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See a sample rate comparisonCPT 63702 Fee Schedule
Last Verified: October 2026
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 >5cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 20 - Urgent Care Facility |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63702 |
| Medicaid Fee Schedule | View Medicaid rates for 63702 |
National average reimbursement for CPT 63702 by major payers:
$1,689.69
$1,906.25
$1,939.59
$2,274.10
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CPT 63702
5 of 25 sample ratesHigher to lower in this preview
Diagnostic And Interventional Surgical Center, Diagnostic And Interventional Surgical Center
Diagnostic And Interventional Surgery Center, LLC
$36,000.00Published rateSpecialty Surgery Center At Fountain Valley Regional Hospital LLC
$1,121.00Published rateRiverwalk Surgery Center, LLC, Precision Surgery Center
Riverwalk Surgery Center LLC
$650.00Published rateCape Coral Ambulatory Surgery Center, LLC, Cape Coral Surgery Center
Cape Coral Ambulatory Surgery Center LLC
$406.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$110.00Published rate
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See a sample payer proposalCPT 63702 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63702 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 63702 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.
| Code | Complexity | Description |
|---|---|---|
| 63685-CPT | Moderate | Insertion Or Replacement Of Spinal Neurostimulatorpulse Generator Or Receiver Direct Or Inductive Coupling (Desc Revised 1/1/2005) C |
| 63700-CPT | High | Repair Meningocele; Less Than 5 Cm. Diam |
| 63702-CPT | High | Repair Meningocele >5cm |
| 63706-CPT | High | Repair Myelomeningocele >5cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63702. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63702 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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