63704 Repair of spinal herniation
Also known as: myelomeningocele repair, spinal neural tube defect closure
Repair of spinal cord myelomeningocele with closure of associated skin defect. This comprehensive procedure involves closure of a defect containing both neural tissue and cerebrospinal fluid.
In Plain Language
closure of spinal cord defect at birth
Clinical Context
Used for neonatal or pediatric repair of spinal dysraphism including myelomeningocele, the most common neural tube defect.
RVU Breakdown
| Work RVU | 21.87 |
| Total RVU | 21.87 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 21.87, this code ranks in the 85th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63704?
CPT 63704 (Repair of spinal herniation) is a Surgery code. Repair of spinal cord myelomeningocele with closure of associated skin defect. This comprehensive procedure involves closure of a defect containing both neural tissue and cerebrospinal fluid.
What is the wRVU value for CPT 63704?
The work RVU for CPT 63704 is 21.87. This code is primarily used by Neurosurgery, Pediatric Neurosurgery. It has a 90-day global period.
When is CPT 63704 used?
Used for neonatal or pediatric repair of spinal dysraphism including myelomeningocele, the most common neural tube defect.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.