No office rate
The key distinction is whether laminectomy is performed as part of the leak repair: without laminectomy supports 63707; with laminectomy supports 63709.
On this page
CMS RVU26D · Effective 2026-10-01
63707 Spinal leak repair Medicare reimbursement rates in Kentucky
Repair a spinal cerebrospinal fluid leak without laminectomy, such as a dural defect repaired during a spinal operation or for a persistent leak. Compare 63707 office and facility rates across CMS payment localities in Kentucky.
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 63707 in Kentucky?
Kentucky 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
$874.37
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Spine surgery
About 63707: Spinal cerebrospinal fluid leak repair
Repair a spinal cerebrospinal fluid leak without laminectomy, such as a dural defect repaired during a spinal operation or for a persistent leak.
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.
CMS billing rules for 63707
- 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 RVU12.33 · 44%
- Practice expense (office) RVU11.11 · 40%
- Malpractice RVU4.34 · 16%
975
Medicare services in 2024 · #2989 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.
63707 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
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.
No office rate
63700 is for repair of a spinal meningocele. Choose 63707 for a spinal fluid leak repair that is not a meningocele repair.
Compare 63707 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$874.37
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 63707 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
7,089
- Code
- 63707
- Physician work
- 12.33
- Practice expense
- 11.11
- Malpractice
- 4.34
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.33 | × 1.000 | 12.3300 |
| Practice expense | 11.11 | × 0.889 | 9.8768 |
| Malpractice | 4.34 | × 0.915 | 3.9711 |
| Total RVUs | 26.1779 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$874.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.33 | 1 |
| Practice expense | 11.11 | 0.889 |
| Malpractice | 4.34 | 0.915 |
(12.33 × 1 + 11.11 × 0.889 + 4.34 × 0.915) × $33.4009 = $874.37
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.
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 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.
7,08663702,,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
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
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631