surrounding the spinal cord and cerebrospinal fluid. The service may be performed during an operation when a defect requires graft repair; it is distinct from repairing a spinal fluid leak without a graft or repairing a meningocele. Medicare claims for this service are typically facility-based.

Report the code when the operative note identifies the spinal dural defect and documents graft placement as part of its repair. The 90-day global period includes 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 63710 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

63710 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$929.67
Alaska*Unavailable$1,251.99
ArizonaUnavailable$1,011.33
ArkansasUnavailable$915.52
AtlantaUnavailable$1,084.79
AustinUnavailable$1,051.57
BakersfieldUnavailable$1,031.75
Baltimore/Surr. CntysUnavailable$1,119.05
BeaumontUnavailable$999.77
BrazoriaUnavailable$1,012.06

63710 rates by state

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

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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
63710 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 63710 rate is calculated

Each of 63710’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 · 63710

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.02Practice expense 11.63Malpractice 4.66

31.3100 adjusted RVUs×$33.4009 conversion factor=$1,045.78

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 63710

63710 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63710

Dural 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 · 63710

Dural 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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

63710 without 51 · national facility

$1,045.78

Dural repair

63710-51 · Second procedure: 50%

$522.89

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

63710 compared with similar codes

Compare codes

63710 vs 63707 vs 63709 vs 63700 vs 63702: national Medicare rates

Swap in your local Medicare rate.

  • 63710
    Dural repair · 15.02 wRVU
    —
  • 63707
    Spinal leak repair · 12.33 wRVU
    —
  • 63709
    CSF leak repair · 15.26 wRVU
    —
  • 63700
    Meningocele repair · 17.03 wRVU
    —
  • 63702
    Spinal repair · 18.92 wRVU
    —

How to choose

63707Spinal leak repair
63707 is for spinal fluid leak repair without laminectomy. Use 63710 when the documented service reconstructs a spinal dural defect with a graft.
63709CSF leak repair
63709 describes spinal fluid leak repair with laminectomy. The graft-based dural defect repair in 63710 is a different service.
63700Meningocele repair
63700 addresses repair of a spinal meningocele below its specified size threshold. It is not the graft-based dural defect repair reported with 63710.
63702Spinal repair
63702 addresses repair of a larger spinal meningocele. Choose based on the lesion being repaired, not simply because graft material is used.

Codes related to 63710

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

Codes related to 63710
CodeHow it relatesNational office range
Used instead
63707Spinal leak repairSpinal fluid leak repair without laminectomy; distinguish from graft reconstruction of a dural defect.No office rate
63709CSF leak repairSpinal fluid leak repair with laminectomy; selected for the documented leak repair service.No office rate
63700Meningocele repairRepair of a spinal meningocele below the specified size threshold, rather than graft repair of a dural defect.No office rate
63702Spinal repairRepair of a larger spinal meningocele; the lesion and repair differ from this graft service.No office rate

63710 billing questions

How is this different from the spinal fluid leak repair codes?

This code is for graft-based reconstruction of a spinal dural defect. Codes 63707 and 63709 describe spinal fluid leak repairs and distinguish the approach by whether laminectomy is performed.

What documentation supports reporting this code?

The operative report should identify the spinal dural defect and describe graft placement to repair it. A note that records only routine closure does not establish the graft repair described here.

Can this be reported with the main spine procedure?

Report it when the surgeon performs a distinct graft repair of a spinal dural defect. Review the operative details and applicable coding edits rather than separately reporting routine closure.

Should modifier 50 be appended for a defect on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.

How does the global period affect postoperative reporting?

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

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and 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 63710PPRRVU2026_Oct_nonQPP.csv, line 7,091 (RVU26D)

Open CMS sourceHow we calculate rates

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