Billing code 63707: Spinal leak repairMedicare rate & RVUs in Oregon
Repair a spinal cerebrospinal fluid leak without laminectomy, such as a dural defect repaired during a spinal operation or for a persistent leak.
CMS doesn’t publish an office rate for 63707 in Oregon.
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 63707 covers
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.
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.
Where 63707 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $938.55 |
| Rest Of Oregon | Unavailable | $883.34 |
How the 63707 rate is calculated
Each of 63707’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 · 63707
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.33Practice expense 11.11Malpractice 4.34
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 63707
63707 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63707
Spinal leak 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 · 63707
Spinal leak 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
63707 without 51 · national facility
$927.88
Spinal leak repair
63707-51 · Second procedure: 50%
$463.94
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%).
63707 compared with similar codes
Compare codes
63707 vs 63709 vs 63710 vs 63700: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 63709CSF leak repair
- The key distinction is whether laminectomy is performed as part of the leak repair: without laminectomy supports 63707; with laminectomy supports 63709.
- 63710Dural repair
- 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.
- 63700Meningocele repair
- 63700 is for repair of a spinal meningocele. Choose 63707 for a spinal fluid leak repair that is not a meningocele repair.
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 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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