No office rate
63707 is for spinal fluid leak repair without laminectomy. Use 63710 when the documented service reconstructs a spinal dural defect with a graft.
On this page
CMS RVU26D · Effective 2026-10-01
63710 Dural repair Medicare reimbursement rates in Colorado
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. Compare 63710 office and facility rates across CMS payment localities in Colorado.
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 63710 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1042.58
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
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.
Neurosurgery
About 63710: Spinal dural defect repair with graft
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.
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.
CMS billing rules for 63710
- 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 RVU15.02 · 48%
- Practice expense (office) RVU11.63 · 37%
- Malpractice RVU4.66 · 15%
1K
Medicare services in 2024 · #2969 by national volume
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.
63710 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
63709 describes spinal fluid leak repair with laminectomy. The graft-based dural defect repair in 63710 is a different service.
No office rate
63700 addresses repair of a spinal meningocele below its specified size threshold. It is not the graft-based dural defect repair reported with 63710.
No office rate
63702 addresses repair of a larger spinal meningocele. Choose based on the lesion being repaired, not simply because graft material is used.
Compare 63710 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.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$1042.58
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.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 63710 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,091
- Code
- 63710
- Physician work
- 15.02
- Practice expense
- 11.63
- Malpractice
- 4.66
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.02 | × 1.012 | 15.2002 |
| Practice expense | 11.63 | × 1.064 | 12.3743 |
| Malpractice | 4.66 | × 0.781 | 3.6395 |
| Total RVUs | 31.2140 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1042.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.02 | 1.012 |
| Practice expense | 11.63 | 1.064 |
| Malpractice | 4.66 | 0.781 |
(15.02 × 1.012 + 11.63 × 1.064 + 4.66 × 0.781) × $33.4009 = $1042.58
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 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.
7,08863706,,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
7,09263740,,Install spinal shunt,A,,12.31,12.73,NA,12.73,,5.17,30.21,30.21,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,09363741,,Install spinal shunt,A,,8.89,9.11,NA,9.11,,3.35,21.35,21.35,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,09463744,,Revision of spinal shunt,A,,8.72,9.65,NA,9.65,,3.67,22.04,22.04,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899