No office rate
Both describe spinal meningocele repair; 63700 is for a newborn, while 63702 is for a patient who is not a newborn.
On this page
CMS RVU26D · Effective 2026-10-01
63702 Spinal repair Medicare reimbursement rates in New Mexico
Surgical repair of a spinal meningocele in a patient who is not a newborn, closing the meningeal defect associated with the spinal lesion. Compare 63702 office and facility rates across CMS payment localities in New Mexico.
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 63702 in New Mexico?
New Mexico 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
$1443.95
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 63702: Nonnewborn spinal meningocele repair
Surgical repair of a spinal meningocele in a patient who is not a newborn, closing the meningeal defect associated with the spinal lesion.
A spinal meningocele is a sac of meninges and cerebrospinal fluid that protrudes through a spinal defect. A neurosurgeon, often a pediatric neurosurgeon, operates to address the sac and close the defect while protecting the spinal cord and nerve roots. This code is for repair in a patient who is not a newborn; the newborn repair is a separate code in the family. These procedures are generally performed in a hospital operating room for congenital spinal lesions.
Select the code based on the lesion being repaired and the patient’s newborn status, not simply the spinal level or size of the defect. The operative report should identify the meningocele, describe the repair and document the patient’s status relevant to code selection. Medicare assigns a 90-day global period, including the day before surgery 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 other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this midline repair. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63702
- 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 RVU18.92 · 44%
- Practice expense (office) RVU16.06 · 37%
- Malpractice RVU7.98 · 19%
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.
63702 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
This code is for newborn myelomeningocele repair. Use 63702 for a nonnewborn patient when the lesion is a meningocele, not a myelomeningocele.
No office rate
This code is for nonnewborn myelomeningocele repair. The lesion type, rather than age alone, separates it from 63702.
No office rate
63707 addresses repair of a spinal cerebrospinal fluid leak. It is not the code for repairing a spinal meningocele.
Compare 63702 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$1443.95
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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 63702 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
7,086
- Code
- 63702
- Physician work
- 18.92
- Practice expense
- 16.06
- Malpractice
- 7.98
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.92 | × 1.000 | 18.9200 |
| Practice expense | 16.06 | × 0.917 | 14.7270 |
| Malpractice | 7.98 | × 1.201 | 9.5840 |
| Total RVUs | 43.2310 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1443.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.92 | 1 |
| Practice expense | 16.06 | 0.917 |
| Malpractice | 7.98 | 1.201 |
(18.92 × 1 + 16.06 × 0.917 + 7.98 × 1.201) × $33.4009 = $1443.95
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.
63702 billing questions
How is this code distinguished from 63700?
Both codes describe spinal meningocele repair, but 63700 is the newborn repair. Use 63702 for a patient who is not a newborn.
How does this differ from repair of a myelomeningocele?
A myelomeningocele involves neural tissue in the protruding sac, unlike a meningocele. The 63704 and 63706 family is used for myelomeningocele repair, with the code choice also distinguishing newborn status.
Can modifier 50 be used for a repair on one side of the spine?
No. The spinal defect is treated as a midline repair, so modifier 50 is not appropriate.
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 reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction.
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.
7,08363685,,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
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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210