No office rate
Both codes address spinal meningocele repair; 63700 is for a patient younger than one year, while 63702 is for a patient age one year or older.
On this page
CMS RVU26D · Effective 2026-10-01
63700 Meningocele repair Medicare reimbursement rates in Nebraska
Surgical repair of a spinal meningocele in a patient younger than one year, selected for a meningeal sac rather than a myelomeningocele. Compare 63700 office and facility rates across CMS payment localities in Nebraska.
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 63700 in Nebraska?
Nebraska 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
$1134.36
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 63700: Spinal meningocele repair under age one
Surgical repair of a spinal meningocele in a patient younger than one year, selected for a meningeal sac rather than a myelomeningocele.
This code is for operative repair of a spinal meningocele in a patient younger than one year. A meningocele is a sac of spinal meninges and cerebrospinal fluid protruding through a vertebral defect, without the spinal cord tissue characteristic of a myelomeningocele. A neurosurgeon, often a pediatric neurosurgeon, performs the repair in a hospital operating room, addressing the sac and the defect through which it protrudes.
Select the code based on the lesion type and the patient’s age on the date of surgery; document the meningocele diagnosis, age, and operative repair. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63700
- 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 RVU17.03 · 43%
- Practice expense (office) RVU15.40 · 39%
- Malpractice RVU7.19 · 18%
50
Medicare services in 2024 · #5359 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.
63700 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Use 63704 for myelomeningocele repair in a newborn. Code 63700 is for spinal meningocele repair in a patient younger than one year.
No office rate
Use 63706 for myelomeningocele repair in a patient age one year or older; 63700 concerns meningocele repair before the first birthday.
No office rate
Code 63707 describes primary repair of a spinal fluid leak, rather than repair of a spinal meningocele.
Compare 63700 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$1134.36
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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 63700 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,085
- Code
- 63700
- Physician work
- 17.03
- Practice expense
- 15.40
- Malpractice
- 7.19
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.03 | × 1.000 | 17.0300 |
| Practice expense | 15.40 | × 0.923 | 14.2142 |
| Malpractice | 7.19 | × 0.378 | 2.7178 |
| Total RVUs | 33.9620 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$1134.36
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.03 | 1 |
| Practice expense | 15.4 | 0.923 |
| Malpractice | 7.19 | 0.378 |
(17.03 × 1 + 15.4 × 0.923 + 7.19 × 0.378) × $33.4009 = $1134.36
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.
63700 billing questions
How is this code distinguished from 63702?
Both codes describe spinal meningocele repair. Use 63700 for a patient younger than one year and 63702 for a patient age one year or older.
How is a meningocele distinguished from a myelomeningocele?
A meningocele contains protruding meninges and cerebrospinal fluid; a myelomeningocele also involves neural tissue. The myelomeningocele repair codes are 63704 and 63706.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How are multiple procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted for this code.
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.
7,08263664,,Revise spine eltrd plate,A,,11.23,11.20,NA,11.20,,4.11,26.54,26.54,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08363685,,Ins/rplc spi npg/rcvr pocket,A,,5.06,3.43,NA,3.43,,1.05,9.54,9.54,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08463688,,Rev/rmv imp sp npg/r dtch cn,A,,4.24,3.85,NA,3.85,,1.06,9.15,9.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08563700,,Repair of spinal herniation,A,,17.03,15.40,NA,15.40,,7.19,39.62,39.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,08663702,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068