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CMS RVU26D · Effective 2026-10-01

63710 Dural repair Medicare reimbursement rates in Indiana

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 Indiana.

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 Indiana?

Indiana 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

$937.42

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find 63710 in your payment locality →

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 Indiana, from the same CMS release.

63707

Spinal leak repair

Without laminectomy

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.

63709

CSF leak repair

Requiring laminectomy

No office rate

63709 describes spinal fluid leak repair with laminectomy. The graft-based dural defect repair in 63710 is a different service.

63700

Meningocele repair

Patient younger than one year

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.

63702

Spinal repair

Meningocele, not newborn

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

Office and facility base rates · shared scale starting at $0

  • Indiana →

    Office / nonfacility

    Unavailable

    Facility

    $937.42

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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 Indiana.

PPRRVU2026_Oct_nonQPP.csv

7,091

Code
63710
Physician work
15.02
Practice expense
11.63
Malpractice
4.66

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 63710 in Indiana
ComponentRVULocality factorAdjusted
Physician work15.02× 1.00015.0200
Practice expense11.63× 0.92710.7810
Malpractice4.66× 0.4862.2648
Total RVUs28.0658
Conversion factor× 33.4009

Facility rate, Indiana$937.42

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work15.021
Practice expense11.630.927
Malpractice4.660.486

(15.02 × 1 + 11.63 × 0.927 + 4.66 × 0.486) × $33.4009 = $937.42

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.

RVUs for 63710PPRRVU2026_Oct_nonQPP.csv, line 7,091 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet