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See a sample rate comparisonCPT 63709 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.
Rpair Of Dural/Cerebrospinal Fluid Leak Or Pseudomeningoce W/ La, Repair Of Dural/Cerebrospinal Fluid Leak Or Pseudomeningocele With La
| Key Fact | Detail |
|---|---|
| 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 78 - Return to OR - related procedure 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63709 |
| Medicaid Fee Schedule | View Medicaid rates for 63709 |
National average reimbursement for CPT 63709 by major payers:
$1,353.81
$1,508.46
$1,585.72
$1,807.40
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CPT 63709
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
$22,500.00Published rateLongleaf Surgery Center, LLC
Longleaf Surgery Center LLC
$1,064.00Published rateParkhill Surgery Center Plano, LLC
$850.00Published rateSurgical Centers Of Michigan, LLC.
Surgical Centers Of Michigan LLC
$546.00Published ratePremier Endoscopy Center, LLC
Premier Endoscopy Center, P.L.L.C.
$100.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63709 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63709 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 63709 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 |
|---|---|---|
| 63287-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 63305-CPT | High | Remove Vert Idrl Body Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete For Excision Of Intraspinal Lesion Single Segment Intradural Thoracic By Transthoracic Approach |
| 63707-CPT | High | Repair Leak Of Spinal Fluid, Surgical Repair Of A Cerebrospinal Fluid Leak Due To A Hole In The Membrane Covering The Spinal Cord. |
| 63709-CPT | High | Rpair Of Dural/Cerebrospinal Fluid Leak Or Pseudomeningoce W/ La, Repair Of Dural/Cerebrospinal Fluid Leak Or Pseudomeningocele With La |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63709. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63709 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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