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CPT 63700 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Repair Meningocele; Less Than 5 Cm. Diam
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

59 - Distinct Procedural Service

AS - PA/NP/CNS assistant at surgery

Complexity LevelHigh

National average reimbursement for CPT 63700 by major payers:

bcbs

$1,609.94

uhc

$1,734.34

aetna

$1,771.72

cigna

$2,128.73

Preview provider-level rates for...
For billing codeCPT 63700
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 63700

United
63700$1061.001770566192 - SUMMERLIN BEND SURGERY CENTER LLP, ADULT & CHILDRENS SURGERY CENTER OF SOUTHWEST FLORIDA651005912 - (FL) SUMMERLIN BEND SURGERY CENTERFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$644.001356421853 - PINEHURST MEDICAL CLINIC INC, PINEHURST MEDICAL CLINIC ENDOSCOPY CENTER560942980 - (NC) PINEHURST MEDICAL CLINIC, INC.NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$299.001578077103 - SNNAC LLC, AZURA SURGERY CENTER NORTHERN NEVADA821669704 - (NV) SNNAC LLCNVAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$384.001750612446 - BAY SURGERY CENTERS, CLEARWAY SURGERY CENTER OF GLEN BURNIE271271303 - (MD) BAY SURGERY CENTERSMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$485.001144293309 - SUNCOAST ENDOSCOPY ASC LP, SUN COAST ENDOSCOPY CENTER621839179 - (FL) SUNCOAST ENDOSCOPY ASC LPFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$109.001851516728 - PHOENIX ENDOSCOPY LLC710940187 - (AZ) PHOENIX ENDOSCOPY LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$100.001023015989 - TUCSON GASTROENTEROLOGY INSTITUTE, LLC860966257 - (AZ) TUCSON GASTROENTEROLOGY INSTITUTE LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$1167.001780128553 - CAROLINAS ENDOSCOPY CENTER LLC814599818 - CAROLINAS ENDOSCOPY CENTER LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$208.001285664300 - PHYSICIANS OUTPATIENT SURGERY CENTER, LLC311649113 - (OH) PHYSICIANS OUTPATIENT SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$1575.001376228361 - SPRINGFIELD REGIONAL OUTPATIENT SURGERY CENTER LLC923802390 - (OH) SPRINGFIELD REGIONAL OUTPATIENT SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$2575.001477594422 - SURGERY CENTER OF AVENTURA LTD113765789 - (FL) SURGERY CENTER OF AVENTURA LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$834.001649682014 - ENTI SURGERY CENTER LLC462334845 - (GA) ENTI SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$412.001508879446 - WEST FLORIDA SURGERY CENTER INC651092124 - (FL) WEST FLORIDA SURGERY CENTER INCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$658.001629135843 - NAEEM M AKHTAR, MADERA AMBULATORY ENDOSCOPY CENTER770194609 - (CA) NAEEM M. AKHTAR, M.D.CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
63700$828.001336665306 - EAGAN ORTHOPEDIC SURGERY CENTER LLC822364448 - (MN) EAGAN ORTHOPEDIC SURGERY CENTER LLCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 63700 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 63700 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 63700 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
63283-CPTHighExc Intraspin Neopl Intradur-Sacral
63700-CPTHighRepair Meningocele; Less Than 5 Cm. Diam
63702-CPTHighRepair Meningocele >5cm
63704-CPTHighRepair Myelomeningocele; Under 5 Cm Diam

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 63700 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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