Billing code 63710: Dural repairMedicare rate & RVUs in Ohio
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.
CMS doesn’t publish an office rate for 63710 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 63710 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,013.23 |
How the 63710 rate is calculated
Each of 63710’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 63710
RVUs × geographic indexes × conversion factor
Work15.02
15.02 RVUs× 1.000 GPCI
Practice expense11.63
11.63 RVUs× 1.000 GPCI
Malpractice4.66
4.66 RVUs× 1.000 GPCI
Adjusted RVUs
31.3100
Conversion factor
$33.4009
Medicare rate
$1,045.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63710
63710 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63710
Dural repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63710
Dural repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63710 without 51 · national facility
$1,045.78
Dural repair
63710-51 · Second procedure: 50%
$522.89
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
63710 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 63707Spinal leak repair
- 63707 is for spinal fluid leak repair without laminectomy. Use 63710 when the documented service reconstructs a spinal dural defect with a graft.
- 63709CSF leak repair
- 63709 describes spinal fluid leak repair with laminectomy. The graft-based dural defect repair in 63710 is a different service.
- 63700Meningocele repair
- 63700 addresses repair of a spinal meningocele below its specified size threshold. It is not the graft-based dural defect repair reported with 63710.
- 63702Spinal repair
- 63702 addresses repair of a larger spinal meningocele. Choose based on the lesion being repaired, not simply because graft material is used.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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